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
409 jobs
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Vice President Provider Network Management
Vice President Provider Network Management
30+ days ago
AmeriHealth Caritas
- Remote: United States
- Full time
Provider ModelNetwork AdministrationContract ManagementProject ManagementReimbursement RegulationsManaged Care
Account Executive, Ultrasound Women's Health (OH/KY/MI)
Account Executive, Ultrasound Women's Health (OH/KY/MI)
30+ days ago
Boston Imaging
- Remote: United States, Kentucky (USA), Ohio (USA)
- Full time
- Senior (5-10 years)
Customer Relationship ManagementProduct KnowledgeMicrosoft Dynamics CRMMedical SalesBudget ManagementProposal Development
Medical Science Liaison - Indy Ohio
Medical Science Liaison - Indy Ohio
30+ days ago
Lifelancer
- Remote: United States, Indiana (USA), Ohio (USA)
- Full time
Clinical ConsultingManaged CarePresentation TrainingAddiction MedicineOnline CommunicationMedical Science
Health Benefit Rep - Rockland (Creole)
Health Benefit Rep - Rockland (Creole)
30+ days ago
Centene Corporation
- Remote: United States
- Full time
- Mid-level (2-5 years)
- 42 - 73K
Enrollment ManagementProduct KnowledgeManaged CareMicrosoft Dynamics CRMCivic EngagementLanguage Translation
Delegation Management Nurse
Delegation Management Nurse
30+ days ago
CommonSpirit Health
- Remote: United States, California (USA)
- Full time
- Mid-level (2-5 years)
- 1 - 9K
Regulatory ComplianceManaged CareAuditingAnalyticsCorrective And Preventive Action (CAPA)Care Management
Field Care Manager, Behavioral Health
Field Care Manager, Behavioral Health
30+ days ago
Conviva Care Solutions
- Remote: United States, Illinois (USA), Indiana (USA), Kentucky (USA), Missouri (USA), Ohio (USA), Tennessee (USA), Virginia (USA), West Virginia (USA)
- Full time
- Junior (1-2 years)
- 59 - 80K
Clinical Social WorkNurse RegistryCare ManagementBehavioral HealthHolistic HealthManaged Care
Chief Medical Officer - Community Plan of Idaho - Remote
Chief Medical Officer - Community Plan of Idaho - Remote
30+ days ago
UnitedHealthcare
- Remote: United States, Idaho (USA)
- Senior (5-10 years)
- 343 - 516K
AnalyticsFunctional ExcellenceTotal Quality ManagementHealth EquityMedicaidMedicare
Director Network Management & Performance - Western Region
Director Network Management & Performance - Western Region
19 day ago
LIBERTY Dental Plan
- Remote: United States
- Full time
Provider ModelContract ManagementNetwork AdministrationBusiness StrategiesPerformance ManagementRegulatory Compliance
District Manager, Neuroscience Sales, Denver
District Manager, Neuroscience Sales, Denver
30+ days ago
Intra-Cellular Therapies
- Remote: United States, Colorado (USA)
- Full time
- Senior (5-10 years)
- 136 - 204K
Sales ManagementPharmaceutical SalesNeuroscienceBusiness AnalysisManaged CareSales Management
Managing Actuary - Medicaid Rate Advocacy
Managing Actuary - Medicaid Rate Advocacy
30+ days ago
CareSource
- Remote: United States
- Full time
- Mid-level (2-5 years)
- 90 - 158K
Actuarial ScienceMarket PricingOpen AccessSAS (Software)Managed CareActuarial Science
Policy Write - Remote
Policy Write - Remote
30+ days ago
UnitedHealthcare
- Remote: United States, Minnesota (USA)
- Mid-level (2-5 years)
- 19 - 39K
ICD Coding (ICD-9/ICD-10)Clinical ResearchCPT CodingPolicy DevelopmentHealth PoliciesNursing
A/R Medicaid Specialist - Remote Potential
A/R Medicaid Specialist - Remote Potential
30+ days ago
UofL Health
- Remote: United States, Kentucky (USA)
- Junior (1-2 years)
Medical BillingManaged CareDigital File ManagementResource Allocation
Oracle/Python Developer
Oracle/Python Developer
30+ days ago
Perfict
- Remote: United States, Canada, California (USA)
- Full time
- Senior (5-10 years)
Python (Programming Language)Healthcare Industry KnowledgeOracle SQL DeveloperManaged Care
Health Benefit Rep - Bronx (Arabic)
Health Benefit Rep - Bronx (Arabic)
30+ days ago
Centene Corporation
- Remote: United States
- Full time
- Mid-level (2-5 years)
- 42 - 73K
Product KnowledgeManaged CareEnrollment ManagementCustomer Relationship ManagementCivic EngagementPresentation Training
Telephonic Case Manager I
Telephonic Case Manager I
30+ days ago
CorVel Corporation
- Remote: United States, Pennsylvania (USA)
- Full time
- Mid-level (2-5 years)
- 60 - 90K
Utilization ManagementNeurologyMedical HumanitiesProject AssessmentsPhysical Medicine And RehabilitationCost Containment
Contract Technician II
Contract Technician II
13 day ago
Ensemble Health Partners
- Remote: United States
- Full time
Verification And ValidationContract ManagementHealth Reimbursement ArrangementContract ManagementClient ServicesManaged Care
RN Care Manager (McDowell County, NC)
RN Care Manager (McDowell County, NC)
30+ days ago
Vaya Health
- Remote: United States, North Carolina (USA), Texas (USA)
- Full time
- Mid-level (2-5 years)
- 19 - 19K
Care PlanningCare ManagementClinical AssessmentsNursingIntegrated CareHealth Risk Assessments
Medical Director - Florida
Medical Director - Florida
15 day ago
Humana
- Remote: United States
- Full time
Utilization ManagementTreatment PlanningHome Health CareDischarge PlanningMedical GuidelineManaged Care
Career Opportunities: Project Manager (30065)
Career Opportunities: Project Manager (30065)
13 day ago
Gainwell Technologies LLC
- Remote: United States
- Full time
Stakeholder CommunicationsRisk ManagementProject ManagementBudget ManagementMedicareProject Management
Healthcare Managed Care and Financial Strategy , Managing Consultant
Healthcare Managed Care and Financial Strategy , Managing Consultant
11 day ago
Guidehouse
- Remote: United States
- Full time
Financial AnalysisHealthcare Industry KnowledgeCustomer Relationship ManagementProject ManagementQuantitative AnalysisManaged Care
US Virtual Medical Biller
US Virtual Medical Biller
30+ days ago
My Mountain Mover
- Remote: United States
- Full time
- Junior (1-2 years)
Managed CareMedical BillingMedical CodingCerner EHRMedical BillingGoogle Services
Pharmacist - Remote
Pharmacist - Remote
30+ days ago
US Tech Solutions
- Remote: United States
- Fixed term
- Mid-level (2-5 years)
Prior AuthorizationManaged CarePharmacy Benefit ManagementPharmacy ExperienceMedicaid Management Information Systems (MMIS)Medicare
VP, Network Development & Contracting
VP, Network Development & Contracting
30+ days ago
Centene Corporation
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
- 182 - 345K
Cost ManagementProvider Network ManagementSecurity AnalysisComputer Network OperationsReimbursement RegulationsProvider Model
EAP Call Center Representative
EAP Call Center Representative
23 day ago
Lucet (formerly New Directions + Tridiuum)
- Remote: United States
- Full time
Crisis ManagementRisk AnalysisCall Center ExperiencePsychologyData ProcessingAdobe Creative Cloud
Accreditation Manager
Accreditation Manager
16 day ago
Humana
- Remote: United States
- Full time
Project ManagementOnline CommunicationContinuous Improvement ProcessNursingManaged CareBehavioral Health
Product/Benefit Administration Specialist (remote)
Product/Benefit Administration Specialist (remote)
5 day ago
Executive Recruiting Agency
- Remote: United States
- Full time
Project ManagementRegulatory ComplianceMedicareBenefits AdministrationCoding TheoryFunctional Design
Supervisor, Claims Processing - Medi-Cal
Supervisor, Claims Processing - Medi-Cal
30+ days ago
IEHP
- Remote: United States
- Full time
- Mid-level (2-5 years)
- 66 - 85K
CppunitICD 503Managed CareMedical Abbreviations
Nurse Practitioner - Davenport, IA
Nurse Practitioner - Davenport, IA
30+ days ago
Monogram Health
- Remote: United States, Iowa (USA)
End-Stage Renal DiseaseChronic Kidney DiseaseBasic Patient CareNursingClinical DocumentationCare Coordination
Mgr Ent Patient Fin Svcs
Mgr Ent Patient Fin Svcs
12 day ago
WVU Medicine
- Remote: United States
- Full time
BillingFinanceStatistical ReportingOffice ManagementBudget ManagementPatient Education And Counseling
Healthcare Managed Care and Financial Strategy , Managing Consultant
Healthcare Managed Care and Financial Strategy , Managing Consultant
11 day ago
Guidehouse
- Remote: United States
- Full time
Financial AnalysisHealthcare Industry KnowledgeCustomer Relationship ManagementProject ManagementQuantitative AnalysisManaged Care
Provider Network Specialist
Provider Network Specialist
30+ days ago
Birdsong Hearing Benefits
- Remote: United States
- Full time
Provider ModelRecruitment ConsultancyData ManagementHealthcare Industry KnowledgeCompliance ManagementManaged Care
Registered Dietitian (LA license)
Registered Dietitian (LA license)
30+ days ago
Pomelo Care
- Remote: United States, Laos
- 65 - 75K
Nutrition ServicesMotivational InterviewingCommunicating With PatientsCerner EHRSnapLogicEmail Software
Director of Customer Care and Appeals/Grievances
Director of Customer Care and Appeals/Grievances
30+ days ago
Samaritan Health Services
- Remote: United States
- Full time
Conflict ResolutionUser Experience (UX)Digital File ManagementCross-Functional CollaborationManaged CareMedicaid
Medical Specialist I-Dermatology-St. Louis
Medical Specialist I-Dermatology-St. Louis
30+ days ago
Regeneron
- Remote: United States, Missouri (USA)
- Full time
- Senior (5-10 years)
- 141 - 184K
BiopharmaceuticalsContract ManagementDermatologySales ManagementReimbursement RegulationsManaged Care
Regional Business Manager
Regional Business Manager
30+ days ago
Takeda
- Remote: United States, Virginia (USA)
- Senior (5-10 years)
- 110 - 151K
Consultative SellingGastroenterologyMarket AnalysisClinical ConsultingPharmaceutical SalesManaged Care
Business Analyst- Expert (Remote)
Business Analyst- Expert (Remote)
30+ days ago
Serigor Inc
- Remote: United States, North Carolina (USA)
- Fixed term
Agile Software DevelopmentSoftware DevelopmentBusiness AnalysisCustomer Requirements AnalysisJIRAUser Acceptance Testing (UAT)
Professional Fee Remote Coder
Professional Fee Remote Coder
30+ days ago
JTS Health Partners
- Remote: United States
- Full time
- Mid-level (2-5 years)
Medical CodingCppunitAmazon AthenaCerner EHRManaged CareICD 503
Clinical Sales Specialist, IBD (San Francisco Bay Area)
Clinical Sales Specialist, IBD (San Francisco Bay Area)
30+ days ago
Takeda
- Remote: United States, California (USA)
- Full time
- Senior (5-10 years)
- 117 - 161K
Healthcare Industry KnowledgeReimbursement RegulationsPresentation TrainingSales DevelopmentConsultative SellingManaged Care
Growth Strategy Consultant
Growth Strategy Consultant
30+ days ago
Conviva Care Solutions
- Remote: United States, California (USA), New York (USA)
- Freelance
- Mid-level (2-5 years)
- 94 - 130K
Quantitative AnalysisQualitative AnalysisProject CollaborationManaged CareHealth Care Industry
Key Account Manager - South Central
Key Account Manager - South Central
30+ days ago
BIOCODEX
- Remote: United States
- Full time
- Senior (5-10 years)
- 9 - 9K
Direct Market AccessPharmaceutical SciencesCustomer Relationship ManagementCross-Functional CollaborationHealth AdministrationBusiness Planning
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 ManagementManaged CareAnalyticsAuditing
RN Case Manager, Sparta, WI
RN Case Manager, Sparta, WI
30+ days ago
Conviva Care Solutions
- Remote: United States, Wisconsin (USA)
- Full time
- Mid-level (2-5 years)
- 71 - 97K
Educational AssessmentNursingElectronic Medical RecordHome Health CareManaged CareMotivational Interviewing
Nurse Practitioner - San Antonio, TX
Nurse Practitioner - San Antonio, TX
30+ days ago
Monogram Health
- Remote: United States, Texas (USA)
Disease ManagementPatient EvaluationBasic Patient CareNursingClinical DocumentationCare Coordination
RN Field Care Manager, Care Coordinator
RN Field Care Manager, Care Coordinator
30+ days ago
Conviva Care Solutions
- Remote: United States, France, Indiana (USA), Kentucky (USA), Louisiana (USA), Ohio (USA), Texas (USA), Virginia (USA)
- Full time
- Mid-level (2-5 years)
- 69 - 96K
Care CoordinationNurse Licensure CompactCompetency AssessmentDemographic AnalysisElectronic Medical RecordNursing Home Care
Care Coordinator (Bureau Co, IL)
Care Coordinator (Bureau Co, IL)
30+ days ago
Humana
- Remote: United States, Illinois (USA)
- Full time
- Junior (1-2 years)
- 53 - 72K
Care CoordinationCare ManagementEducational AssessmentIntervention PlansManaged CareMedicare
Career Opportunities: Pharmacy Solutions Business Analyst (30159)
Career Opportunities: Pharmacy Solutions Business Analyst (30159)
8 day ago
Gainwell Technologies LLC
- Remote: United States
- Full time
Agile Product ManagementBusiness AnalysisPharmacy OperationsHealth SciencesBusiness ArchitectureProduct Management
Field Service Engineer, Digital Radiography (OH/MI/IN)
Field Service Engineer, Digital Radiography (OH/MI/IN)
30+ days ago
Boston Imaging
- Remote: United States, Ohio (USA)
- Full time
- Mid-level (2-5 years)
InstaLODCamera CalibrationMedical EquipmentMicrosoft NetworkingManaged CareClinical Data Analysis
Pharmacy Coordinator
Pharmacy Coordinator
17 day ago
Centene Corporation
- Remote: United States
- Full time
Pharmacy ExperiencePrior AuthorizationUtilization ManagementClient EducationPharmacy ExperienceProcess Improvement
RN Denial/Appeal Administrator, 40 Hours (Days)
RN Denial/Appeal Administrator, 40 Hours (Days)
6 day ago
Boston Medical Center (BMC)
- Remote: United States
- Full time
Utilization ManagementHealth ScreeningsMedical CodingClinical DocumentationCare ManagementHealth Care Finance Administration (HCFA) Regulations
Key Account Manager Transplant
Key Account Manager Transplant
30+ days ago
Takeda
- Remote: United States, California (USA)
- Senior (5-10 years)
Business PlanningAccount ManagementDirect SellingManaged CarePharmaceutical Product ManagementAccount-Based Marketing
