Remote Managed Care Jobs
Remote from:
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
405 jobs
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Quality Improvement Specialist
Quality Improvement Specialist
5 day ago
Centene Corporation
- Remote: Illinois (USA)
- Full time
Data MiningCompliance ManagementQuality AssessmentHealth Care IndustryCode Of Federal RegulationsManaged Care
Medical Billing Specialist - Remote
Medical Billing Specialist - Remote
10 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
Medical BillingMedical Insurance ClaimsClaims And Litigation ManagementBusiness CycleManaged CareClinical Auditing
Stop Loss Registered Nurse
Stop Loss Registered Nurse
11 day ago
BlueCross BlueShield of South Carolina
- Remote: South Carolina (USA)
- Full time
Medical BillingCare ManagementManaged CareNurse Licensure CompactHealthcare Delivery Models
SNF UM RN Nurse
SNF UM RN Nurse
2 day ago
Humana
- Remote: United States
- Full time
Utilization ManagementClinical NursingPulmonary NursingCritical CareUtilization ManagementHospital Experience
Business Development Manager
Business Development Manager
18 day ago
AmeriHealth Caritas
- Remote: Pennsylvania (USA)
- Full time
Stakeholder CommunicationsProposal DevelopmentHealthcare Industry KnowledgeBusiness DevelopmentBusiness WritingManaged Care
Medical Director - 20 hours/Remote
Medical Director - 20 hours/Remote
8 day ago
UMass Chan Medical School
- Remote: Massachusetts (USA)
- Part time
Clinical GovernanceRegulatory ComplianceDisability ManagementClinical SupervisionPolicy DevelopmentBusiness Development
Quality Management Nurse Consultant
Quality Management Nurse Consultant
30+ days ago
US Tech Solutions
- Remote: Rhode Island (USA)
- Mid-level (2-5 years)
Assurance ServicesPrior AuthorizationMediTouchManaged CareClinical Assessments
Medical Specialist II-Ophthalmology-New Orleans, LA, Jackson, MS & Arkansas
Medical Specialist II-Ophthalmology-New Orleans, LA, Jackson, MS & Arkansas
30+ days ago
Regeneron
- Remote: Arkansas (USA), Louisiana (USA), Mississippi (USA)
- Full time
BiopharmaceuticalsSales ManagementReimbursement RegulationsOphthalmologyContract ManagementFood Programs
VP of Healthcare Partnerships
VP of Healthcare Partnerships
30+ days ago
Talkspace
- Remote: New York (USA)
- Full time
Business DevelopmentBehavioral HealthReferral MarketingTelehealthMarket AnalysisCustomer Relationship Management
Integrated Case Manager - Registered Nurse
Integrated Case Manager - Registered Nurse
3 day ago
Sentara Healthcare
- Remote: Virginia (USA)
- Full time
Care CoordinationCare ManagementNurse Licensure CompactPublic HealthHealth And Human ServicesHolistic Health
Grievance and Appeals Nurse Specialist
Grievance and Appeals Nurse Specialist
9 day ago
Partnership HealthPlan of California
- Remote: California (USA)
- Full time
Care ManagementGrievance ArbitrationUtilization ManagementClinical AssessmentsDocumentation GenerationNurse Licensure Compact
Project Manager LU 5-10
Project Manager LU 5-10
30+ days ago
FOCUSED HR SOLUTIONS LLC
- Remote: Illinois (USA)
- Full time
Microsoft ProjectEnterprise Information ManagementChange ManagementProject ManagementConflict ResolutionMicrosoft Access
Internal Auditor II (Full-time Remote, North Carolina Based)
Internal Auditor II (Full-time Remote, North Carolina Based)
5 day ago
Alliance Health
- Remote: North Carolina (USA)
- Full time
AuditingCompliance ManagementAuditingRisk ManagementComputer-Aided Audit ToolsInternal Controls
Population Health Coordinator - Remote in Michigan
Population Health Coordinator - Remote in Michigan
12 day ago
McLaren Health Care
- Remote: Michigan (USA)
- Full time
AnalyticsProject CoordinationPublic HealthProcess ImprovementWindows SoftwareContract Management
JX22004061424 - Licensed Practical Nurse - Remote
JX22004061424 - Licensed Practical Nurse - Remote
3 day ago
Sonya M. Recruiting
- Remote: Rhode Island (USA)
- Full time
Clinical NursingPrior AuthorizationCall Center ExperienceCare ManagementLine ChartManaged Care
Claims Resolution Specialist- Remote
Claims Resolution Specialist- Remote
10 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
Medical BillingICD Coding (ICD-9/ICD-10)Claims And Litigation ManagementBusiness WritingRegulatory ComplianceCPT Coding
Market Physician Executive - Nashville, TN
Market Physician Executive - Nashville, TN
30+ days ago
Monogram Health
- Remote: Tennessee (USA)
- Full time
Clinical GovernanceEvidence-Based PracticeBasic Patient CarePublic HealthMedical Licensing (Health Law)Managed Care
Vice President, Risk Stratification, Remote
Vice President, Risk Stratification, Remote
30+ days ago
Aledade, Inc.
- Remote: Virginia (USA)
- Full time
AnalyticsMedicareRisk SelectionHealthcare StrategyEconomicsStatistical Modeling
Business Development Manager
Business Development Manager
18 day ago
AmeriHealth Caritas
- Remote: Pennsylvania (USA)
- Full time
Stakeholder CommunicationsProposal DevelopmentHealthcare Industry KnowledgeBusiness DevelopmentBusiness WritingManaged Care
Customer Service Representative, Medicare Advantage - Remote
Customer Service Representative, Medicare Advantage - Remote
27 day ago
McLaren Health Care
- Remote: Michigan (USA)
- Full time
MedicareHospital ExperienceOnline CommunicationEmail ManagementTelephonyManaged Care
URAC Accreditation Coordinator
URAC Accreditation Coordinator
30+ days ago
TriWest Healthcare Alliance
- Remote: Azerbaijan
- Senior (5-10 years)
- 68 - 87K
Regulatory ComplianceData ManagementProgram EvaluationProject ManagementManaged CareData Mining
Manager Medicare DSNP, Care Management, RN
Manager Medicare DSNP, Care Management, RN
30+ days ago
AmeriHealth Caritas
- Remote: Panama
Care ManagementProject ManagementManaged CareHealth Care IndustryCompliance ManagementBudget Management
Employee Benefits Educator
Employee Benefits Educator
23 day ago
Ascensus
- Remote: Oregon (USA)
- Part time
Benefits AdministrationMedicareManaged CareRetirement PlanningMedicareTraining Analysis
Behavioral Health Medical Director
Behavioral Health Medical Director
2 day ago
CareSource
- Remote: United States
- Full time
PsychiatryClinical GovernanceMedication AdministrationQuality AssessmentHealthcare AnalyticsClinical Practices
Regional Business Manager
Regional Business Manager
14 day ago
Takeda
- Remote: Virginia (USA)
- Full time
Consultative SellingPharmaceutical SalesGastroenterologyManaged CareClinical ConsultingBusiness Advisory
Market Physician Executive (MPE) - Phoenix, AZ
Market Physician Executive (MPE) - Phoenix, AZ
30+ days ago
Monogram Health
- Remote: Arizona (USA)
- Full time
Evidence-Based PracticeMedical GuidelinePublic HealthOutcomes ResearchRehabilitationHEDIS (Healthcare Effectiveness Data And Information Set)
Manager Medical Policy and Corporate Coding
Manager Medical Policy and Corporate Coding
23 day ago
Capital Blue Cross
- Remote: Pennsylvania (USA)
- Full time
Clinical GovernanceHealth PoliciesRegulatory ComplianceCoding TheoryCross-Functional CollaborationRegulatory Compliance
Actuarial Analyst II - Remote (Select States)
Actuarial Analyst II - Remote (Select States)
30+ days ago
Sentara Healthcare
- Remote: Alabama (USA), Delaware (USA), Florida (USA), Georgia (USA), Idaho (USA), Indiana (USA), Kansas (USA), Louisiana (USA), Maine (USA), Maryland (USA), Minnesota (USA), Nebraska (USA), Nevada (USA), New Hampshire (USA), North Carolina (USA)
- Full time
Data ModelingIBNRRisk ControlActuarial ScienceReinsuranceLegal Support
Senior Vice President, Sales
Senior Vice President, Sales
30+ days ago
MedImpact Healthcare Systems, Inc.
- Remote: California (USA)
- Full time
Market AnalysisSales StrategyCustomer Relationship ManagementPharmacy ExperienceManaged CareSales Analysis
Senior Compliance Corrections Specialist - Medicare
Senior Compliance Corrections Specialist - Medicare
2 day ago
Centene Corporation
- Remote: United States
- Full time
GRC SoftwareData MiningCompliance ManagementRoot Cause AnalysisCorrective And Preventive Action (CAPA)Managed Care
Quality Improvement Professional
Quality Improvement Professional
Today
Humana
- Remote: Oklahoma (USA)
- Full time
Healthcare QualityQuality AssessmentClinical Quality ManagementLean MethodologiesClient EducationQiskit
Case Manager Long-term Care - Kent County, Delaware
Case Manager Long-term Care - Kent County, Delaware
1 day ago
Highmark Health
- Remote: United States
- Full time
Care CoordinationCare ManagementCultural Competency TrainingHome Health CareBehavioral HealthDigital File Management
Vice President Business Development
Vice President Business Development
30+ days ago
AmeriHealth Caritas
- Remote: Panama
- Expert & Leadership (>10 years)
Business ExpansionBusiness DevelopmentPerformance ManagementRegulatory ComplianceBusiness OperationsManaged Care
National Director Market Access & Reimbursement
National Director Market Access & Reimbursement
25 day ago
Agendia
- Remote: California (USA)
- Full time
Direct Market AccessReimbursement RegulationsEconomicsCross-Functional CollaborationCoding TheoryManaged Care
Field Care Coordinator - ALTCS - Apache / Navajo Counties, AZ
Field Care Coordinator - ALTCS - Apache / Navajo Counties, AZ
30+ days ago
UnitedHealthcare
- Remote: Azerbaijan
- Mid-level (2-5 years)
- 45 - 88K
Care ManagementChronic CareCare CoordinationPublic TransportHealth And Human ServicesMedication Therapy Management
Government Programs Business Development Analyst
Government Programs Business Development Analyst
20 day ago
AmeriHealth Caritas
- Remote: Pennsylvania (USA)
- Full time
Business AnalysisHealth Policy DevelopmentFinancial AnalysisBusiness DevelopmentBusiness WritingCompetitive Analysis
Payor Contract Manager - Remote
Payor Contract Manager - Remote
30+ days ago
Amedisys
- Remote: Tunisia
- Fixed term
- 112 - 112K
Managed CareDatabase ManagementHealthcare Industry KnowledgeContract ManagementProject CollaborationMarket Analysis
Advisor, Payor Partnerships Enablement
Advisor, Payor Partnerships Enablement
30 day ago
Pediatric Associates Family of Companies
- Remote: Florida (USA)
- Full time
Credential ManagerPerformance Based ContractingClaims And Litigation ManagementOperational EfficiencyData IntegrityManaged Care
Insurance Claim Specialist- Remote
Insurance Claim Specialist- Remote
13 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
Medical Insurance ClaimsClinical AuditingBusiness CycleMedicaidCommercial InsurancesMedicare
Career Opportunities: Sr./System Account Executive - Montefiore Health System (Bronx, NY) (20422)
Career Opportunities: Sr./System Account Executive - Montefiore Health System (Bronx, NY) (20422)
30+ days ago
Boehringer Ingelheim
- Remote: New York (USA)
- Full time
Account ManagementConsultative SellingPharmaceutical SalesManaged CareSales ManagementBusiness Analysis
Sales Executive - Remote in TX or OK
Sales Executive - Remote in TX or OK
16 day ago
Prime Therapeutics
- Remote: Oklahoma (USA), Texas (USA)
- Full time
Pipeline PlanningMarket AnalysisSales StrategyContract ManagementSalesforceProject Management
Clinical Reviewer - LPN
Clinical Reviewer - LPN
23 day ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
Utilization ManagementClinical NursingManaged CareMedical Record ManagementMedical AbbreviationsElectronic Referrals
Analyst-Financial, Mgd Care
Analyst-Financial, Mgd Care
7 day ago
Northeast Georgia Health System
- Remote: Georgia (USA)
- Full time
Financial AnalysisManaged CareContract ManagementRevenue ManagementLive MigrationData Integrity
Managed Care Liaison, West
Managed Care Liaison, West
16 day ago
PharmaEssentia
- Remote: China, South Korea, Japan, Singapore
- Full time
OncologyEconomicsHematologyManaged CareDirect Market AccessEconomics
Internal Medicine Telecommute Medical Review Stream
Internal Medicine Telecommute Medical Review Stream
26 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Business NegotiationBasic Patient CareStandards Organization
Population Health Coordinator - Remote in Michigan
Population Health Coordinator - Remote in Michigan
12 day ago
McLaren Health Care
- Remote: Michigan (USA)
- Full time
AnalyticsProject CoordinationPublic HealthProcess ImprovementWindows SoftwareContract Management
Family Practice Telecommute Medical Review
Family Practice Telecommute Medical Review
26 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Medical NecessityManaged CareCredential Manager
Managed Care Coordinator I
Managed Care Coordinator I
10 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Remote: New Jersey (USA)
- Full time
Medical AbbreviationsManaged CareClaims And Litigation ManagementManaged CareEnrollment ManagementBilling
Neurologist Medical Review Stream
Neurologist Medical Review Stream
26 day ago
Concentra
- Remote: California (USA)
- Full time
NeurologyUtilization ManagementLanguage InterpretationManaged CareBusiness Negotiation
Medical Management Specialist (Farmington, NM)
Medical Management Specialist (Farmington, NM)
30+ days ago
Health Care Service Corporation
- Remote: New Mexico (USA)
- Full time
NursingMental Health CounselingCare CoordinationCare PlanningOnline CommunicationAnalytics
