Remote Medicare Advantage 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
92 jobs
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UM Pharmacy Technician (Work from Home)
UM Pharmacy Technician (Work from Home)
3 day ago
NeueHealth
- Remote: California (USA)
- Full time
Medication Therapy ManagementClinical PharmacyPrior AuthorizationDrug Utilization ReviewElectronic Health Record ApplicationsPrior Authorization
UM Pharmacy Technician (Work from Home)
UM Pharmacy Technician (Work from Home)
3 day ago
Bright Health
- Remote: California (USA)
- Full time
Regulatory ComplianceClinical AssessmentsPrior AuthorizationDrug Utilization ReviewElectronic Health Record ApplicationsPrior Authorization
Provider Engagement Executive
Provider Engagement Executive
5 day ago
Humana
- Remote: Indiana (USA), Kentucky (USA), Michigan (USA), Ohio (USA)
- Full time
Provider ModelVendor ContractsProject ManagementNetwork AdministrationMedicare AdvantagePresentation Training
RN Clinical Grievance Analyst
RN Clinical Grievance Analyst
13 day ago
Strategic Staffing Solutions
- Remote: Michigan (USA)
- Freelance
Grievance ArbitrationClinical DocumentationMedical AbbreviationsE-MDs (EMR/EHR System)InterQual CriteriaMedicare Advantage
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
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
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)
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
Data Analytics Administrator, MI - Remote
Data Analytics Administrator, MI - Remote
8 day ago
McLaren Health Care
- Remote: Michigan (USA)
- Freelance
Relational DatabasesSQL (Programming Language)Healthcare AnalyticsRisk ManagementMedicare AdvantageCorporate Financial Reporting
Strategy Advancement Advisor
Strategy Advancement Advisor
3 day ago
Humana
- Remote: United States
- Full time
Quantitative AnalysisProject ManagementBusiness StrategiesMarket AnalysisProject CollaborationHealthcare Industry Knowledge
Market Physician Executive - California
Market Physician Executive - California
30+ days ago
Monogram Health
- Remote: California (USA)
- Full time
Evidence-Based PracticeMedical GuidelinePublic HealthRenal FunctionMedicaidMedicare
Licensed Medicare Agent - FLEXIBLE SCHEDULE - W2 - REMOTE
Licensed Medicare Agent - FLEXIBLE SCHEDULE - W2 - REMOTE
4 day ago
Integrity Marketing Group LLC
- Remote: Arizona (USA), Florida (USA), Georgia (USA), North Carolina (USA), Texas (USA)
- Full time
Medical Licensing (Health Law)MedicareMedicare Part DMedicare Advantage
Head of Sales, Linea
Head of Sales, Linea
26 day ago
Redesign Health
- Remote: California (USA), Florida (USA), Illinois (USA), North Carolina (USA), Texas (USA)
- Full time
Medical SalesPipeline PlanningSales StrategyContract ManagementValue-Based CareConsultative Selling
Patient Care Coordinator, Integrated Care Delivery
Patient Care Coordinator, Integrated Care Delivery
17 day ago
SCAN
- Remote: California (USA)
- Full time
Care CoordinationBasic Patient CareElectronic Medical RecordHelp Desk SupportMedicare Advantage
Chronic Disease Management Nurse (RN-Remote CA, AZ, NV, TX, NM)
Chronic Disease Management Nurse (RN-Remote CA, AZ, NV, TX, NM)
10 day ago
SCAN
- Remote: Azerbaijan
- Full time
Care CoordinationChronic CareBasic Patient CareClinical AssessmentsRegulatory ComplianceMedicare Advantage
Clinical Trials Research Coverage Analyst - Research Billing Support - 100% Remote-13619
Clinical Trials Research Coverage Analyst - Research Billing Support - 100% Remote-13619
30+ days ago
Rush University Medical Center
- Remote: Illinois (USA)
- Full time
Medical BillingCoding TheoryClinical ResearchMedicare AdvantageICD 503Medical Abbreviations
Medicare Secondary Payer Specialist
Medicare Secondary Payer Specialist
11 day ago
Capital Blue Cross
- Remote: Pennsylvania (USA)
- Full time
Medicare AdvantageClaims And Litigation ManagementBilling
Regional Sales Representative, Licensed - Geisinger Health Plan Pennsylvania (Lycoming - Centre - Clinton Counties)
Regional Sales Representative, Licensed - Geisinger Health Plan Pennsylvania (Lycoming - Centre - Clinton Counties)
30+ days ago
Geisinger
- Remote: Pennsylvania (USA)
- Full time
Medicare AdvantageInsurance PoliciesBusiness CommunicationCivic EngagementSales StrategyFundraising
Data Analytics Administrator, MI - Remote
Data Analytics Administrator, MI - Remote
8 day ago
McLaren Health Care
- Remote: Michigan (USA)
- Freelance
Relational DatabasesSQL (Programming Language)Healthcare AnalyticsRisk ManagementMedicare AdvantageCorporate Financial Reporting
Life & Health Insurance Sales Agent
Life & Health Insurance Sales Agent
30+ days ago
AWL, Inc.
- Remote: Texas (USA)
- Junior (1-2 years)
Medicare AdvantageSales DevelopmentScriptingOnline Communication
Senior Provider Engagement Professional-1-1
Senior Provider Engagement Professional-1-1
30+ days ago
Humana
- Remote: Ohio (USA)
- Full time
Provider ModelFinancial ManagementNetwork AdministrationReimbursement RegulationsProject ManagementQuality Assessment
Claims Specialist III (Facets Claims)
Claims Specialist III (Facets Claims)
6 day ago
CareSource
- Remote: United States
- Full time
Data EntryMedical CodingClaims And Litigation ManagementMedical AbbreviationsMedical BillingMedicaid Fraud Analysis
FSP - Budget Development Associate
FSP - Budget Development Associate
30+ days ago
IQVIA Italia
- Remote: Brazil
- Full time
- Mid-level (2-5 years)
Clinical Trial PlanningMedicare AdvantageBudget ManagementGeneral SurgeryProtocol AnalysisData Management
Senior Research Scientist, Remote
Senior Research Scientist, Remote
27 day ago
Aledade
- Remote: Texas (USA)
- Full time
Data IntegrationHealthcare AnalyticsCausal InferenceStatistical AnalysisPublic HealthAnalytics
Sr. Medicare Compliance Analyst - Advantasure
Sr. Medicare Compliance Analyst - Advantasure
30+ days ago
Advantasure
- Remote: United States
- Full time
- Mid-level (2-5 years)
- 76 - 100K
Process ManagementOutcome InterpretationProject ManagementMedicare AdvantageRisk Adjustment Coding (RAC)Conflict Resolution
Stars Senior Business Intelligence Engineer
Stars Senior Business Intelligence Engineer
30+ days ago
Conviva Care Solutions
- Remote: United States, Kentucky (USA)
- Full time
- Senior (5-10 years)
- 89 - 121K
Data VisualizationPower BISQL (Programming Language)Data ManagementData MiningHealth Databases
Sr. Director, Payer Sales
Sr. Director, Payer Sales
30+ days ago
MedeAnalytics
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
- 150 - 175K
Tableau (Business Intelligence Software)Software SalesLead GenerationPower BIUnemployment InsuranceValue-Based Care
Compliance Specialist State Markets
Compliance Specialist State Markets
13 day ago
LIBERTY Dental Plan
- Remote: United States
- Full time
Regulatory ComplianceProject ManagementMedicaidRisk ManagementMedicare AdvantageOrganizational Structure
Expert Analyst, Client Reporting
Expert Analyst, Client Reporting
30+ days ago
Advantasure
- Remote: United States
- Full time
- Mid-level (2-5 years)
- 78 - 98K
Database QueriesSQL (Programming Language)Customer CentricityData VisualizationTableau (Business Intelligence Software)Health Information Technology
Provider Engagement Professional - Gulf Coast Conviva Florida
Provider Engagement Professional - Gulf Coast Conviva Florida
14 day ago
Conviva Care Solutions
- Remote: United States
- Full time
Provider ModelVendor ContractsFinancial ManagementNetwork AdministrationForward PlanningReimbursement Regulations
Pharmacy Financial Analyst
Pharmacy Financial Analyst
30+ days ago
SCAN
- Remote: California (USA)
- Full time
Financial AnalysisData MiningHospital ExperiencePharmacy OperationsData ManagementSQL (Programming Language)
Psychiatrist
Psychiatrist
30+ days ago
Devoted Health
- Remote: United States
- Full time
- Mid-level (2-5 years)
- 192 - 300K
Psychiatric TreatmentsGeriatricsMedicare AdvantageBehavioral HealthMedicaidTelehealth
VP, Regional CMO - West
VP, Regional CMO - West
30+ days ago
CenterWell Senior Primary Care
- Remote: United States, Texas (USA)
- Expert & Leadership (>10 years)
Clinical GovernanceValue-Based CareBasic Patient CareTeam NursingPublic HealthNetwork Administration
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
VP of Value-Based Care Operations - Remote (US)
VP of Value-Based Care Operations - Remote (US)
4 day ago
Theoria Medical
- Remote: United States
- Full time
Care CoordinationValue-Based CareOrganizational LeadershipData MiningRisk SelectionProduct Benchmarking
Nurse, Utilization Management Reviewer.
Nurse, Utilization Management Reviewer.
30+ days ago
DCX PH Inc.
- Remote: United States
- Full time
- Mid-level (2-5 years)
Medical NecessityUtilization ManagementMedicareHealth Services ResearchInterQual CriteriaInternal Documentation
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
Healthcare Director of Operational Compliance
Healthcare Director of Operational Compliance
10 day ago
UST HealthProof
- Remote: United States
- Full time
MedicaidMedicareMedicare AdvantageRegulatory ComplianceLegal ResearchCompliance Management
Healthcare Director of Operational Compliance
Healthcare Director of Operational Compliance
10 day ago
UST HealthProof
- Remote: United States
- Full time
MedicaidMedicareMedicare AdvantageRegulatory ComplianceLegal ResearchCompliance Management
VP, Regional CMO - Central
VP, Regional CMO - Central
30+ days ago
CenterWell Senior Primary Care
- Remote: United States, Kentucky (USA)
- Expert & Leadership (>10 years)
Clinical GovernanceValue-Based CareBasic Patient CareTeam NursingPublic HealthNetwork Administration
Medical Director - Florida
Medical Director - Florida
9 day ago
Humana
- Remote: United States
- Full time
Utilization ManagementTreatment PlanningHome Health CareDischarge PlanningMedical GuidelineManaged Care
Sr. Manager, Strategy
Sr. Manager, Strategy
19 day ago
Honest Medical Group
- Remote: United States
- Full time
Value-Based CareProject ManagementHealth Care IndustryBusiness StrategiesInvestment BankingStakeholder Communications
Medicare Insurance Agent
Medicare Insurance Agent
30+ days ago
Senior Benefits Agency.Inc
- Remote: United States
Client ServicesInsurance SalesMedical Licensing (Health Law)MedicareTerm Life InsuranceMedicare Advantage
Remote Benefits Advocate
Remote Benefits Advocate
30+ days ago
BeneLynk
- Remote: United States
- Full time
- 35 - 39K
Medicaid Management Information Systems (MMIS)Medicare AdvantageData EntryOnline Communication
Clinical Trials Research Coverage Analyst - Research Billing Support - 100% Remote-13619
Clinical Trials Research Coverage Analyst - Research Billing Support - 100% Remote-13619
30+ days ago
Rush University Medical Center
- Remote: United States, Illinois (USA)
BillingClinical Trial PlanningMedical CodingMedicare AdvantageHealthcare Common Procedure Coding SystemsICD 503
Revenue Cycle A/R Specialist (Hospital)(RCAR)
Revenue Cycle A/R Specialist (Hospital)(RCAR)
30+ days ago
JTS Health Partners
- Remote: United States
- Senior (5-10 years)
Medicare AdvantageCppunitInsurance Follow-UpCredit ManagementASC 606 (Revenue Recognition)ICD 503
Associate Director Actuarial Services - Remote (Minnetonka, MN preferred),
Associate Director Actuarial Services - Remote (Minnetonka, MN preferred),
30+ days ago
UnitedHealthcare
- Remote: United States, Minnesota (USA)
- Senior (5-10 years)
- 106 - 194K
AnalyticsMedicare AdvantageActuarial ScienceSAS (Software)SQL (Programming Language)Actuarial Science
Medicare Sales Field Agent - El Paso TX
Medicare Sales Field Agent - El Paso TX
30+ days ago
Humana
- Remote: United States, Texas (USA)
- Full time
- 31 - 115K
Medical Licensing (Health Law)Civic EngagementMedicare AdvantageMobile Application DevelopmentCustomer Relationship ManagementUnderwriting
Actuarial Analytics, Medicare
Actuarial Analytics, Medicare
30+ days ago
HR4ALL
- Remote: United States, Oregon (USA)
- Full time
- Senior (5-10 years)
Pricing StrategiesMedicare AdvantageRegulatory ComplianceStrategic AnalysisSQL (Programming Language)Actuarial Science
Manager- Site Budget Development, Investigator Payment Management (IPM)
Manager- Site Budget Development, Investigator Payment Management (IPM)
30+ days ago
BeiGene
- Remote: United States
- Full time
- Senior (5-10 years)
- 112 - 152K
Data ManagementProcess ImprovementMedicare AdvantageMicrosoft SharePointClinical Trial PlanningCPT Coding
