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Explore 283 Remote Managed Care Jobs

AbbVie logo

Senior Regional Business Executive, Chronic Migraine/Spasticity & Movement Disorders - Remote

AbbVie

2 days ago

The Senior Regional Business Executive will drive sales initiatives for AbbVie's Chronic Migraine and Movement Disorders franchise across the United States.

USA
Full-time
Sales / Business
Guidehealth logo

Contract Behavioral Health Utilization Management Medical Director (Psychiatry) - Remote

Guidehealth

2 weeks ago

Guidehealth is looking for a part-time Medical Director in Psychiatry to oversee utilization management activities for a commercial health plan.

USA
Part-time
All others
National Committee for Quality Assurance logo

Policy Manager - Remote

National Committee for Quality Assurance

2 weeks ago

The Policy Manager leads the development and maintenance of healthcare product standards while collaborating across teams.

Worldwide
Full-time
All others
87000 - 92000/year
Facktor logo

Value-Based Care Director - Remote

Facktor

2 weeks ago

Join Facktor as a Value-Based Care Director to lead innovative healthcare strategies focused on value-based reimbursement and optimizing patient outcomes.

Worldwide
Full-time
Sales / Business
$150,000 - $200,000/year
CRD Careers (Independent Recruiters) logo

Senior Clinical Coding Auditor & Trainer - Remote

CRD Careers (Independent Recruiters)

2 weeks ago

Join a national managed care organization as a Senior Clinical Coding Auditor & Trainer, focusing on improving coding accuracy and compliance.

USA
Full-time
All others
Wellpartner logo

Adjudication Associate (Omnicare) - Overnight - Remote

Wellpartner

3 weeks ago

The Adjudication Associate (Omnicare) is responsible for claims processing and ensuring timely reimbursements while working overnight hours.

USA
Full-time
Customer Service
$17.00 - $34.15/hour

A.R

Utilization Management Nurse Consultant - Remote

Aetna Resources

4 weeks ago

Join CVS Health as a Utilization Management Nurse Consultant, working from home to assess and coordinate healthcare services.

USA
Full-time
Health Care
$29.10 - $62.32/hour

A.R

Appeals Nurse Consultant - Remote

Aetna Resources

5 weeks ago

CVS Health is seeking a remote Appeals Nurse Consultant to process Medicare appeals and ensure compliance with clinical guidelines.

USA
Full-time
All others
$60,522.00 - $129,615.00/year

WNR

Supervisor, Utilization Management - Remote

WNR

5 weeks ago

The Supervisor of Utilization Management will lead and support the clinical staff in managing utilization reviews and ensuring compliance with regulations.

USA
Full-time
All others
$97,510.40 - $141,804.00/year

E.R

Billing Specialist - Remote

Ensemble RCM

5 weeks ago

The Billing Specialist manages client billing and ensures compliance with contracts while supporting revenue cycle management at Ensemble Health Partners.

USA
Full-time
Finance / Legal
$16.25 - $21.40/hour

Highmark

Medical Director, Medical Policy - Remote

Highmark

5 weeks ago

The Medical Director, Medical Policy role focuses on overseeing the development and management of medical policies at Highmark Inc.

PA, USA
Full-time
All others
$170,000.00 - $352,500.00/year

A.P

Specialty Account Manager - Remote

Antares Pharma

6 weeks ago

Join Halozyme as a Specialty Account Manager to drive sales and educate healthcare professionals on innovative drug delivery solutions.

WA, USA
Full-time
Sales / Business
$110K - $125K/year

U.T.K.B

RN Care Manager - Remote

Up to $15K Bonus

7 weeks ago

Join a healthcare team as an RN Care Manager, providing case management and support for members' healthcare needs.

NY, USA
Full-time
Healthcare
$90000 - $110000/year

A.R

Network Relations Manager - Remote

Aetna Resources

9 weeks ago

The Network Relations Manager will foster strong relationships with healthcare providers while managing contracts and improving provider experiences.

USA
Full-time
Sales / Business
$54,300.00 - $119,340.00/year
Centene Management Company logo

Manager, Clinical Program for Housing and Employment - Remote

Centene Management Company

10 weeks ago

Lead a clinical team focused on providing housing and employment services to members while ensuring compliance with regulatory standards.

AZ, USA
Full-time
Human Resources
$86,000.00 - $154,700.00/year