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
409 jobs
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Regional Business Manager - Wisconsin
Regional Business Manager - Wisconsin
30+ days ago
Takeda
- Remote: United States, Wisconsin (USA)
- Senior (5-10 years)
Clinical ConsultingConsultative SellingPharmaceutical SalesMicrosoft Dynamics CRMGastroenterologyManaged Care
Nurse Practitioner- Tallasee, AL
Nurse Practitioner- Tallasee, AL
30+ days ago
Monogram Health
- Remote: United States, Alabama (USA)
End-Stage Renal DiseaseChronic Kidney DiseaseBasic Patient CareNursingTransitional Bilingual EducationClinical Documentation
Director, Network Contracting & Services
Director, Network Contracting & Services
30+ days ago
Oscar Health
- Remote: United States
- Fixed term
- Expert & Leadership (>10 years)
- 142 - 207K
Healthcare Delivery ModelsReimbursement RegulationsManaged CareCost ManagementComputer NetworksContract Management
Case Manager - Eau Claire, WI
Case Manager - Eau Claire, WI
30+ days ago
Conviva Care Solutions
- Remote: United States, Wisconsin (USA)
- Full time
- Mid-level (2-5 years)
- 53 - 72K
Care PlanningEducational AssessmentSocial WorkCare ManagementDigital File ManagementHealth And Human Services
Appeals and Grievances Medical Director - Cardiology Specialty Required - Virtual
Appeals and Grievances Medical Director - Cardiology Specialty Required - Virtual
30+ days ago
UnitedHealthcare
- Remote: United States
- Senior (5-10 years)
- 286 - 397K
CardiologyProject ManagementManaged CareHealth PoliciesTeleconferencingPresentation Training
Medical Outcomes & Value Liaison (Central)
Medical Outcomes & Value Liaison (Central)
11 day ago
Indivior
- Remote: United States
- Full time
Continuing Medical EducationManaged CareOutcomes ResearchMedical ScienceMedicarePharmacy Experience
Personal Attendant Services (PAS) Clinical Consultant - Remote/Field
Personal Attendant Services (PAS) Clinical Consultant - Remote/Field
30+ days ago
Alcority
- Remote: United States
- Senior (5-10 years)
IBM Lotus Word ProPresentation TrainingWeb AdministrationRegulatory ComplianceMotivational LeadershipManaged Care
Epic Application Analyst II, EDI Rev Cycle PB HB Tapestry
Epic Application Analyst II, EDI Rev Cycle PB HB Tapestry
30+ days ago
Sutter Health
- Remote: United States
- Full time
Managed CareBusiness CycleBusiness OperationsPolicy Development
Care Guide (Physical Health) - Ohio Medicaid
Care Guide (Physical Health) - Ohio Medicaid
30+ days ago
Conviva Care Solutions
- Remote: United States, Ohio (USA)
- Full time
- Mid-level (2-5 years)
- 53 - 72K
Care CoordinationEducational AssessmentElectronic Case Filing SystemsOnline CommunicationGrievance ArbitrationSocial Work
Case Manager Long-term Care - Delaware
Case Manager Long-term Care - Delaware
30+ days ago
Highmark Health
- Remote: United States
- Full time
- Mid-level (2-5 years)
- 19 - 106K
Care CoordinationCare ManagementCultural Competency TrainingHome Health CareBehavioral HealthDigital File Management
Field Care Coordinator
Field Care Coordinator
30+ days ago
Conviva Care Solutions
- Remote: United States, Florida (USA)
- Full time
- Senior (5-10 years)
- 53 - 72K
Service ManagementCare PlanningEducational AssessmentNursingPsychologyClinical Nursing
Virtual Advanced Practice Provider - Nashville, TN
Virtual Advanced Practice Provider - Nashville, TN
30+ days ago
Monogram Health
- Remote: United States, Tunisia, Tennessee (USA)
Chronic Kidney DiseaseNursingEnd-Stage Renal DiseaseBasic Patient CareMedicarePatient Evaluation
Quality Improvement Consultant - Remote in Idaho
Quality Improvement Consultant - Remote in Idaho
30+ days ago
UnitedHealthcare
- Remote: United States, Idaho (USA)
- Freelance
- Mid-level (2-5 years)
- 54 - 107K
Change ManagementHEDIS (Healthcare Effectiveness Data And Information Set)Quality AssessmentProcess ImprovementDigital File ManagementManaged Care
Claims Director
Claims Director
11 day ago
Davies North America
- Remote: United States
- Full time
AdjudicationMedical Insurance ClaimsMedical AbbreviationsOrganizational StructureMedicareManaged Care
Remote Referral Support Specialist
Remote Referral Support Specialist
30+ days ago
Trinity Health
- Remote: United States
- Full time
- Mid-level (2-5 years)
Data EntryElectronic ReferralsDischarge PlanningHospice NursingReimbursement RegulationsManaged Care
Senior Manager, Financial Planning & Analysis (FP&A)
Senior Manager, Financial Planning & Analysis (FP&A)
30+ days ago
Nomi Health
- Remote: United States
- Full time
- Mid-level (2-5 years)
Financial AnalysisFinancial ManagementFinancial ModelingERP Systems KnowledgeAnalyticsMathematical Optimization
Field Reimbursement Manager (New Haven)
Field Reimbursement Manager (New Haven)
30+ days ago
Endo International plc
- Remote: United States, Connecticut (USA)
- Full time
- Senior (5-10 years)
Reimbursement RegulationsPaths To PurchaseMedicareBiopharmaceuticalsManaged CareHealth Policies
Clinical Pharmacist Consultant
Clinical Pharmacist Consultant
30+ days ago
Lifelancer
- Remote: United States, Oregon (USA)
- Freelance
- 112 - 184K
Clinical PharmacyMedication Therapy ManagementPharmaceutical SciencesPharmacy ExperienceRegulatory ComplianceCompliance Management
Case Manager, LaCrosse, WI
Case Manager, LaCrosse, WI
30+ days ago
Conviva Care Solutions
- Remote: United States, Wisconsin (USA)
- Full time
- Mid-level (2-5 years)
- 53 - 72K
Care CoordinationEducational AssessmentOnline CommunicationWindows SoftwareSocial WorkHealth And Human Services
Registered Nurse - Telephonic Hospice Validations (Remote)
Registered Nurse - Telephonic Hospice Validations (Remote)
30+ days ago
Morgan Stephens
- Remote: United States, California (USA)
- Mid-level (2-5 years)
- 86 - 86K
Care ManagementNurse RegistryManaged CareHospice NursingEnd-of-Life CareRemote Administration
Chief Executive Officer
Chief Executive Officer
30+ days ago
Gold Coast Health Plan
- Remote: United States, California (USA)
- Full time
- Expert & Leadership (>10 years)
Regulatory ComplianceFinancial ManagementStrategic LeadershipStakeholder EngagementHealth AdministrationBudget Management
C&S Plan Associate Medical Director - Georgia Foster Care - Remote
C&S Plan Associate Medical Director - Georgia Foster Care - Remote
30+ days ago
UnitedHealthcare
- Remote: United States, Georgia (country), Georgia (USA)
- Senior (5-10 years)
- 269 - 425K
Clinical GovernanceUtilization ManagementProvider ModelQuality AssessmentMedicaidState Children's Health Insurance Programs
Manager, Care Management Support
Manager, Care Management Support
30+ days ago
Conviva Care Solutions
- Remote: United States, Maryland (USA), North Carolina (USA), Tennessee (USA), Virginia (USA), West Virginia (USA)
- Full time
- Senior (5-10 years)
- 78 - 107K
Medicaid Management Information Systems (MMIS)Care ManagementElectronic Medical RecordManaged CareMedical Licensing (Health Law)Nurse Licensure Compact
Medical/Clinical Reimbursement Policy Writer
Medical/Clinical Reimbursement Policy Writer
30+ days ago
CareSource
- Remote: United States
- Full time
Technical WritingHealth PoliciesIndemnity ClaimsMedical CodingReimbursement RegulationsEconomics
RN Medical Case Manager I
RN Medical Case Manager I
30+ days ago
CorVel Corporation
- Remote: United States, New Mexico (USA)
- Full time
- Mid-level (2-5 years)
- 60 - 90K
Utilization ManagementNeurologyPhysical Medicine And RehabilitationOrthopedicsNurse RegistryManaged Care
Clinical Reviewer - LPN
Clinical Reviewer - LPN
30+ days ago
TriWest Healthcare Alliance
- Remote: United States, Azerbaijan, Arizona (USA)
- Senior (5-10 years)
- 58 - 74K
Managed CareClinical NursingMedical NecessityUtilization ManagementClinic Management SystemsInterQual Criteria
Associate Director, Hub Services
Associate Director, Hub Services
6 day ago
Avidity Biosciences, Inc.
- Remote: United States
- Full time
Clinical GovernanceCare ManagementProject ManagementMicrosoft Dynamics CRMRegulatory CompliancePrior Authorization
Utilization Review Nurse 
Utilization Review Nurse
30+ days ago
US Tech Solutions
- Remote: United States, Illinois (USA)
- Mid-level (2-5 years)
Assurance ServicesMedicaid Management Information Systems (MMIS)Prior AuthorizationUtilization ManagementMediTouchManaged Care
Utilization Management Policy Initiatives Registered Nurse
Utilization Management Policy Initiatives Registered Nurse
30+ days ago
MDA Edge
- Remote: United States, California (USA)
- Senior (5-10 years)
Clinical DocumentationRegulatory ComplianceHealth Policy DevelopmentNursingPolicy Change RequestsClinical Research
Community Supports Coordinator-New York
Community Supports Coordinator-New York
13 day ago
Mom's Meals | A Purfoods Company
- Remote: United States
- Full time
Microsoft NetworkingPublic HealthCross-Functional CollaborationPresentation TrainingEducational OutreachManaged Care
Senior Prevention Specialist - HIV- Greensboro
Senior Prevention Specialist - HIV- Greensboro
10 day ago
Gilead Sciences
- Remote: United States
- Full time
Account ManagementBasic Patient CareEthical LeadershipBusiness DevelopmentCultural StudiesManaged Care
Key Account Manager - Mid-Atlantic
Key Account Manager - Mid-Atlantic
30+ days ago
BIOCODEX
- Remote: United States
- Full time
- Senior (5-10 years)
- 9 - 9K
Business IntelligenceProject ManagementSales ManagementKnow Your CustomerCross-Functional CollaborationHealth Administration
Sr. Director of Medical Cost Management
Sr. Director of Medical Cost Management
30+ days ago
UNITE HERE HEALTH
- Remote: United States, Illinois (USA)
- Full time
- Senior (5-10 years)
- 176 - 229K
Financial ModelingBusiness Intelligence ToolsManaged CareNetwork AdministrationEconomicsAnalytics
Certified Credentialing Specialist - Work From Home
Certified Credentialing Specialist - Work From Home
30+ days ago
ClinicMind
- Remote: United States
- Full time
Physician CredentialingCredential ManagerManaged Care
Nurse Practitioner
Nurse Practitioner
30+ days ago
Monogram Health
- Remote: United States, Panama, Pennsylvania (USA)
Chronic Kidney DiseaseNursingEnd-Stage Renal DiseaseBasic Patient CareCare CoordinationNurse Licensure Compact
Head of Market Access (Remote) - 25-112
Head of Market Access (Remote) - 25-112
30+ days ago
Elevar Therapeutics
- Remote: United States
- 250 - 300K
Strategic ManagementMarket Access StrategyCross-Functional CollaborationContract ManagementManaged CarePharmaceutical Marketing
National Account Director - Southeast
National Account Director - Southeast
30+ days ago
Avidity Biosciences, Inc.
- Remote: United States
- Expert & Leadership (>10 years)
- 232 - 257K
Pharmacy ExperienceDirect Market AccessSales ManagementContract ManagementReimbursement RegulationsProduct Launch Readiness
Clinical Sales Specialist, IBD - Cincinnati, OH
Clinical Sales Specialist, IBD - Cincinnati, OH
30+ days ago
Biolife Plasma Service
- Remote: United States
- Full time
Medical SalesConsultative SellingGastroenterologyReimbursement RegulationsSales DevelopmentManaged Care
Director of Revenue Cycle / Chief Revenue Officer
Director of Revenue Cycle / Chief Revenue Officer
30+ days ago
Genesis Orthopedics & Sports Medicine
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
Medical BillingCoding TheoryRevenue ManagementManaged CareHealth PoliciesAnalytics
Medical Director
Medical Director
30+ days ago
Samaritan Health Services
- Remote: United States
- Part time
- Senior (5-10 years)
Clinical Quality ManagementMedical ManagementUtilization ManagementMedicareManaged CareHealth Policies
Actuarial Manager
Actuarial Manager
30+ days ago
Pediatric Associates Family of Companies
- Remote: United States
- Full time
- Senior (5-10 years)
Utilization ManagementStatistical AnalysisReimbursement RegulationsActuarial SciencePresentation TrainingData Validation
Corporate Account Manager
Corporate Account Manager
30+ days ago
Acrotech Biopharma Inc
- Remote: United States
- Senior (5-10 years)
- 19 - 19K
Financial AnalysisOncologyStrategic SellingDirect Market AccessClient ServicesBuilding Inspections
Registered Nurse
Registered Nurse
30+ days ago
US Tech Solutions
- Remote: United States, Kansas (USA)
- Fixed term
- Mid-level (2-5 years)
Managed CareUtilization ManagementPrior AuthorizationInpatient CareMedicareMedicaid
Territory Manager, Bone Growth Therapies - Fracture - Fort Myers, Fl
Territory Manager, Bone Growth Therapies - Fracture - Fort Myers, Fl
30+ days ago
Orthofix
- Remote: United States, Florida (USA)
- Full time
- Mid-level (2-5 years)
- 38 - 57K
Sales DevelopmentManaged CarePresentation TrainingMedical SalesClinical Assessments
Career Opportunities: IS Data Quality Analyst (24684)
Career Opportunities: IS Data Quality Analyst (24684)
30+ days ago
CareOregon
- Remote: United States
- Mid-level (2-5 years)
- 88 - 108K
AnalyticsData Quality AssessmentSQL (Programming Language)Data Warehouse ArchitecturesData Quality AssessmentData Engineering
Lactation Consultant (IBCLC) (Spanish Fluency Required)
Lactation Consultant (IBCLC) (Spanish Fluency Required)
11 day ago
Pomelo Care
- Remote: United States
- Full time
Clinical Trial PlanningCommunicating With PatientsPerinatal CareNurse Licensure CompactOutpatient SurgeryCerner EHR
National Account Director - Northeast
National Account Director - Northeast
30+ days ago
Avidity Biosciences, Inc.
- Remote: United States
- Expert & Leadership (>10 years)
- 232 - 257K
Contract ManagementDirect Market AccessAccount ManagementSales StrategyPharmacy Benefit ManagementPharmacy Experience
Nurse Practitioner - Austin, TX
Nurse Practitioner - Austin, TX
30+ days ago
Monogram Health
- Remote: United States, Texas (USA)
End-Stage Renal DiseaseChronic Kidney DiseaseBasic Patient CareNursingMedical Record ManagementClinical Documentation
Medicaid Market Development Advisor
Medicaid Market Development Advisor
30+ days ago
Conviva Care Solutions
- Remote: United States, Ireland
- Full time
- Mid-level (2-5 years)
- 94 - 130K
Project ManagementPerformance ImprovementOperational ExcellenceMeeting FacilitationManaged CareAnalytics
Connecticut Clinical Pharmacist
Connecticut Clinical Pharmacist
30+ days ago
Lifelancer
- Remote: United States, Connecticut (USA)
- Full time
- Senior (5-10 years)
Clinical PharmacyDrug Utilization ReviewEmployee ConsultationPrior AuthorizationManaged CareClinical Pharmacy
