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
411 jobs
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MGR Payer Strategies Operations
MGR Payer Strategies Operations
25 day ago
Moffitt Cancer Center
- Remote: Florida (USA)
- Full time
Payer MarketingProject ManagementManaged CareContract ManagementRevenue ManagementVendor Management
Managed Care Contracting Specialist
Managed Care Contracting Specialist
21 day ago
CommuniCare Health Services
- Remote: Ohio (USA)
- Full time
Care ManagementMedicareManaged CareContract ManagementInsurance LawOnline Communication
Registered Nurse Case Manager, Outpatient
Registered Nurse Case Manager, Outpatient
30+ days ago
AltaMed Health Services
- Remote: United States, California (USA)
- Full time
- 92 - 115K
Care ManagementChronic CareCross-Functional CollaborationPatient EvaluationHome Health CarePublic Health Nursing
Sales Executive - Remote
Sales Executive - Remote
30+ days ago
Prime Therapeutics
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
- 108 - 184K
Pipeline PlanningSales StrategySalesforceProject ManagementManaged CarePresentation Training
Medical Case Manager I (RN)
Medical Case Manager I (RN)
30+ days ago
CorVel Corporation
- Remote: United States, Missouri (USA)
- Full time
- Mid-level (2-5 years)
- 60 - 90K
Utilization ManagementNeurologyPhysical Medicine And RehabilitationCost ContainmentOrthopedicsNurse Registry
Utilization Review Nurse - LPN (Remote)
Utilization Review Nurse - LPN (Remote)
23 day ago
Morgan Stephens
- Remote: Florida (USA)
- Full time
Utilization ManagementUsage TrackingRegulatory ComplianceCode Of Federal RegulationsMedicaidMedicare
Nurse Practitioner - Tucson, AZ
Nurse Practitioner - Tucson, AZ
30+ days ago
Monogram Health
- Remote: Azerbaijan
End-Stage Renal DiseaseChronic Kidney DiseaseBasic Patient CareNursingInternal DocumentationCare Coordination
Director of Customer Care and Appeals/Grievances
Director of Customer Care and Appeals/Grievances
30+ days ago
Samaritan Health Services
- Remote: Alabama (USA), Alaska (USA), 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)
- Full time
User Experience (UX)Conflict ResolutionMedicaidMedicareDigital File ManagementManaged Care
Medical Call Center Customer Service
Medical Call Center Customer Service
30+ days ago
TriWest Healthcare Alliance
- Remote: United States, Texas (USA)
- Mid-level (2-5 years)
- 40 - 52K
Managed CareMedical Practice ExperienceTri-careCall Center ExperienceMedical Surgical NursingBehavior Management
Denials Specialist - Remote
Denials Specialist - Remote
26 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
ICD Coding (ICD-9/ICD-10)CPT CodingMedical BillingManaged CareTransaction Language 1Business Writing
Certified Credentialing Specialist - Work From Home
Certified Credentialing Specialist - Work From Home
26 day ago
ClinicMind
- Remote: Philippines
- Full time
Credential ManagerManaged CarePhysician CredentialingDatabase Management
Telephonic Medical Case Manager (Workers' compensation)
Telephonic Medical Case Manager (Workers' compensation)
30+ days ago
TRISTAR Insurance Group
- Remote: United States, South Carolina (USA)
- Full time
- 19 - 192K
Clinical AssessmentsNurse Licensure CompactDischarge PlanningConflict ResolutionWorkers' CompensationManaged Care
Community Health Educator
Community Health Educator
22 day ago
AmeriHealth Caritas
- Remote: Louisiana (USA)
- Full time
Health EducationCivic EngagementHealth ScreeningsEvent SchedulingPublic HealthDisease Management
Case Manager - Menomonie, WI
Case Manager - Menomonie, WI
30+ days ago
Conviva Care Solutions
- Remote: United States, Wisconsin (USA)
- Full time
- Mid-level (2-5 years)
- 53 - 72K
Care CoordinationEducational AssessmentElectronic Case Filing SystemsHealth And Wellness CoachingAnalyticsHealth And Human Services
Health Plan Data Analyst II (Facets Required)
Health Plan Data Analyst II (Facets Required)
8 day ago
CareSource
- Remote: United States
- Full time
AnalyticsSQL (Programming Language)Project ManagementMicrosoft AccessData MiningPower BI
Business Analyst IV
Business Analyst IV
6 day ago
CareSource
- Remote: United States
- Full time
Stakeholder CommunicationsBusiness AnalysisAgile Software DevelopmentCustomer Requirements AnalysisAgile Software DevelopmentRequirements Management
Director, Government Relations
Director, Government Relations
30+ days ago
Centene Corporation
- Remote: United States, California (USA)
- Full time
- Senior (5-10 years)
- 116 - 214K
Legislative HistoryForeign RelationsPublic PoliciesLobbyingInsurance LawMilitary Medicine
Medicaid Senior Consultant, Managed Care, Program and Policy
Medicaid Senior Consultant, Managed Care, Program and Policy
30+ days ago
BerryDunn — Assurance, Tax and Consulting
- Remote: United States
- Freelance
- Senior (5-10 years)
- 110 - 135K
AnalyticsPolicy AnalysisProject ManagementMedicaid Information Technology Architecture (MITA)Health EquityMedicare
Career Opportunities: Sr./System Account Executive - Wellstar + Emory + Commonspirit (20418)
Career Opportunities: Sr./System Account Executive - Wellstar + Emory + Commonspirit (20418)
30+ days ago
Boehringer Ingelheim
- Remote: Germany
- Full time
Account ManagementSales ManagementPharmaceutical SalesManaged CareBusiness AnalysisConsultative Selling
Value-Based Contracting Lead
Value-Based Contracting Lead
30+ days ago
Conviva Care Solutions
- Remote: United States
- Full time
- Senior (5-10 years)
- 104 - 143K
Medicaid WaiverVisual Basic .NET (Programming Language)Financial AnalysisManaged CarePresentation Design
Medical Director
Medical Director
8 day ago
Lucet (formerly New Directions + Tridiuum)
- Remote: United States
- Full time
Clinical GovernanceUtilization ManagementRegulatory ComplianceMedical LawProject ManagementMedical Direction
Career Opportunities: Senior Professional Nurse (29906)
Career Opportunities: Senior Professional Nurse (29906)
5 day ago
Gainwell Technologies LLC
- Remote: United States
- Full time
Medicaid Fraud AnalysisClinical NursingClinical AssessmentsAuditingMedical AbbreviationsICD Coding (ICD-9/ICD-10)
Clinical Care Reviewer II BH - MUST HAVE a BH UM Background
Clinical Care Reviewer II BH - MUST HAVE a BH UM Background
27 day ago
CareSource
- Remote: United States
- Full time
Clinical Data AnalysisMedical Record ManagementCare CoordinationDischarge PlanningData EntryOnline Communication
Medical Director (Behavioral Health) - Remote
Medical Director (Behavioral Health) - Remote
30+ days ago
Magellan Health
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
- 200 - 360K
Physical Medicine And RehabilitationCost Benefit AnalysisContinuous Quality Improvement (CQI)Commercial InsurancesUtilization ManagementCredential Manager
CDE Health Coach
CDE Health Coach
30+ days ago
TriWest Healthcare Alliance
- Remote: United States, Azerbaijan, Arizona (USA)
- Mid-level (2-5 years)
Health And Wellness CoachingDisease ManagementBehavior EvaluationHospital PharmacyHealth EducationRespiratory Therapy
Field Reimbursement Manager (Kansas City)
Field Reimbursement Manager (Kansas City)
30+ days ago
Endo International plc
- Remote: United States, Missouri (USA)
- Full time
- Senior (5-10 years)
Pharmacy OperationsReimbursement RegulationsManaged CareSales ManagementAccount ManagementCustomer Interaction Management
RN Case Manager II
RN Case Manager II
30+ days ago
CorVel Corporation
- Remote: United States, Oregon (USA)
- Full time
- Mid-level (2-5 years)
- 63 - 96K
Nurse Licensure CompactUtilization ManagementNeurologyPhysical Medicine And RehabilitationCost ContainmentOrthopedics
Care Coordinator, RN (District 2)
Care Coordinator, RN (District 2)
30+ days ago
Conviva Care Solutions
- Remote: United States, Iran, Indiana (USA)
- Full time
- Mid-level (2-5 years)
- 69 - 96K
Care CoordinationNursingElectronic Medical RecordManaged CareMotivational InterviewingHolistic Health
Collections Specialist - Behavioral Healthcare
Collections Specialist - Behavioral Healthcare
30+ days ago
Discovery Behavioral Health
- Remote: United States, District of Columbia (USA), Washington (USA)
- Full time
- Junior (1-2 years)
- 48 - 55K
Hospital ExperienceEmbarcadero SoftwareBillingSubstance Abuse PreventionInsurance LawBehavioral Health
Community Supports Coordinator-Poughkeepsie, NY
Community Supports Coordinator-Poughkeepsie, NY
7 day ago
Mom's Meals | A Purfoods Company
- Remote: United States
- Full time
Presentation TrainingEducational OutreachPublic HealthCross-Functional CollaborationHealth Services ResearchSocial Work
Nurse Practitioner - Phoenix, AZ
Nurse Practitioner - Phoenix, AZ
30+ days ago
Monogram Health
- Remote: United States, Azerbaijan, Arizona (USA)
End-Stage Renal DiseaseChronic Kidney DiseaseBasic Patient CareNursingTransitional Bilingual EducationInternal Documentation
Risk Adjustment Specialist II (non-clinical)
Risk Adjustment Specialist II (non-clinical)
6 day ago
Centene Corporation
- Remote: United States
- Full time
ICD Coding (ICD-9/ICD-10)AnalyticsRisk ControlClient EducationManaged Care
Vice President of Operations
Vice President of Operations
5 day ago
Trillium Health Resources
- Remote: United States
- Full time
Behavioral HealthProgram DevelopmentBusiness OperationsCrisis ManagementProject ManagementClient Services
District Manager, Neuroscience Sales, North California
District Manager, Neuroscience Sales, North California
30+ days ago
Intra-Cellular Therapies
- Remote: United States, Illinois (USA)
- Full time
- Senior (5-10 years)
- 136 - 204K
Sales ManagementPharmaceutical SalesNeuroscienceMarket DynamicsSales StrategyCustomer Interaction Management
Product Manager –Compliance & Interoperability (US)
Product Manager –Compliance & Interoperability (US)
28 day ago
PointClickCare
- Remote: United States
- Full time
Product ManagementHealth DatabasesInteroperabilityCompliance ManagementAcceptance Test ProceduresDesign Thinking
Supervisor Data Quality
Supervisor Data Quality
30+ days ago
Wellstar Health System
- Remote: United States
- Full time
- Senior (5-10 years)
Presentation TrainingProcess ImprovementHealthStreamData Quality AssessmentMedflow EMRICD 503
Payor Partnerships Enablement Advisor
Payor Partnerships Enablement Advisor
28 day ago
Pediatric Associates Family of Companies
- Remote: United States
- Full time
Employee OnboardingData IntegrityManaged CareClaims And Litigation ManagementCredential ManagerProject Management
Medical Director - Gulf South
Medical Director - Gulf South
30+ days ago
Conviva Care Solutions
- Remote: United States
- Full time
- Senior (5-10 years)
- 199 - 274K
Utilization ManagementInpatient CareDischarge PlanningUtilization ManagementMedical GuidelineInternal Medicine
Utilization Clinical Reviewer - Appeals
Utilization Clinical Reviewer - Appeals
30+ days ago
TriWest Healthcare Alliance
- Remote: United States, Arizona (USA)
- Full time
- Mid-level (2-5 years)
- 73 - 93K
Nurse Licensure CompactOnline CommunicationUtilization ManagementTri-careMedical Practice ExperienceBehavioral Health
VP of Provider Sales
VP of Provider Sales
30+ days ago
Garner Health
- Remote: United States
- Senior (5-10 years)
- 140 - 190K
Strategic PartnershipEconomicsSales ManagementAccount ManagementValue-Based CareRevenue Management
A&G Non-Clinical Specialist
A&G Non-Clinical Specialist
30+ days ago
Healthfirst
- Remote: United States
- Full time
- Mid-level (2-5 years)
- 49 - 76K
Regulatory ComplianceCase AssessmentManaged CareInsurance PoliciesCare Management Software
Manager, Care Management (Physical Health)
Manager, Care Management (Physical Health)
30+ days ago
Conviva Care Solutions
- Remote: United States, Kentucky (USA), Maryland (USA), North Carolina (USA), Tennessee (USA), West Virginia (USA)
- Full time
- Mid-level (2-5 years)
- 86 - 118K
Care ManagementNursingMedicaid Management Information Systems (MMIS)Behavioral HealthChronic DiseasesManaged Care
Medical Value Access Liaison - West
Medical Value Access Liaison - West
30+ days ago
Arvinas
- Remote: United States
- Expert & Leadership (>10 years)
EconomicsOncologyManaged CareClinical ConsultingGeneral ScienceDemonstration Skills
National Pharmaceutical Account Director Remote
National Pharmaceutical Account Director Remote
30+ days ago
Walgreens
- Remote: United States
- Senior (5-10 years)
- 124 - 338K
Pharmaceutical MarketingAccount ManagementPharmaceutical MarketingPharmacy Benefit ManagementBusiness IntelligenceManaged Care
Pre-Authorization Registered Nurse
Pre-Authorization Registered Nurse
30+ days ago
Conviva Care Solutions
- Remote: United States, Laos, Louisiana (USA)
- Full time
- Mid-level (2-5 years)
- 37 - 87K
Medical NecessityUtilization ManagementNursingHospital ExperienceRehabilitationNursing Care
Regional Account Manager II
Regional Account Manager II
30+ days ago
CorVel Corporation
- Remote: United States, Illinois (USA)
- Full time
- Mid-level (2-5 years)
- 67 - 111K
Account ManagementWorkers' Compensation ClaimsPresentation TrainingSalesforceManaged Care
Director, Claims Life Cycle Management & Implementation
Director, Claims Life Cycle Management & Implementation
30+ days ago
CareSource
- Remote: United States
- Full time
- Senior (5-10 years)
- 110 - 193K
Project ManagementClaims And Litigation ManagementProject ImplementationProcess OptimizationBudget ManagementAnalytics
Compliance Director
Compliance Director
30+ days ago
VIVA HEALTH
- Remote: United States, United Kingdom, Alabama (USA)
- Senior (5-10 years)
Regulatory CompliancePolicy DevelopmentMedicare Part DManaged CareHigher Education LawMedicare
Medicaid Analyst II
Medicaid Analyst II
29 day ago
Envision Pharma Group
- Remote: United States
- Full time
AnalyticsContract ManagementMicrosoft AccessManaged CareDatabase Storage StructuresSQL (Programming Language)
Healthcare Quality Business Development Specialist
Healthcare Quality Business Development Specialist
11 day ago
CareSource
- Remote: United States
- Full time
Proposal WritingManaged CareTotal Quality ManagementOnline Communication
