RemoteOtterRemoteOtterExplore 204 Remote Utilization Management Jobs
HealthAxis Group
The Part-Time Medical Director of Utilization Management will provide medical expertise and leadership to ensure quality healthcare delivery and regulatory compliance.
HealthAxis Group
The Medical Director of Utilization Management oversees healthcare service utilization, ensuring quality and compliance while providing medical expertise.
A.R
Aetna Resources
The UM Nurse Consultant at CVS Health coordinates healthcare services for members, requiring clinical expertise and effective communication skills.
OSH-RI
The Manager of Prior Authorization is responsible for overseeing the operations of the prior authorization team in a fully remote setting.
Highmark
Highmark
The Care Manager RN role involves implementing utilization management strategies to improve healthcare delivery and member satisfaction.
Humata Health
Join Humata Health as an Intake Solutions Specialist to process prior authorization requests and provide exceptional customer service in a remote role.
Humata Health
Seeking a Provider Strategy Lead to enhance provider engagement and transform prior authorization through AI.
D.D.P.O.M
Delta Dental Plan of Michigan
The Associate Dental Director oversees the quality of dental services under the Tennessee Medicaid program, ensuring compliance and promoting patient-centered care.
Go365
Go365
Join Humana as a Utilization Management Behavioral Health Professional to support coordination and communication of medical services.
Pearl Health
Lead operational initiatives at Pearl Health to enhance value-based care delivery and improve patient outcomes.
Highmark
Highmark
The Medical Director, Medical Management ensures high standards in utilization management and collaborates with multidisciplinary teams to improve patient care.
Centene Management Company
Seeking a Remote Behavioral Medical Director to lead medical management and quality improvement initiatives.
Centene Management Company
The Remote Medical Director will oversee medical management and quality improvement for Centene, ensuring compliance and effective utilization management.
Wellmark
Join Wellmark as a Senior Medical Director to lead Utilization Management initiatives while working remotely with some travel.
A.R
Aetna Resources
CVS Health is seeking a remote Quality Management Nurse Consultant to audit clinical criteria and improve processes within the Medicaid and Duals Program.