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Explore 233 Remote Managed Care Jobs

Navitus Health Solutions logo

Clinical Account Executive (RPh) - Remote

Navitus Health Solutions

2 days ago

Navitus Health Solutions is looking for a Clinical Account Executive (RPh) to manage client relationships and improve healthcare quality while controlling costs.

USA
Full-time
Sales / Business
112640 - 140800 USD/year

A.R

Associate Manager, Clinical Health Services – Utilization Management - Remote

Aetna Resources

7 days ago

The Associate Manager will oversee Utilization Management staff in a fully remote role, ensuring high performance and compliance with healthcare standards.

USA
Full-time
Health Services
$72,306.00 - $155,736.00/year
EVERSANA logo

Supervisor, Program Management - Remote

EVERSANA

1 week ago

The Supervisor, Program Management oversees daily operations and team performance to ensure high client satisfaction in the healthcare sector.

USA
Full-time
Project Management
Centene Management Company logo

Quality Program Development Manager - Remote

Centene Management Company

1 week ago

The Quality Program Development Manager will lead the development and implementation of healthcare quality programs to enhance patient care and operational efficiency.

USA
Full-time
Project Management
$68,700 - $123,700/year

A.R

Contract Negotiation Manager - Behavioral Health - Remote

Aetna Resources

1 week ago

The Contract Negotiation Manager will lead contract negotiations and manage relationships with Behavioral Health providers.

USA
Full-time
Sales / Business
$66,330.00 - $145,860.00/year
Centene Management Company logo

Vice President, Payment Integrity - Remote

Centene Management Company

1 week ago

Lead the Payment Integrity operations at Centene, overseeing claims audit and medical coding to improve community health.

USA
Full-time
Finance / Legal
$223,200.00 - $422,900.00/year
Limitlessli logo

Quality Assurance Nurse - USRN NY - Remote

Limitlessli

1 week ago

Join Limitlessli as a remote Quality Assurance Nurse to manage clinical incidents and ensure high-quality patient care.

Worldwide
Full-time
All others

A.R

Health Coach - Remote

Aetna Resources

2 weeks ago

The Health Coach provides telephonic outreach to Medicare members to improve health outcomes through education and support.

USA
Full-time
All others
$46,988.00 - $102,000.00/year

A.R

Utilization Management Nurse Consultant - Remote

Aetna Resources

2 weeks ago

Join CVS Health as a Utilization Management Nurse Consultant, utilizing your RN experience to coordinate healthcare services in a telecommute role.

USA
Full-time
All others
$32.01 - $68.55/hour
Centene Management Company logo

Intern (Pharmacy) - Remote

Centene Management Company

2 weeks ago

Join Centene as a Pharmacy Intern to gain hands-on experience in clinical pharmacy and managed care.

Worldwide
Internship
All others

Humana

Provider Engagement Professional 2 - Remote

Humana

2 weeks ago

Join a dedicated team as a Provider Engagement Professional 2, fostering relationships with healthcare providers to enhance financial and quality performance.

FL, USA
Full-time
Sales / Business
$59,300 - $80,900/year

A.R

Executive Director, Network Management - Mid-South - Remote

Aetna Resources

2 weeks ago

The role of Executive Director, Network Management at CVS Health involves strategic oversight of provider relations and network management within the Mid-South market.

USA
Full-time
Sales / Business
$131,500.00 - $303,195.00/year

Chartis

Engagement Manager, Managed Care, Strategic Transformation - Remote

Chartis

2 weeks ago

Join Chartis as an Engagement Manager to lead healthcare consulting teams focused on managed care strategies.

USA
Full-time
Sales / Business
$150,000 - $220,000/year
Centene Management Company logo

Risk Adjustment Specialist (Clinical) - Remote

Centene Management Company

2 weeks ago

The Risk Adjustment Specialist will support the development and maintenance of Risk Adjustment programs while conducting claims research and analysis.

Worldwide
Full-time
Healthcare
$55,100.00 - $99,000.00/year

H.A.H.

Medicaid State Technology Lead - Remote

Humana At Home 1

2 weeks ago

The Medicaid State Technology Lead oversees IT implementation for Medicaid programs, ensuring quality delivery and effective partnerships.

Worldwide
Full-time
Project Management
$117,600 - $161,700/year