RemoteOtterRemoteOtterExplore 197 Remote Utilization Management Jobs
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.
Go365
Go365
Join Humana as a Utilization Management Behavioral Health Professional to support coordination and communication of medical services.
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.
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.
Highmark
Highmark
The Pharmacist in Utilization Management reviews medication coverage requests and makes determinations based on clinical and policy criteria.
Go365
Go365
Join Humana as a Utilization Management Behavioral Health Professional to support optimal care coordination and treatment.
Humata Health
Join Humata Health as a Clinical Nurse to enhance AI-driven healthcare solutions in a remote role.
C.M.H.W
CO043 Memorial Hospital West
Join our team as an RN Case Manager in the Emergency Department, focusing on patient care and discharge planning.
Cohere Health
Cohere Health is seeking a Weekend RN Supervisor to lead the RN Reviewer team, ensuring performance and quality standards in a fully remote setting.