Remote Utilization Management Jobs
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Software Development 17838B2B Sales & Account Management 10968CRM & Direct Marketing 10917Product 9303Back-End Development 9223Management and Leadership 8423Data and Analytics 8147finance 8094IT & Engineering 6553Enterprise Sales 6500Project & Program Management 5958Customer Support & Service 5958Sustainability & CSR 5474Sales Leadership & Strategy 5011DevOps & Infrastructure 4737Growth & Performance 3338Front-End Development 2857
363 jobs
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Clinical Review Nurse - Concurrent Review
Clinical Review Nurse - Concurrent Review
Just Now
Centene Corporation
- Remote: United States
- Full time
Discharge PlanningUtilization ManagementMedical Necessity
Enterprise PHCO - Medicare & Duals - Lead
Enterprise PHCO - Medicare & Duals - Lead
30+ days ago
Centene Corporation
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
Care ManagementMedical ManagementUtilization Management
Director of Clinical Network Operations
Director of Clinical Network Operations
6 day ago
NOCD
- Remote: United States
- Full time
Clinical System OperationsCross-Functional Collaboration
Medical Director - Florida
Medical Director - Florida
25 day ago
Humana
- Remote: United States
- Full time
Utilization ManagementTreatment Planning
Business Development Director (Clinical Documentation and Coding)
Business Development Director (Clinical Documentation and Coding)
21 day ago
R1 RCM
- Remote: United States
- Full time
Coding TheoryRevenue ManagementClinical Documentation
Senior Manager, Resource Management
Senior Manager, Resource Management
30+ days ago
Wpromote
- Remote: United States
- Full time
Utilization ManagementStaff PlanningResource Management
Board Certified Hematology Physician Advisor, Disability Peer Review
Board Certified Hematology Physician Advisor, Disability Peer Review
5 day ago
Dane Street, LLC
- Remote: United States
- Freelance
Utilization ManagementHematologyMedical NecessityMedical Testing
Medical Director
Medical Director
Today
The Cigna Group
- Remote: United States
- Full time
Care ManagementClinical InformaticsClinical Assessments
Resource Coordinator
Resource Coordinator
15 day ago
Half Helix
- Remote: United States
- Full time
Resource PlanningProject ManagementProcess Management
Staff Vice President, Medicare Quality & Affordability Strategy
Staff Vice President, Medicare Quality & Affordability Strategy
5 day ago
Centene Corporation
- Remote: United States
- Full time
Value-Based CarePublic Health
Clinical Letter Writer - UM & Specialty Experience is a MUST
Clinical Letter Writer - UM & Specialty Experience is a MUST
7 day ago
New Century Health
- Remote: United States
- Full time
Utilization ManagementClinical InformaticsMedical WritingOnline Communication
Nurse Coder DRG Auditor I (US Remote)
Nurse Coder DRG Auditor I (US Remote)
15 day ago
Trend Health Partners
- Remote: United States
- Full time
Coding TheoryDiagnosis-Related GroupCPT Coding
Provider Engagement Account Manager
Provider Engagement Account Manager
30+ days ago
Centene Corporation
- Remote: United States
- Full time
- 55 - 99K
Provider ModelAccount ManagementNetwork Performance Management
Associate Director, Access Reimbursement Management- WI/MN/Northern OH
Associate Director, Access Reimbursement Management- WI/MN/Northern OH
22 day ago
Sage Therapeutics
- Remote: United States
- Full time
Health AdministrationActivities Of Daily Living (ADLs)Reimbursement RegulationsPayer Marketing
Remote Medical Director
Remote Medical Director
21 day ago
Centene Corporation
- Remote: United States
- Full time
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
Board Certified Dermatology Physician Advisor, Disability Peer Review
Board Certified Dermatology Physician Advisor, Disability Peer Review
5 day ago
Dane Street, LLC
- Remote: United States
- Freelance
Disability ManagementClinical AssessmentsDermatology
Clinical Case and Utilization Management (CM/UM) Training Manager
Clinical Case and Utilization Management (CM/UM) Training Manager
7 day ago
COPE Health Solutions
- Remote: United States
- Full time
Care ManagementPolicy EnforcementUtilization Management
Pediatrician - Utilization Review - (Remote 1099 - Independent Contractor)
Pediatrician - Utilization Review - (Remote 1099 - Independent Contractor)
Today
Medical Review Institute
- Remote: United States
- Freelance
Utilization ManagementClinical AssessmentsPediatrics
Consulting Team Lead - Microsoft Fabric & Power BI at Collectiv
Consulting Team Lead - Microsoft Fabric & Power BI at Collectiv
30+ days ago
Collectiv
- Remote: United States, Illinois (USA)
- Full time
- Senior (5-10 years)
Power BIMicrosoft Azure
Clinical Admissions Therapist (Michigan)
Clinical Admissions Therapist (Michigan)
25 day ago
Charlie Health
- Remote: United States
- Full time
TelehealthBehavioral HealthMental Health Assessments
Care manager (LMFT or LCSW) - Remote
Care manager (LMFT or LCSW) - Remote
30+ days ago
Magellan Health
- Remote: United States
- Full time
- Mid-level (2-5 years)
Discharge Planning
Speech Therapist /Clinical Reviewer - eviCore - Work at Home
Speech Therapist /Clinical Reviewer - eviCore - Work at Home
18 day ago
The Cigna Group
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementMedical GuidelineSpeech Therapy
Senior Customer Success Technical Architect
Senior Customer Success Technical Architect
21 day ago
Confluent
- Remote: United States
- Full time
PLINK (Genetic Analysis Software)Apache KafkaData StreamingCloud Computing
Clinical Formulary Pharmacist - Government Programs
Clinical Formulary Pharmacist - Government Programs
30+ days ago
Maxor National Pharmacy Services, LLC
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
Utilization ManagementCompliance Management
UR Case Manager II
UR Case Manager II
30+ days ago
CorVel Corporation
- Remote: United States, Texas (USA)
- Full time
- Mid-level (2-5 years)
- 63 - 96K
Utilization Management
Obstetrics/Newborn/Pediatrics Clinical Documentation Specialist PRN
Obstetrics/Newborn/Pediatrics Clinical Documentation Specialist PRN
30+ days ago
Wellstar Health System
- Remote: United States
- Part time
- Senior (5-10 years)
Coding TheoryLine ChartDiagnosis-Related GroupClinical Documentation
Field Medical Director, Radiology (ENT Preferred)
Field Medical Director, Radiology (ENT Preferred)
3 day ago
New Century Health
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementOtolaryngologyMedical Guideline
Career Opportunities: Utilization Management Medical Director - Remote in US (28039)
Career Opportunities: Utilization Management Medical Director - Remote in US (28039)
30+ days ago
Gainwell Technologies LLC
- Remote: United States
- Senior (5-10 years)
- 100 - 150K
InterQual CriteriaUtilization Management
Medical Director, Children's Services (SafetyNet & Behavioral Health)
Medical Director, Children's Services (SafetyNet & Behavioral Health)
30+ days ago
Univera Healthcare
- Remote: United States, Massachusetts (USA), New York (USA), Virginia (USA)
- Full time
- Expert & Leadership (>10 years)
Behavioral HealthChild And Adolescent PsychiatryClinical Auditing
Remote Child & Adolescent Behavioral Medical Director - Washington
Remote Child & Adolescent Behavioral Medical Director - Washington
30+ days ago
Centene Corporation
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
- 231 - 440K
Utilization Management
Clinical Product Consultant - UM
Clinical Product Consultant - UM
30+ days ago
Iodine Software
- Remote: United States
- Freelance
- Senior (5-10 years)
Utilization ManagementClinical AssessmentsProject Management
Ophthalmology - Remote 1099 Utilization Review Work
Ophthalmology - Remote 1099 Utilization Review Work
7 day ago
Medical Review Institute
- Remote: United States
- Freelance
Utilization ManagementClinical AssessmentsBasic Patient CareOphthalmology
Quality Improvement Coordinator I
Quality Improvement Coordinator I
2 day ago
Centene Corporation
- Remote: United States
- Full time
Clinical Quality ManagementQuality Assessment
Utilization Management Physician Reviewer
Utilization Management Physician Reviewer
5 day ago
Dane Street, LLC
- Remote: United States
- Full time
Utilization ManagementMedical NecessityClinical Consulting
Utilization Review Nurse- PT (9a-9p EST)
Utilization Review Nurse- PT (9a-9p EST)
Today
Netsmart
- Remote: United States
- Part time
Utilization ManagementMedical Record ManagementInterQual Criteria
Mental Health Therapist (RMHCI, RCSWI)
Mental Health Therapist (RMHCI, RCSWI)
30+ days ago
Discovery Behavioral Health
- Remote: United States, Florida (USA)
- Full time
- Entry-level / graduate
- 52 - 65K
Physician Advisor
Physician Advisor
30+ days ago
Ensemble Health Partners
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
Project ManagementBudget ManagementContinuing Medical Education
Associate Director, Client Analytics
Associate Director, Client Analytics
3 day ago
New Century Health
- Remote: United States
- Full time
SAS (Software)SQL (Programming Language)Data Visualization
Pharmacy Coordinator
Pharmacy Coordinator
27 day ago
Centene Corporation
- Remote: United States
- Full time
Pharmacy ExperiencePrior Authorization
Research Analyst- Family Health Advocate
Research Analyst- Family Health Advocate
21 day ago
Sharecare
- Remote: United States
- Full time
Senior Complex Bill Reviewer 2
Senior Complex Bill Reviewer 2
24 day ago
Mitchell International
- Remote: United States
- Full time
Workers' CompensationClinical ConsultingMedical Coding
Medical Director - EviCore - Cardiology
Medical Director - EviCore - Cardiology
30+ days ago
The Cigna Group
- Remote: United States
- Full time
- Senior (5-10 years)
- 196 - 328K
Evidence-Based PracticeCardiology
Pre-Service Utilization Management LVN
Pre-Service Utilization Management LVN
22 day ago
CommonSpirit Health
- Remote: United States
- Full time
Utilization ManagementClinical InformaticsMedical Necessity
Behavioral Health Care Manager Remote, must be Licensed and Reside in California
Behavioral Health Care Manager Remote, must be Licensed and Reside in California
30+ days ago
Magellan Health
- Remote: United States, California (USA)
- Full time
- Mid-level (2-5 years)
- 58 - 93K
Behavioral HealthDischarge PlanningUtilization ManagementCrisis Intervention
Medical Director Utilization Management
Medical Director Utilization Management
30+ days ago
AmeriHealth Caritas
- Remote: United States
- Expert & Leadership (>10 years)
Medical DirectionClinical PracticesUtilization ManagementQuality Assessment
Remote Medical Director
Remote Medical Director
21 day ago
Centene Corporation
- Remote: United States
- Full time
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
Manager, Clinical Operations
Manager, Clinical Operations
20 day ago
UST HealthProof
- Remote: United States
- Full time
Clinical System OperationsUtilization ManagementQuality Assessment
Clinical Letter Writer PT Role -UM Experience Essential
Clinical Letter Writer PT Role -UM Experience Essential
1 day ago
New Century Health
- Remote: United States
- Part time
Utilization ManagementMedical WritingOnline Communication
VP, Payer Analytics
VP, Payer Analytics
30+ days ago
Trinity Health
- Remote: United States, Michigan (USA)
- Full time
- Expert & Leadership (>10 years)
Financial AnalysisCost Management
Sales Executive - Payer
Sales Executive - Payer
30+ days ago
Notable
- Remote: United States, California (USA)
- Full time
- Senior (5-10 years)
