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
406 jobs
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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
Telecommute Medical Review Stream Physician
Telecommute Medical Review Stream Physician
26 day ago
Concentra
- Remote: Louisiana (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Plastic SurgeryRehabilitationPhysical Medicine And Rehabilitation
Denials Specialist - Remote
Denials Specialist - Remote
5 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
Coding TheoryMedical AbbreviationsICD Coding (ICD-9/ICD-10)Managed CareCPT CodingMedical Billing
Career Opportunities: Sr./System Account Executive - Southwestern Health Resources + Christus (20425)
Career Opportunities: Sr./System Account Executive - Southwestern Health Resources + Christus (20425)
30+ days ago
Boehringer Ingelheim
- Remote: Germany
- Full time
Account ManagementConsultative SellingPharmaceutical SalesManaged CareSales ManagementBusiness Analysis
Utilization Management LTSS Registered Nurse
Utilization Management LTSS Registered Nurse
17 day ago
Humana
- Remote: Kentucky (USA), Maryland (USA), North Carolina (USA), Tennessee (USA), West Virginia (USA)
- Full time
Utilization ManagementNurse Licensure CompactClinical NursingInternal DocumentationHome Health CareDischarge Planning
Manager, Provider Performance Program Management
Manager, Provider Performance Program Management
9 day ago
CareSource
- Remote: Ohio (USA)
- Full time
Provider ModelAnalyticsProject ManagementProspective Payment SystemsHealth Care IndustryRegulatory Compliance
Managed Care Benefit Configuration Analyst
Managed Care Benefit Configuration Analyst
10 day ago
CommonSpirit Health
- Remote: California (USA)
- Full time
Program ImplementationCompliance ManagementExplanation Of Benefits (EOB)Managed CareHealth Care IndustryEnd Cap Placement
Medical Management Specialist Sr
Medical Management Specialist Sr
8 day ago
Elevance Health
- Remote: Indiana (USA), Virginia (USA)
- Full time
Utilization ManagementMedical ManagementCare ManagementQuality AssessmentMedicaidMedicare
Government Affairs Associate
Government Affairs Associate
3 day ago
Imagine Pediatrics
- Remote: United States
- Full time
Public AffairsHealth PoliciesLegislationProject ManagementPolicy DevelopmentManaged Care
Employee Benefits Educator
Employee Benefits Educator
23 day ago
Ascensus
- Remote: Maryland (USA)
- Part time
Benefits AdministrationMedicarePresentation Training401K Plan AdministrationMedical Licensing (Health Law)Retirement Planning
Lead Program Manager
Lead Program Manager
6 day ago
Savvy HR Partner
- Remote: Colorado (USA), Massachusetts (USA)
- Full time
Risk ManagementProject ManagementStakeholder EngagementBudget ManagementResource AllocationHealth Care Industry
Manager, Care Management, BH
Manager, Care Management, BH
11 day ago
Humana
- Remote: Oklahoma (USA)
- Full time
Care CoordinationAnalyticsBehavioral HealthNurse Licensure CompactManaged CareMedicare
Associate Director Pharmacy Utilization Management
Associate Director Pharmacy Utilization Management
9 day ago
Banner Health
- Remote: Arizona (USA)
- Full time
Clinical InformaticsPublic HealthPrior AuthorizationPharmacy OperationsData ManagementRegulatory Compliance
Underpayment Analyst (Denials)
Underpayment Analyst (Denials)
30+ days ago
EnableComp
- Remote: Tennessee (USA)
- Full time
Medical AbbreviationsRevenue ManagementClaims And Litigation ManagementHealth Reimbursement ArrangementICD Coding (ICD-9/ICD-10)CPT Coding
Medical Case Manager II
Medical Case Manager II
30+ days ago
CorVel Corporation
- Remote: Vatican City
- Full time
- Mid-level (2-5 years)
- 63 - 96K
Utilization ManagementNeurologyPhysical Medicine And RehabilitationCost ContainmentOrthopedicsNurse Registry
Career Opportunities: PMO Lead, Manager Service Delivery (Remote in US) (29959)
Career Opportunities: PMO Lead, Manager Service Delivery (Remote in US) (29959)
9 day ago
Gainwell Technologies LLC
- Remote: Maine (USA)
- Full time
Stakeholder CommunicationsChange ManagementProject ManagementRisk ManagementAccount ManagementProcess Engineering
Nurse Practitioner - Lakewood Township, Wall Township, Eatontown, NJ
Nurse Practitioner - Lakewood Township, Wall Township, Eatontown, NJ
30+ days ago
Monogram Health
- Remote: New Jersey (USA)
- Full time
Chronic Kidney DiseaseNursingPatient EvaluationBasic Patient CareCare CoordinationPatient Education And Counseling
Manager, Care Management Special Programs Ops
Manager, Care Management Special Programs Ops
25 day ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
Patient Data Management SystemsManaged CareAuthentication ServersMedical AbbreviationsElectronic ReferralsICD Coding (ICD-9/ICD-10)
Claims Supervisor-Oncology Clinic- Full-Time
Claims Supervisor-Oncology Clinic- Full-Time
27 day ago
Henry Ford Health
- Remote: Michigan (USA)
- Full time
BillingRevenue ManagementClaims And Litigation ManagementCoding TheoryRegulatory ComplianceFinancial Aid Counseling
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
Manager, Customer Grievances
Manager, Customer Grievances
17 day ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
Grievance ArbitrationMedical Insurance ClaimsVeterans AdministrationVeterans AdministrationCorrespondence AnalysisManaged Care
Clinical Formulary Pharmacist
Clinical Formulary Pharmacist
10 day ago
SCAN
- Remote: California (USA)
- Full time
Pharmacy Benefit ManagementRegulatory ComplianceMedicare Part DPharmacist AssistanceResource AllocationManaged Care
Claims Business Analyst - Remote
Claims Business Analyst - Remote
30+ days ago
Cognizant
- Remote: Pennsylvania (USA)
- Full time
Business Process ImprovementCustomer Requirements AnalysisMedicareClaims And Litigation ManagementManaged CareClaims And Litigation Management
Manager of Provider Network Management - Exchange - Must reside in South Carolina
Manager of Provider Network Management - Exchange - Must reside in South Carolina
30+ days ago
AmeriHealth Caritas
- Remote: South Carolina (USA)
- Full time
Regulatory ComplianceProvider Network ManagementHealth Care IndustryContract ManagementMedicaidMedicare
Bilingual Spécialiste de remboursement / Bilingual Reimbursement Specialist, Rare Diseaseses
Bilingual Spécialiste de remboursement / Bilingual Reimbursement Specialist, Rare Diseaseses
9 day ago
SmartSource
- Remote: Canada
- Full time
Pharmaceutical MarketingReimbursement RegulationsFinancial Stress TestingManaged CareHealth Care IndustryPharmaceuticals
Payor Relations Coordinator
Payor Relations Coordinator
30+ days ago
Bay Area Retina Associates
- Remote: California (USA)
- Full time
Credential ManagerRegulatory ComplianceContract ManagementManaged CareReimbursement RegulationsHealth Care Industry
Business Development Manager
Business Development Manager
18 day ago
AmeriHealth Caritas
- Remote: Pennsylvania (USA)
- Full time
Stakeholder CommunicationsProposal DevelopmentHealthcare Industry KnowledgeBusiness DevelopmentBusiness WritingManaged Care
Clinical Pharmacist-Care Management (SCAN Temp)
Clinical Pharmacist-Care Management (SCAN Temp)
7 day ago
SCAN
- Remote: California (USA)
- Full time
Medication Therapy ManagementPatient Education And CounselingPharmacotherapyClinical PharmacyPharmacognosyMedical Abbreviations
HRSN Specialist RN I
HRSN Specialist RN I
18 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
MedicaidClinical NursingMedical AbbreviationsHealthcare Delivery ModelsDigital File ManagementICD Coding (ICD-9/ICD-10)
Integrated Nurse Case Manger
Integrated Nurse Case Manger
8 day ago
Sentara Healthcare
- Remote: Virginia (USA)
- Full time
Care ManagementNursingClinical AssessmentsChronic CareCare CoordinationBehavioral Health
Career Opportunities: Sr./System Account Executive - Rochester Regional + Trinity (20419)
Career Opportunities: Sr./System Account Executive - Rochester Regional + Trinity (20419)
30+ days ago
Boehringer Ingelheim
- Remote: Germany
- Full time
Account ManagementConsultative SellingPharmaceutical SalesManaged CareSales ManagementBusiness Analysis
Utilication Management Nurse Consultant
Utilication Management Nurse Consultant
30+ days ago
US Tech Solutions
- Remote: Italy
- Freelance
- Mid-level (2-5 years)
Clinical AssessmentsRegulatory ComplianceManaged CareMedical ManagementMedicareData Collection
Clinical Formulary Pharmacist
Clinical Formulary Pharmacist
10 day ago
SCAN
- Remote: California (USA)
- Full time
Pharmacy Benefit ManagementRegulatory ComplianceMedicare Part DPharmacist AssistanceResource AllocationManaged Care
Career Opportunities: Key Account Manager - Orlando/Tampa/Greenville (20635)
Career Opportunities: Key Account Manager - Orlando/Tampa/Greenville (20635)
30+ days ago
Boehringer Ingelheim
- Remote: Florida (USA)
- Full time
Account ManagementRelationship MarketingSpeech FluencyDatabase ApplicationMarket AnalysisAccount Management
PM&R Telecommute Medical Review Stream
PM&R Telecommute Medical Review Stream
26 day ago
Concentra
- Remote: Texas (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Credential ManagerManaged CareMedical Necessity
RVP of Health Plan Sales - West 
RVP of Health Plan Sales - West
2 day ago
RadiantGraph
- Remote: United States
- Full time
Medical SalesConsultative SellingManaged CareSales StrategyBusiness DevelopmentAI Testing
Autism Services - Medical Call Center Customer Service Rep
Autism Services - Medical Call Center Customer Service Rep
30+ days ago
TriWest Healthcare Alliance
- Remote: Hawaii (USA)
- Full time
Medical AbbreviationsCall Center ExperienceHospital ExperienceManaged CareTri-careNursing Administration
Telecommute Medical Review Stream Physician
Telecommute Medical Review Stream Physician
26 day ago
Concentra
- Remote: Texas (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Plastic SurgeryRehabilitationPhysical Medicine And Rehabilitation
Denials Specialist - Remote
Denials Specialist - Remote
12 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
ICD Coding (ICD-9/ICD-10)CPT CodingBusiness WritingRegulatory ComplianceState LawsManaged Care
Insurance Claims Specialist (Remote)
Insurance Claims Specialist (Remote)
12 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
Account ManagementMedical Insurance ClaimsBusiness CycleHospital Information SystemsMedicaidCommercial Insurances
PM&R Telecommute Medical Review Stream
PM&R Telecommute Medical Review Stream
26 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Managed CareMedical Necessity
Accounts Receivable Representative
Accounts Receivable Representative
30+ days ago
National Partners In Healthcare
- Remote: Texas (USA)
- Full time
Data EntryAccounts ReceivableInsurance Follow-UpMedical AbbreviationsICD Coding (ICD-9/ICD-10)Medicare
Neurologist Telecommute Medical Review Stream
Neurologist Telecommute Medical Review Stream
26 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
Medical Licensing (Health Law)Clinical AssessmentsNeurologyMedical NecessityUtilization ManagementCredential Manager
URAC Accreditation Coordinator
URAC Accreditation Coordinator
30+ days ago
TriWest Healthcare Alliance
- Remote: Azerbaijan
- Senior (5-10 years)
- 68 - 87K
Qualification Protocols (IQ/OQ/PQ)Project ManagementRegulatory ComplianceData ManagementAnalyticsManaged Care
Utilization Management Registered Nurse, Indiana - Remote
Utilization Management Registered Nurse, Indiana - Remote
26 day ago
McLaren Health Care
- Remote: Indiana (USA)
- Full time
Utilization ManagementClinical NursingManaged CareCare ManagementNurse Licensure CompactBehavioral Change Theories
VP, National Sales - North/Northeast Region
VP, National Sales - North/Northeast Region
30+ days ago
CorVel Corporation
- Remote: Tunisia
- Senior (5-10 years)
- 79 - 132K
Market DynamicsConsultative SellingSales StrategySalesforceManaged CareRisk Management
Nurse Practitioner - Canton, GA
Nurse Practitioner - Canton, GA
30+ days ago
Monogram Health
- Remote: Georgia (USA)
- Full time
Chronic Kidney DiseaseEnd-Stage Renal DiseaseNurse Licensure CompactBasic Patient CareCare CoordinationPatient Evaluation
Certified Credentialing Specialist - Work From Home
Certified Credentialing Specialist - Work From Home
30+ days ago
ClinicMind
- Remote: Philippines
- Full time
Physician CredentialingCredential ManagerManaged Care
Manager of Healthcare Partnerships
Manager of Healthcare Partnerships
12 day ago
Mom's Meals | A Purfoods Company
- Remote: Azerbaijan
- Full time
MedicaidMedicareMedical SalesPresentation TrainingHome Health CareSalesforce
Managed Care Liaison, East
Managed Care Liaison, East
16 day ago
PharmaEssentia
- Remote: China, South Korea, Japan, Singapore
- Full time
OncologyEconomicsHematologyManaged CareDirect Market AccessEconomics
