Remote Provider Network Management Jobs

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Headway
Principal, Business Development
30+ days ago

Headway - Health Care - Scaleup

Remote from
United States
Full time

Expert & Leadership (>10 years)

195 - 230K
Group Health Insurance Sales
Performance Based Contracting
Payer Marketing
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Clover Health
AI Analyst, Revenue & Cost Management
30+ days ago

Clover Health - Health Care - Scaleup

Remote from
United States
Full time

Mid-level (2-5 years)

120 - 140K
Model Validation
Medical Insurance Claims
SQL (Programming Language)
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CorVel Corporation
Network Developer II
30+ days ago

CorVel Corporation - Insurance - Large

Remote from
United States, Connecticut (USA), Massachusetts (USA) +2
Full time
59 - 96K
Vendor Contracts
Provider Network Management
Contract Management
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(USTA) United States Tennis Association
Manager, Coach Development
30+ days ago

(USTA) United States Tennis Association - Health, Sport, Wellness & Fitness

Remote from
United States, Massachusetts (USA)
Full time
48 - 65K
Meeting Facilitation
Talent Acquisition
Stakeholder Communications
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Itential
Network Automation Engineer III
30+ days ago

Itential - Computer Software / SaaS - Scaleup

Remote from
Georgia (USA), Illinois (USA)
Full time

Mid-level (2-5 years)

Ansible
Network Automation
Application Programming Interface (API)
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Clover Health
Regional Medical Director, GA MSO
30+ days ago

Clover Health - Health Care - Scaleup

Remote from
Georgia (USA)
Full time

Senior (5-10 years)

288 - 352K
Clinical Governance
Value-Based Care
Provider Model
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Avomind
Telco Incident Manager
30+ days ago

Avomind - Human Resources, Staffing & Recruiting

Remote from
Spain
Full time
Availability Management
5G Technology
Incident Management
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Iron Mountain
Director, Solution Architecture
30+ days ago

Iron Mountain - Information Technology & Services - Large

Remote from
United States, Illinois (USA)
Full time
183 - 244K
Solution Architecture
Lifecycle Management
Data Center Design
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Vaya Health
Acute Transitional Care Manager (Henderson County, NC)
30+ days ago

Vaya Health - Health Care - SME

Remote from
United States, North Carolina (USA)
Full time

Mid-level (2-5 years)

19 - 19K
Care Coordination
Discharge Planning
Transitional Care
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Impresiv Health
Health Plan Network Strategy Director
30+ days ago

Impresiv Health - Management Consulting - SME

Remote from
Russia, New Mexico (USA)
Freelance

Expert & Leadership (>10 years)

1 - 1K
Contract Management
Vendor Contracts
Provider Network Management
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Trillium Health Resources
Innovations Waiver – Care Manager
30+ days ago

Trillium Health Resources - Insurance - SME

Remote from
United States, Indiana (USA), North Carolina (USA)
Full time

Mid-level (2-5 years)

54 - 67K
Care Coordination
Educational Assessment
Medicaid Waiver
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Saviance Technologies Pvt. Ltd.
Healthcare - Membership Representative II
30+ days ago

Saviance Technologies Pvt. Ltd. - Information Technology & Services - SME

Remote from
Anywhere
Full time
Medicare
Employee Onboarding
Customer Success Management
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OI Infusion
Revenue Cycle Management - Setup & Billing Manager
30+ days ago

OI Infusion - Health Care - Startup

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Medical Practice Management Software
Revenue Management
Standard Operating Procedure
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GEHA Health
Sr Data Specialist
30+ days ago

GEHA Health - Health, Sport, Wellness & Fitness - Large

Remote from
United States
Full time

Senior (5-10 years)

84 - 118K
Data Quality
Data Integration
Network Administration
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Solace
Clinical Operations Coordinator
30+ days ago

Solace - Online Marketplace and E-commerce - Startup

Remote from
United States
Full time
Telehealth
Provider Network Management
Cross-Functional Collaboration
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Detroit Wayne Integrated Health Network
Student Intern
30+ days ago

Detroit Wayne Integrated Health Network - Health Care - Scaleup

Remote from
United States, Michigan (USA)
Internships
Digital File Management
Provider Network Management
Google Workspace
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Greenlife Healthcare Staffing
Contractor Program Manager - Agency Medical Evaluations Network
30+ days ago

Greenlife Healthcare Staffing - Human Resources, Staffing & Recruiting - Startup

Remote from
United States, New York (USA)
Full time
222 - 222K
Provider Network Management
Occupational Medicine
Process Optimization
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VIVA HEALTH
Medicare Member Advocate I
30+ days ago

VIVA HEALTH - Insurance - SME

Remote from
United States, Alabama (USA)
Full time
32 - 32K
Call Center Experience
Data Entry
Disability Claims
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CommonSpirit Health
UM RN
30+ days ago

CommonSpirit Health - XLarge

Remote from
United States, U.S. Minor Outlying Islands, California (USA)
Full time

Mid-level (2-5 years)

Utilization Management
Medical Record Management
Prior Authorization
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WileyTech Recruiting Firm LLC
Sr Provider Relations Consultant-Boston/MA -
30+ days ago

WileyTech Recruiting Firm LLC - Information Technology & Services - Startup

Remote from
United States, Massachusetts (USA)
Freelance
Provider Network Management
Contract Management
Microsoft Access
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4ocean PBC
Lead Generation Manager
30+ days ago

4ocean PBC - Sustainable development, Cleantech & Greentech: Green + Technology - Scaleup

Remote from
Florida (USA)
Full time

Senior (5-10 years)

Customer Acquisition Management
Search Engine Optimization
Lead Generation
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HealthEdge
Solution Architect
30+ days ago

HealthEdge - Computer Software / SaaS

Remote from
United States
Full time

Expert & Leadership (>10 years)

140 - 160K
Application Integration Architecture
Enrollment Management
TriZetto QNXT
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Enlyte
Senior Contracting Negotiator (Workers' Compensation & Auto Provider Networks)
30+ days ago

Enlyte - Information Technology & Services

Remote from
United States
Full time

Senior (5-10 years)

Health Care Industry
Credential Manager
Contract Management
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Oscar Health
Associate, Network Contracting - Florida
30+ days ago

Oscar Health - Insurance - Large

Remote from
United States, Florida (USA)
Full time
88 - 116K
Vendor Contracts
Provider Network Management
Contract Management
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Saviance Technologies Pvt. Ltd.
Care Review Processor I
30+ days ago

Saviance Technologies Pvt. Ltd. - Information Technology & Services - SME

Remote from
Anywhere
Full time

Junior (1-2 years)

Authorization (Computing)
Utilization Management
Data Entry
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Gainwell Technologies LLC
Career Opportunities: Prior Authorization Pharmacy Technician - Remote US (32985)
30+ days ago

Gainwell Technologies LLC - Information Technology & Services - Large

Remote from
United States
Full time
35 - 50K
Provider Network Management
Pharmacy Benefit Management
Pharmacy Experience
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Saviance Technologies Pvt. Ltd.
Care Review Processor I
30+ days ago

Saviance Technologies Pvt. Ltd. - Information Technology & Services - SME

Remote from
Anywhere
Full time

Junior (1-2 years)

Authorization (Computing)
Utilization Management
Benefits Administration
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Bright Vision Technologies
US IT Recruiter
30+ days ago

Bright Vision Technologies - Information Technology & Services - Scaleup

Remote from
United States
Full time

Mid-level (2-5 years)

Corporate Recruitment
Technical Recruitment
Boolean Expression
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Vaya Health
Physical Health PN Contract Manager (Remote NC)
30+ days ago

Vaya Health - Health Care - SME

Remote from
United States, Pitcairn Islands, North Carolina (USA)
Full time

Mid-level (2-5 years)

19 - 19K
Financial Analysis
Provider Network Management
Reimbursement Regulations
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Holon Health
Director of Payer Relations
30+ days ago

Holon Health - Health Care

Remote from
Anywhere
Full time

Expert & Leadership (>10 years)

Physician Credentialing
Contract Management
Revenue Management
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Saviance Technologies Pvt. Ltd.
Sr Utilization Management
30+ days ago

Saviance Technologies Pvt. Ltd. - Information Technology & Services - SME

Remote from
Anywhere
Full time
Care Coordination
Utilization Management
Medical Necessity
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Transcarent
Manager, Clinical Operations, Surgery Care
30+ days ago

Transcarent - Health Care - Scaleup

Remote from
United States
Full time
95 - 106K
Clinical System Operations
Care Coordination
Cross-Functional Collaboration
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HealthEdge
Senior Manager, Product Management
30+ days ago

HealthEdge - Computer Software / SaaS

Remote from
United States
Full time

Senior (5-10 years)

141 - 222K
Product Management
Product Management
Health Reimbursement Arrangement
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Saviance Technologies Pvt. Ltd.
Healthcare - Case Management Processor
30+ days ago

Saviance Technologies Pvt. Ltd. - Information Technology & Services - SME

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Care Management
Data Entry
Medical Abbreviations
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CCMSI
Workers’ Compensation Claim Adjuster – PEO & Staffing Accounts (Remote, CA Jurisdiction)
30+ days ago

CCMSI - Insurance

Remote from
United States, California (USA)
Full time
77 - 87K
Workers' Compensation Claims
Complaint Investigations
Claims And Litigation Management
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AllOne Health
Behavioral Health Workforce Planning & Recruitment Specialist
30+ days ago

AllOne Health - Health Care - SME

Remote from
United States
Full time
Recruitment Strategies
Workforce Planning
Carrier Management
View Similar Jobs →
Hinge Health
Associate RVP, Provider Sales (East)
30+ days ago

Hinge Health - Information Technology & Services - Large

Remote from
United States
Full time
77 - 174K
Sales Management
Provider Network Management
Wireless Sales
View Similar Jobs →
Affirm
Senior Director, Operations
30+ days ago

Affirm - Financial Services - Large

Remote from
United States
Full time

Senior (5-10 years)

28 - 355K
Fraud Investigation
Strategic Management
Merchant Services
View Similar Jobs →
Vaya Health
IDD UM Clinician (Remote NC)
30+ days ago

Vaya Health - Health Care - SME

Remote from
United States, U.S. Minor Outlying Islands, North Carolina (USA)
Full time

Mid-level (2-5 years)

19 - 19K
Utilization Management
Prior Authorization
Working With The Developmentally Disabled
View Similar Jobs →
Modern Health
Care Matching Associate
30+ days ago

Modern Health - Health Care - Scaleup

Remote from
United States
Full time

Junior (1-2 years)

46 - 73K
Care Coordination
Care Planning
Electronic Referrals
View Similar Jobs →
Vaya Health
Provider Network Analyst (Remote)
30+ days ago

Vaya Health - Health Care - SME

Remote from
United States, North Carolina (USA)
Full time

Senior (5-10 years)

19 - 19K
Geofencing
SQL (Programming Language)
Vlookups
View Similar Jobs →
Q-Centrix
Managing Director Business Development, Enterprise Partnerships
30+ days ago

Q-Centrix - Health Care - Large

Remote from
United States
Full time
Strategic Partnership
Account Management
Enterprise Sales
View Similar Jobs →
CVP (Customer Value Partners)
Medical Receptionist
30+ days ago

CVP (Customer Value Partners)

Remote from
United States, Wyoming (USA)
Full time
9 - 36K
Provider Network Management
Microsoft Operating Systems
Medical Abbreviations
View Similar Jobs →
Partners Health Management
Provider Network Development Manager-Data & Analytics
30+ days ago

Partners Health Management - Health Care - SME

Remote from
United States, North Carolina (USA)
Full time

Senior (5-10 years)

Project Management
Network Service Assurance
Provider Network Management
View Similar Jobs →
Ciena
Solution Architect, Sales Engineering
30+ days ago

Ciena - Telecommunication Services - XLarge

Remote from
United States, Colorado (USA)
Full time

Expert & Leadership (>10 years)

204 - 326K
Network Architecture
IP Routing
Software Architecture
View Similar Jobs →
HealthEdge
Senior Business System Analyst
30+ days ago

HealthEdge - Computer Software / SaaS

Remote from
United States
Full time

Expert & Leadership (>10 years)

100 - 125K
Provider Network Management
Enrollment Management
Adjudication
View Similar Jobs →
Reliant Health Partners
Appeals Specialist - Workers' Comp
30+ days ago

Reliant Health Partners - Health Care

Remote from
United States
Full time

Entry-level / graduate

Medical Billing
Workers' Compensation Claims
Health Reimbursement Arrangement
View Similar Jobs →
Habitat Health
Health Plan Associate, Program Management
30+ days ago

Habitat Health - Health Care - Startup

Remote from
United States
Full time

Mid-level (2-5 years)

67 - 77K
Operational Resilience
Project Coordination
Project Management
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Health Plan of San Joaquin
Chief Medical Officer
30+ days ago

Health Plan of San Joaquin - Health Care - SME

Remote from
United States, California (USA)
Full time
Utilization Management
Medical Management
Managed Care
View Similar Jobs →
Partners Health Management
Provider Engagement & Outreach Specialist (Remote Option)
30+ days ago

Partners Health Management - Health Care - SME

Remote from
United States, North Carolina (USA)
Full time

Mid-level (2-5 years)

Provider Model
Value-Based Care
Project Management
View Similar Jobs →
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