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Explore 197 Remote Managed Care Jobs

C.C.A.F.H.R

Provider Payment Strategy Manager - Remote

Central California Alliance for Health (Remote)

2 days ago

Join the Alliance as a Provider Payment Strategy Manager, overseeing reimbursement methodologies and leading a team in a hybrid work environment.

USA
Full-time
Finance / Legal
$115,283 - $202,696 USD/year
Community Medical Services logo

Insurance Verification Specialist - Remote

Community Medical Services

2 days ago

The Insurance Verification Specialist is responsible for verifying client eligibility and maintaining enrollment records in a hybrid work environment.

AZ, USA
Full-time
Customer Service
Twin Health logo

Regional Vice President, Health Plan - Remote

Twin Health

2 days ago

Join Twin Health as a Regional Vice President, Health Plan, to drive strategic relationships and revenue growth in the healthcare sector.

USA
Full-time
Sales / Business
$180,000 - $215,000/year
Wellpartner logo

Remote Case Manager Registered Nurse

Wellpartner

4 days ago

Join CVS Health as a Remote Case Manager (RN) focusing on delivering high-quality healthcare services in Hudson County.

USA
Full-time
All others
$72,627.00 - $155,538.00/year
OSH-RI logo

Senior Manager, Network Management - Behavioral Health - Remote

OSH-RI

4 days ago

Join CVS Health as a Senior Manager to oversee behavioral health network management and strategic partnerships.

USA
Full-time
Sales / Business
$67,900.00 - $199,144.00/year
Privia Health logo

Credentialing Specialist - Remote

Privia Health

6 days ago

The Credentialing Specialist ensures the effective credentialing and re-credentialing of providers in a high-performance medical group.

USA
Full-time
All others
$49,500 - $55,000/year
HealthAxis Group logo

Part-Time, Temporary Utilization Management Concurrent Review Nurse - Remote

HealthAxis Group

1 week ago

The Part-Time, Temporary UM Concurrent Review Nurse conducts medical necessity reviews for outpatient services and manages concurrent inpatient admissions.

FL, USA
Part-time
All others

M.E

Referral Coordinator - Remote

MHS Employees

1 week ago

The Referral Coordinator is responsible for managing patient referrals and coordinating with healthcare providers and insurance plans.

USA
Full-time
Customer Service
$19.32 - $27.80 USD/hour
ConcertoCare logo

Clinical Pharmacist - Remote

ConcertoCare

1 week ago

The Clinical Pharmacist position involves managing drug therapy for patients with chronic conditions and collaborating with healthcare providers.

Worldwide
Full-time
All others
120000 - 140000/year
Centene Management Company logo

Vice President, Medical Director - Remote

Centene Management Company

1 week ago

Centene is seeking a Vice President, Medical Director to provide strategic and operational leadership in utilization management and clinical policies.

USA
Full-time
All others
301400 - 572700/year

H.A.H.

Regional Vice President of Health Services - Remote

Humana At Home 1

1 week ago

The Regional VP of Health Services leads clinical strategy and partnerships to improve health outcomes in the South Central region.

TX, USA
Full-time
All others
$298,000 - $409,800/year
Centene Management Company logo

Behavioral Health Service Coordinator - Remote

Centene Management Company

1 week ago

Coordinate access to behavioral health services for Foster Care members while collaborating with various stakeholders.

USA
Full-time
All others
$22.79 - $38.84/hour

H.A.H.

Director of Health Services - Pacific Southwest Region - Remote

Humana At Home 1

1 week ago

The Clinical Director will lead health services in the Pacific Southwest region, focusing on provider engagement and clinical strategy execution.

CA, USA
Full-time
All others
$138,900 - $191,000/year
Professional Management Enterprises logo

Grievance and Appeals Nurse - Remote

Professional Management Enterprises

1 week ago

The Grievance and Appeals Nurse is responsible for managing complex grievances and appeals in a remote setting, requiring strong communication and analytical skills.

IN, USA
Full-time
All others
90000USD/year

H.A.H.

Regional Vice President, Health Services - Midwest Region - Remote

Humana At Home 1

1 week ago

The Regional VP of Health Services will lead clinical strategy and provider partnerships to enhance health outcomes in the Midwest region.

USA
Full-time
All others
$298,000 - $409,800/year