Remote Managed Care 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
417 jobs
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Medical Director
Medical Director
Today
Highmark Health
- Remote: Alabama (USA), Alaska (USA), Arizona (USA), Arkansas (USA), California (USA), Colorado (USA), Connecticut (USA), Delaware (USA), District of Columbia (USA), Florida (USA), Georgia (USA), Hawaii (USA), Idaho (USA), Illinois (USA), Indiana (USA)
- Full time
Utilization ManagementMedical ManagementManaged CareClinical ConsultingOnline CommunicationMedical Software
Nurse Practitioner Advisor - 20 hours/Remote
Nurse Practitioner Advisor - 20 hours/Remote
Today
UMass Chan Medical School
- Remote: Massachusetts (USA)
- Part time
Medical GuidelineMedical Record ManagementDisability ClaimsManaged CareUser FeedbackCase Assessment
Medical Director - 20 hours/Remote
Medical Director - 20 hours/Remote
Today
UMass Chan Medical School
- Remote: Massachusetts (USA)
- Part time
Clinical GovernanceRegulatory ComplianceDisability ManagementClinical SupervisionPolicy DevelopmentBusiness Development
Excess Risk Managed Care Clinician
Excess Risk Managed Care Clinician
Today
Highmark Health
- Remote: Alaska (USA), Arkansas (USA), California (USA), Colorado (USA), Hawaii (USA), Idaho (USA), Illinois (USA), Indiana (USA), Iowa (USA), Kansas (USA), Kentucky (USA), Louisiana (USA), Michigan (USA), Minnesota (USA), Mississippi (USA)
- Full time
Clinical Data AnalysisCare ManagementCost ContainmentClaims And Litigation ManagementHealthcare Industry KnowledgeInsurance Sales
UM Pharmacy Technician (Work from Home)
UM Pharmacy Technician (Work from Home)
Today
NeueHealth
- Remote: California (USA)
- Full time
Medication Therapy ManagementClinical PharmacyPrior AuthorizationDrug Utilization ReviewElectronic Health Record ApplicationsPrior Authorization
Utilization Management Nursing
Utilization Management Nursing
Today
Humana
- Remote: Florida (USA)
- Full time
Utilization ManagementClinical NursingNurse Licensure CompactClinical AssessmentsManaged CareCall Center Experience
Medical Management Specialist Sr
Medical Management Specialist Sr
Today
Elevance Health
- Remote: Indiana (USA), Virginia (USA)
- Full time
Utilization ManagementMedical ManagementCare ManagementQuality AssessmentMedicaidMedicare
Integrated Nurse Case Manger
Integrated Nurse Case Manger
Today
Sentara Healthcare
- Remote: Virginia (USA)
- Full time
Care ManagementNursingClinical AssessmentsChronic CareCare CoordinationBehavioral Health
Regional Business Manager - Houston
Regional Business Manager - Houston
Today
Biolife Plasma Service
- Remote: Texas (USA)
- Full time
Consultative SellingPharmaceutical SalesBusiness PlanningGastroenterologyDemand GenerationMarket Analysis
MLTSS Managed Care Coordinator I
MLTSS Managed Care Coordinator I
Today
Horizon Blue Cross Blue Shield of New Jersey
- Remote: New Jersey (USA)
- Full time
Medical AbbreviationsManaged CareElderly CareEnrollment ManagementBillingContract Management
Care Coordinator
Care Coordinator
1 day ago
Rogers Behavioral Health
- Remote: Wisconsin (USA)
- Full time
Patient Education And CounselingCross-Functional CollaborationMental Health EducationManaged Care
Quality Program Strategist II
Quality Program Strategist II
1 day ago
Centene Corporation
- Remote: New York (USA)
- Full time
AnalyticsStakeholder CommunicationsQuality AssessmentPerformance ManagementHEDIS (Healthcare Effectiveness Data And Information Set)Compliance Management
Program Manager
Program Manager
Today
Evergreen Nephrology
- Remote: United States
- Full time
Continuing CareValue-Based CareNursing AdministrationPublic HealthChange ManagementBusiness Continuity
Grievance and Appeals Nurse Specialist
Grievance and Appeals Nurse Specialist
1 day ago
Partnership HealthPlan of California
- Remote: California (USA)
- Full time
Care ManagementGrievance ArbitrationUtilization ManagementClinical AssessmentsDocumentation GenerationNurse Licensure Compact
Vice President of Operations
Vice President of Operations
1 day ago
Trillium Health Resources
- Remote: United States
- Full time
Behavioral HealthProgram DevelopmentBusiness OperationsCrisis ManagementProject ManagementClient Services
Clinical Integration Liaison - Licensed/Remote in CA
Clinical Integration Liaison - Licensed/Remote in CA
4 day ago
Magellan Health
- Remote: California (USA)
- Full time
Clinical Data ExchangeUtilization ManagementProject ManagementMental Health EducationAddiction CounselingMental Health Counseling
Insurance Claims Specialist (Remote)
Insurance Claims Specialist (Remote)
4 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
Account ManagementMedical Insurance ClaimsBusiness CycleHospital Information SystemsMedicaidCommercial Insurances
Senior Prevention Specialist - HIV- Greensboro
Senior Prevention Specialist - HIV- Greensboro
Today
Gilead Sciences
- Remote: United States
- Full time
Account ManagementBasic Patient CareEthical LeadershipBusiness DevelopmentCultural StudiesManaged Care
Manager, Provider Performance Program Management
Manager, Provider Performance Program Management
1 day ago
CareSource
- Remote: Ohio (USA)
- Full time
Provider ModelAnalyticsProject ManagementProspective Payment SystemsHealth Care IndustryRegulatory Compliance
Associate Director Pharmacy Utilization Management
Associate Director Pharmacy Utilization Management
1 day ago
Banner Health
- Remote: Arizona (USA)
- Full time
Clinical InformaticsPublic HealthPrior AuthorizationPharmacy OperationsData ManagementRegulatory Compliance
Career Opportunities: PMO Lead, Manager Service Delivery (Remote in US) (29959)
Career Opportunities: PMO Lead, Manager Service Delivery (Remote in US) (29959)
2 day ago
Gainwell Technologies LLC
- Remote: Maine (USA)
- Full time
Stakeholder CommunicationsChange ManagementProject ManagementRisk ManagementAccount ManagementProcess Engineering
Bilingual Spécialiste de remboursement / Bilingual Reimbursement Specialist, Rare Diseaseses
Bilingual Spécialiste de remboursement / Bilingual Reimbursement Specialist, Rare Diseaseses
1 day ago
SmartSource
- Remote: Canada
- Full time
Pharmaceutical MarketingReimbursement RegulationsFinancial Stress TestingManaged CareHealth Care IndustryPharmaceuticals
Denials Specialist - Remote
Denials Specialist - Remote
4 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
ICD Coding (ICD-9/ICD-10)CPT CodingBusiness WritingRegulatory ComplianceState LawsManaged Care
Consultant, Health Care
Consultant, Health Care
1 day ago
COPE Health Solutions
- Remote: United States
- Full time
Biological EngineeringMedical ManagementProject ManagementData MiningCare CoordinationComputer Networks
Provider Contracting Professional
Provider Contracting Professional
Today
Humana
- Remote: United States
- Full time
Financial AnalysisManaged CarePerformance Based Contracting
Regional Business Manager
Regional Business Manager
6 day ago
Takeda
- Remote: Ohio (USA)
- Full time
Consultative SellingPharmaceutical SalesGastroenterologyDemand GenerationMarket AnalysisBusiness Partnering
Behavioral Health Care Manager I (LCSW/CSWA/LPC)
Behavioral Health Care Manager I (LCSW/CSWA/LPC)
7 day ago
Samaritan Health Services
- Remote: Arizona (USA), Arkansas (USA), Connecticut (USA), Florida (USA), Georgia (USA), Idaho (USA), Indiana (USA), Iowa (USA), Kansas (USA), Kentucky (USA), Louisiana (USA), Michigan (USA), Mississippi (USA), Missouri (USA), Montana (USA)
- Full time
Clinical Social WorkMental Health CounselingHealthcare Delivery ModelsDigital File ManagementMedicareCare Management
Stop Loss Registered Nurse
Stop Loss Registered Nurse
4 day ago
BlueCross BlueShield of South Carolina
- Remote: South Carolina (USA)
- Full time
Medical BillingCare ManagementManaged CareNurse Licensure CompactHealthcare Delivery Models
Behavioral Health Care Management Specialist – Servicing Santa Fe, NM and surroundings
Behavioral Health Care Management Specialist – Servicing Santa Fe, NM and surroundings
4 day ago
Health Care Service Corporation
- Remote: New Mexico (USA)
- Full time
NursingClinical Social WorkFamily TherapyMedical Social WorkCare CoordinationChronic Care
Case Manager
Case Manager
3 day ago
Blue Cross and Blue Shield of Minnesota
- Remote: Minnesota (USA)
- Full time
Care ManagementMotivational InterviewingBehavior ManagementClinical AssessmentsPsychiatric AssessmentsConceptual Model
Population Health Coordinator - Remote in Michigan
Population Health Coordinator - Remote in Michigan
4 day ago
McLaren Health Care
- Remote: Michigan (USA)
- Full time
AnalyticsProject CoordinationPublic HealthProcess ImprovementWindows SoftwareContract Management
Account Executive, Ultrasound Radiology (Pacific Northwest)
Account Executive, Ultrasound Radiology (Pacific Northwest)
8 day ago
Boston Imaging
- Remote: Washington (USA)
- Full time
Customer Relationship ManagementTherapeutic UltrasoundRadiologyProposal DevelopmentAnalyticsMarket Analysis
Managed Care Coordinator I
Managed Care Coordinator I
3 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Remote: New Jersey (USA)
- Full time
Medical AbbreviationsManaged CareClaims And Litigation ManagementManaged CareEnrollment ManagementBilling
Senior Specialty Consultative Pharmacist
Senior Specialty Consultative Pharmacist
4 day ago
Humana
- Remote: Arizona (USA), Florida (USA), Ohio (USA), Texas (USA)
- Full time
Medication Therapy ManagementClinical InformaticsHospital PharmacyPatient Education And CounselingPharmacist AssistancePharmacy Experience
Managed Care Benefit Configuration Analyst
Managed Care Benefit Configuration Analyst
3 day ago
CommonSpirit Health
- Remote: California (USA)
- Full time
Program ImplementationCompliance ManagementExplanation Of Benefits (EOB)Managed CareHealth Care IndustryEnd Cap Placement
Configuration Systems Analyst III (Pricing Configuration)
Configuration Systems Analyst III (Pricing Configuration)
1 day ago
CareSource
- Remote: United States
- Full time
AnalyticsHealth Reimbursement ArrangementConfiguration ManagementICD Coding (ICD-9/ICD-10)Medical SoftwareSoftware Suite
Pharmacy Operations Representative
Pharmacy Operations Representative
3 day ago
Health Care Service Corporation
- Remote: New Mexico (USA)
- Full time
PharmaceuticalsPharmacy ExperienceOnline CommunicationDatabase ManagementManaged CarePharmacy Experience
Pharmacy Operations Representative
Pharmacy Operations Representative
3 day ago
Health Care Service Corporation
- Remote: New Mexico (USA)
- Full time
PharmaceuticalsPharmacy ExperienceOnline CommunicationDatabase ManagementManaged CarePharmacy Experience
Managed Care Coordinator I
Managed Care Coordinator I
3 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Remote: New Jersey (USA)
- Full time
Medical AbbreviationsManaged CareClaims And Litigation ManagementManaged CareEnrollment ManagementBilling
Population Health Coordinator - Remote in Michigan
Population Health Coordinator - Remote in Michigan
4 day ago
McLaren Health Care
- Remote: Michigan (USA)
- Full time
AnalyticsProject CoordinationPublic HealthProcess ImprovementWindows SoftwareContract Management
Clinical Formulary Pharmacist
Clinical Formulary Pharmacist
3 day ago
SCAN
- Remote: California (USA)
- Full time
Pharmacy Benefit ManagementRegulatory ComplianceMedicare Part DPharmacist AssistanceResource AllocationManaged Care
Business Development Manager
Business Development Manager
10 day ago
AmeriHealth Caritas
- Remote: Pennsylvania (USA)
- Full time
Stakeholder CommunicationsProposal DevelopmentHealthcare Industry KnowledgeBusiness DevelopmentBusiness WritingManaged Care
Regional Business Manager - GI Rare (Phoenix, AZ)
Regional Business Manager - GI Rare (Phoenix, AZ)
1 day ago
Biolife Plasma Service
- Remote: United States
- Full time
Consultative SellingPharmaceutical SalesGastroenterologyOutbound Sales SkillsMarket AnalysisClinical Consulting
Provider Contracting Executive
Provider Contracting Executive
23 day ago
Humana
- Remote: Alaska (USA), Arizona (USA), California (USA), Colorado (USA), Idaho (USA), Montana (USA), Nevada (USA), New Mexico (USA), Oregon (USA), Utah (USA), Washington (USA), Wyoming (USA)
- Full time
Financial AnalysisVendor ContractsProject ManagementProposal DevelopmentContract ManagementManaged Care
Regional Business Manager
Regional Business Manager
6 day ago
Takeda
- Remote: Virginia (USA)
- Full time
Consultative SellingPharmaceutical SalesGastroenterologyManaged CareClinical ConsultingBusiness Advisory
Insurance Claim Specialist- Remote
Insurance Claim Specialist- Remote
5 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
Medical Insurance ClaimsClinical AuditingBusiness CycleMedicaidCommercial InsurancesMedicare
Clinical Formulary Pharmacist
Clinical Formulary Pharmacist
3 day ago
SCAN
- Remote: California (USA)
- Full time
Pharmacy Benefit ManagementRegulatory ComplianceMedicare Part DPharmacist AssistanceResource AllocationManaged Care
Manager, Care Management, BH
Manager, Care Management, BH
4 day ago
Humana
- Remote: Oklahoma (USA)
- Full time
Care CoordinationAnalyticsBehavioral HealthNurse Licensure CompactManaged CareMedicare
Employee Benefits Educator
Employee Benefits Educator
15 day ago
Ascensus
- Remote: Oregon (USA)
- Part time
Benefits AdministrationMedicareManaged CareRetirement PlanningMedicareTraining Analysis
Manager Medical Policy and Corporate Coding
Manager Medical Policy and Corporate Coding
15 day ago
Capital Blue Cross
- Remote: Pennsylvania (USA)
- Full time
Clinical GovernanceHealth PoliciesRegulatory ComplianceCoding TheoryCross-Functional CollaborationRegulatory Compliance
