Remote Utilization Management Jobs

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Auvik
Account Manager
30+ days ago

Auvik - Computer Software / SaaS

Remote from
Canada
Full time
113 - 113K
Account Management
Customer Success Management
Business Alignment
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Monte Nido & Affiliates
Virtual Therapist ( MA)
30+ days ago

Monte Nido & Affiliates - Health Care - Large

Remote from
Massachusetts (USA)
Full time
Telehealth
Group Therapy
Family Therapy
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Clearwater
Senior Consultant
30+ days ago

Clearwater - Cybersecurity - SME

Remote from
Arkansas (USA)
Freelance
Incident Management
Gap Analysis
Medical Privacy
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TTEC Digital
Technical Account Manager
30+ days ago

TTEC Digital - Information Technology & Services - Large

Remote from
Texas (USA)
Full time

Senior (5-10 years)

10 - 10K
Cisco Networking
Call Center Experience
Cisco Software
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PROCEPT BioRobotics
Senior Territory Manager - Detroit Metro
30+ days ago

PROCEPT BioRobotics - Medical Device - SME

Remote from
Alabama (USA), Michigan (USA)
Full time
96 - 120K
Product Launch Readiness
Medical Sales
Sales Management
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PROCEPT BioRobotics
Senior Territory Manager - Spokane
30+ days ago

PROCEPT BioRobotics - Medical Device - SME

Remote from
Missouri (USA)
Full time
96 - 120K
Product Launch Readiness
Medical Sales
Sales Management
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Saviance Technologies Pvt. Ltd.
Care Manager
30+ days ago

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

Remote from
Kentucky (USA), Massachusetts (USA)
Full time

Mid-level (2-5 years)

Case Management Systems
Elderly Care
Care Coordination
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PROCEPT BioRobotics
Senior Territory Manager - Columbus
30+ days ago

PROCEPT BioRobotics - Medical Device - SME

Remote from
Arkansas (USA), Georgia (USA), Indiana (USA) +1
Full time
96 - 120K
Sales Management
Account Management
Cross-Functional Collaboration
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PROCEPT BioRobotics
Senior Territory Manager - San Francisco
30+ days ago

PROCEPT BioRobotics - Medical Device - SME

Remote from
California (USA)
Full time
96 - 120K
Utilization Management
Medical Sales
Sales Management
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Staff Domain
Project Manager - Salesforce/CRM | AU | WFH
30+ days ago

Staff Domain - Management Consulting - Scaleup

Remote from
Philippines
Full time

Mid-level (2-5 years)

Salesforce
Customer Relationship Management (CRM) Software
Stakeholder Communications
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PROCEPT BioRobotics
Senior Territory Manager - Kentucky West
30+ days ago

PROCEPT BioRobotics - Medical Device - SME

Remote from
Kentucky (USA)
Full time
96 - 120K
Medical Sales
Sales Management
Robotic Surgery
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Regard
Provider Success Manager
30+ days ago

Regard - Computer Software / SaaS - Scaleup

Remote from
Canada, Arizona (USA), California (USA) +7
Full time

Mid-level (2-5 years)

Cerner EHR
End-User Training And Support
Cross-Functional Collaboration
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Partners Health Management
I/DD Utilization Management Reviewer, QP (Remote-NC)
30+ days ago

Partners Health Management - Health Care - SME

Remote from
North Carolina (USA)
Full time

Mid-level (2-5 years)

Utilization Management
Medicaid Waiver
Medical Necessity
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PROCEPT BioRobotics
Director, Regional Business - Greater Texas
30+ days ago

PROCEPT BioRobotics - Medical Device - SME

Remote from
Texas (USA)
Full time
160 - 160K
Patient Onboarding
Region Management
Sales Management
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Empower Healthcare Solutions
Care Coordinator Central BH-Conway (Faulkner Co) II
30+ days ago

Empower Healthcare Solutions - Health Care - SME

Remote from
Arkansas (USA), Colorado (USA), Oregon (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Utilization Management
Privileged Access Management
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CorVel Corporation
Medical Case Manager II
30+ days ago

CorVel Corporation - Insurance - Large

Remote from
United States, North Carolina (USA)
Full time
65 - 98K
Care Coordination
Case Management Systems
Nursing
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Acentra Health
Clinical Quality Manager (Remote)
30+ days ago

Acentra Health - Government Administration - Large

Remote from
United States
Full time

Mid-level (2-5 years)

5 - 95K
Utilization Management
Regulatory Compliance
Clinical Quality Management
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Carenet Health
Registered Nurse (RN) | Work from home | $34/hr | Starts 4/6/26
30+ days ago

Carenet Health - Health Care

Remote from
United States
Full time

Mid-level (2-5 years)

Utilization Management
Nurse Licensure Compact
Telecare
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Trillium Health Resources
Registered Nurse, UM – Physical Health
30+ days ago

Trillium Health Resources - Insurance - SME

Remote from
United States, U.S. Minor Outlying Islands, Indiana (USA) +1
Full time

Junior (1-2 years)

66 - 88K
Care Coordination
Utilization Management
Medical Necessity
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Personify Health
Utilization Review Nurse-LVN/LPN
30+ days ago

Personify Health - Computer Software / SaaS - TPE

Remote from
United States
Full time

Junior (1-2 years)

48 - 48K
Utilization Management
Medical Guideline
Medical Necessity
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EK Health Services Inc.
Telephonic Nurse Case Manager (RN) - REMOTE - Compact License - Mon-Fri 8:30 -5:30 local time
30+ days ago

EK Health Services Inc. - Health Care - SME

Remote from
United States, Arizona (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Care Management
Nurse Licensure Compact
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Cohere Health
Medical Director, Clinical Informatics
30+ days ago

Cohere Health - Computer Software / SaaS - SME

Remote from
United States
Full time

Expert & Leadership (>10 years)

Model Risk Management
Clinical Informatics
Clinical Terminology Servers
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Emory Healthcare
Director, Pharmacy Clinical Operations - Emory Health Plan
30+ days ago

Emory Healthcare - Health Care - XLarge

Remote from
Georgia (USA)
Full time

Expert & Leadership (>10 years)

Drug Utilization Review
Pharmaceuticals
Advanced Analytics
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Personify Health
Care Management Support Specialist
30+ days ago

Personify Health - Computer Software / SaaS - TPE

Remote from
United States
Full time
Utilization Management
Airtable
Invoicing
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Personify Health
Utilization Review Nurse-RN
30+ days ago

Personify Health - Computer Software / SaaS - TPE

Remote from
United States
Full time

Junior (1-2 years)

48 - 48K
Utilization Management
Medical Guideline
Medical Necessity
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Health Plan of San Joaquin
Executive Director, Health Services - RN
30+ days ago

Health Plan of San Joaquin - Health Care - SME

Remote from
United States, California (USA)
Full time
Clinical System Operations
Utilization Management
Care Management
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Emory Healthcare
Enterprise Transformation Strategist - Emory Health Plan
30+ days ago

Emory Healthcare - Health Care - XLarge

Remote from
Georgia (USA)
Full time

Expert & Leadership (>10 years)

Data Mining
Business Process Mapping
Customer Journey Mapping
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Community Behavioral Health
Clinical Care Manager - Integrated Care (CBCM)
30+ days ago

Community Behavioral Health - Non-profit Organization - Charity

Remote from
Pennsylvania (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Utilization Management
Evidence-Based Practice
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Charlie Health
Utilization Review Specialist
30+ days ago

Charlie Health - Health Care - SME

Remote from
United States
Full time

Mid-level (2-5 years)

Utilization Management
Assessment And Authorization
Medical Necessity
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Emory Healthcare
Clinical Placement Specialist - Emory Nursing Learning Center - Downtown Decatur
30+ days ago

Emory Healthcare - Health Care - XLarge

Remote from
Delaware (USA), Georgia (USA)
Full time
Contract Management
Compliance Management
Patient Education And Counseling
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Alliant Health Solutions
Review Nurse, UCR & Medical Claims
30+ days ago

Alliant Health Solutions

Remote from
Georgia (USA)
Full time

Mid-level (2-5 years)

Acute Care Nursing
Utilization Management
Medical Insurance Claims
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GP Strategies Corporation
Senior Technical Instructor
30+ days ago

GP Strategies Corporation - Professional Training & Coaching, Management Consulting - Large

Remote from
Canada
Part time

Mid-level (2-5 years)

Lesson Planning
Sales Management
Hard Disk Drives
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Domus
Content Manager
30+ days ago

Domus - Information Technology & Services - SME

Remote from
Uruguay
Full time
Content Strategy
Keyword Research
Copywriting
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Emory Healthcare
Pharmacy Manager, Benefit Operations - Emory Health Plan
30+ days ago

Emory Healthcare - Health Care - XLarge

Remote from
Georgia (USA)
Full time

Expert & Leadership (>10 years)

Utilization Management
Pharmaceuticals
Drug Development
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WellSense Health Plan
Director of Actuarial Services
30+ days ago

WellSense Health Plan - Health Care - SME

Remote from
Massachusetts (USA)
Full time

Senior (5-10 years)

Medicare Advantage
Actuarial Science
Regulatory Compliance
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FairWind
Resource Manager (Remote)
30+ days ago

FairWind - Cleantech & Greentech: Green + Technology

Remote from
Arkansas (USA), Minnesota (USA)
Full time

Mid-level (2-5 years)

Workforce Planning
Resource Management
Cross-Functional Project Management
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Empower Healthcare Solutions
Care Coordinator Central DD-Benton (Saline Co)
30+ days ago

Empower Healthcare Solutions - Health Care - SME

Remote from
Arkansas (USA), Colorado (USA)
Full time

Expert & Leadership (>10 years)

Care Coordination
Utilization Management
Prior Authorization
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Vantage MedTech
Program Director
30+ days ago

Vantage MedTech - Medical Device - SME

Remote from
Kansas (USA)
Full time

Expert & Leadership (>10 years)

Medical Devices
Electromechanical Engineering
ISO 13485 Standard
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Invivyd
Director, National Accounts: Managed Markets (East)
30+ days ago

Invivyd - Biotech: Biology + Technology - Scaleup

Remote from
Massachusetts (USA)
Full time

Expert & Leadership (>10 years)

Reimbursement Regulations
Managed Markets
Cross-Functional Collaboration
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Bluestone Physician Services
Care Coordinator, LSW or RN (Part-time, 16-32 hrs/week)
30+ days ago

Bluestone Physician Services - SME

Remote from
Minnesota (USA)
Part time

Expert & Leadership (>10 years)

Care Coordination
Care Management
Care Planning
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Bluestone Physician Services
Care Coordinator, LSW
30+ days ago

Bluestone Physician Services - SME

Remote from
Minnesota (USA)
Full time

Expert & Leadership (>10 years)

Care Coordination
Nurse Registry
Care Management
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Brighton Health Plan Solutions
Medical Director
30+ days ago

Brighton Health Plan Solutions - Health Care - Scaleup

Remote from
North Carolina (USA)
Part time

Expert & Leadership (>10 years)

Utilization Management
Medical Record Management
Care Management
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Novartis Contract Manufacturing
Director, Strategy & Communications (DSC) Immunology / Rheumatology Remote
30+ days ago

Novartis Contract Manufacturing - Pharmaceuticals

Remote from
United States
Full time

Expert & Leadership (>10 years)

Clinical System Operations
Project Management
Clinical Messaging
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Novartis Contract Manufacturing
Regional Director of MSLs, Onc RLT South East Region Remote
30+ days ago

Novartis Contract Manufacturing - Pharmaceuticals

Remote from
United States
Full time

Expert & Leadership (>10 years)

Healthcare Strategy
Nuclear Medicine
Pharmacy Experience
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Bluestone Physician Services
Care Coordinator, RN, $4,000 Sign-On Bonus
30+ days ago

Bluestone Physician Services - SME

Remote from
Minnesota (USA)
Full time

Expert & Leadership (>10 years)

Care Coordination
Care Management
Care Planning
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Spectrum Billing Solutions
ABA Utilization Review (UR) Specialist
30+ days ago

Spectrum Billing Solutions - Financial Services

Remote from
Nigeria
Full time

Mid-level (2-5 years)

Utilization Management
Behavioral Health
Applied Behavior Analysis
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Medical Review Institute
1099 Utilization Review for Sports Medicine Physicians
30+ days ago

Medical Review Institute - Health Care - SME

Remote from
Florida (USA)
Freelance

Senior (5-10 years)

Family Medicine
Utilization Management
Sports Medicine
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Mission Cloud
Manager, PMO
30+ days ago

Mission Cloud - Scaleup

Remote from
California (USA)
Full time

Mid-level (2-5 years)

Project Management
Agile Software Development
Executive Conversations
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WellSense Health Plan
Medical Director
30+ days ago

WellSense Health Plan - Health Care - SME

Remote from
Massachusetts (USA)
Freelance

Expert & Leadership (>10 years)

Utilization Management
Health Policy Development
InterQual Criteria
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NVIDIA
Senior Systems Software Engineer - Deep Learning Solutions
30+ days ago

NVIDIA - Computer Hardware & Networking - XLarge

Remote from
Canada
Full time

Senior (5-10 years)

225 - 275K
GPU Optimization
Linux
Modal Analysis
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