RemoteOtterRemoteOtterExplore 231 Remote Utilization Management Jobs
Rula
Join Rula as a Clinical Care Reviewer to enhance mental health care quality through clinical documentation review and data-driven recommendations.
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Oscar Health
Join Oscar as an Associate Medical Director to lead utilization management and ensure quality in medical reviews.
J&B Medical Supply Co
Join the Diabetes Utilization Management Team as a remote Customer Service Representative focused on providing support for diabetes therapies.
Visante Consulting
The Senior Director of Project Management leads a team to enhance project delivery and financial performance in healthcare consulting.
VALUE-BASED RCM
The Utilization Management Coordinator is responsible for securing authorizations for patient care while providing excellent customer service.
Availity
Availity
The Vice President of Product will lead the strategy and execution of medical cost containment and authorization solutions in a remote-first environment.
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Prime Therapeutics
Join Prime Therapeutics as a Physician Clinical Reviewer in Pediatric Neurology, focusing on medical necessity reviews and utilization management.
Jobgether
The Remote Utilization Management Coordinator supports clinical operations by managing administrative tasks related to prior authorizations and appeals.
HJ Staffing
Join a leading Medicare Advantage Health Plan as a Medical Director of Utilization Management, focusing on clinical integrity and compliance.
Centene Management Company
Seeking a Remote Medical Director to lead medical management and quality improvement initiatives for a diverse population.
Soleo Health
Soleo Health is looking for a Prior Authorization Pharmacist to manage prior authorization requests for specialty pharmacy, working remotely.
Zing Health
The Intake Coordinator provides support to the Health Services Department, managing authorization requests, case management referrals, and appeals.
L.H.M.C
Logan Health Medical Center
Join Logan Health as a fully remote Utilization Management Specialist, leveraging your clinical expertise to enhance patient outcomes and resource management.
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Quantile Health
Join Quantile Health as a part-time Prior Authorization Specialist focused on improving patient access and AI model accuracy in a fully remote setting.
Guidehealth
Guidehealth is looking for a part-time Medical Director in Psychiatry to oversee utilization management activities for a commercial health plan.