RemoteOtterRemoteOtterExplore 226 Remote Utilization Management Jobs
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.
Centene Management Company
Join our team as a Remote Inpatient Medical Director, leading medical management and quality improvement efforts for a major healthcare organization.
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Aetna Resources
Join CVS Health as a Utilization Management Nurse Consultant, working from home to assess and coordinate healthcare services.
WNR
WNR
The Supervisor of Utilization Management will lead and support the clinical staff in managing utilization reviews and ensuring compliance with regulations.
Psychiatric Medical Care
The Traveling RN Director of Behavioral Health Program leads a remote team, ensuring quality care and compliance while managing staff across multiple locations.
Highmark
Highmark
The Medical Director, Medical Policy role focuses on overseeing the development and management of medical policies at Highmark Inc.