Remote Utilization Management Jobs

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541 jobs
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Spark Tek Inc
OCM Lead
30+ days ago

Spark Tek Inc - Information Technology & Services - Startup

Remote from
Anywhere
Full time

Senior (5-10 years)

Stakeholder Communications
Change Management Strategy
Change Management Strategy
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Spring Health
Senior Business Analyst, Clinical Operations
30+ days ago

Spring Health - Health Care - Scaleup

Remote from
Anywhere
Full time

Senior (5-10 years)

Business Intelligence
SQL (Programming Language)
Operational Intelligence
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Heartbeat Health
VP of Customer Success & Implementation
30+ days ago

Heartbeat Health - Healthtech: Health + Technology, Health Care - Startup

Remote from
Anywhere
Full time

Expert & Leadership (>10 years)

Clinical System Operations
Customer Success Management
Escalation Procedures
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Saviance Technologies Pvt. Ltd.
Healthcare – Medical Claim Review Nurse
30+ days ago

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

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Utilization Management
Medical Insurance Claims
ICD Coding (ICD-9/ICD-10)
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Carrot Fertility
CSM II
30+ days ago

Carrot Fertility - Health Care - Scaleup

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Account Management
Customer Success Management
Salesforce
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Tia
SVP, Operations
30+ days ago

Tia - Health Care - Scaleup

Remote from
Anywhere
Full time
0 - 315K
Ambulatory Care
Capacity Planning
Forecasting Management
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Spring Health
Strategic Customer Success Manager, Public Sector
30+ days ago

Spring Health - Health Care - Scaleup

Remote from
Anywhere
Full time

Expert & Leadership (>10 years)

Account Management
Customer Success Management
Account Analysis
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CopilotIQ
VP, Payor Products
30+ days ago

CopilotIQ - Health Care - SME

Remote from
Anywhere
Full time

Senior (5-10 years)

115 - 115K
Value-Based Care
Pricing Strategies
Platform Product Management
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UASI
Outpatient CDI Project Leader
30+ days ago

UASI - Health Care

Remote from
Anywhere
Full time

Senior (5-10 years)

Outpatient Coding
Risk Mitigation
Project Management
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Saviance Technologies Pvt. Ltd.
Healthcare - Care Review Clinician I
30+ days ago

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

Remote from
Anywhere
Full time

Junior (1-2 years)

Utilization Management
Labor And Delivery Nursing
Evaluation Of Care
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Tia
Director, Care Strategy & Innovation
30+ days ago

Tia - Health Care - Scaleup

Remote from
Anywhere
Full time
0 - 190K
A/B Testing
Product Management
Care Management
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MCG Health
Senior Product Manager
30+ days ago

MCG Health - Health Care - Scaleup

Remote from
Anywhere
Full time

Senior (5-10 years)

Product Management
Clinical Informatics
Large Language Modeling
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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
Medical Coding
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MDA Edge
Managed Care / Healthcare Project Manager - Population Health & Clinical Systems Migration
30+ days ago

MDA Edge - Computer Software / SaaS - Scaleup

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Care Management
Public Health
Project Management
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Belong Health
Senior Manager of Growth
30+ days ago

Belong Health - Health Care - Scaleup

Remote from
Anywhere
Full time

Senior (5-10 years)

Value-Based Care
Solution Selling
Medicare Advantage
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Local Infusion
Senior Manager, Managed Care Contracting
30+ days ago

Local Infusion - Healthtech: Health + Technology, Health Care - Small startup

Remote from
Anywhere
Full time

Senior (5-10 years)

Provider Network Management
Health Reimbursement Arrangement
Managed Care
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Staffosaurus
Utilization Review Specialist
30+ days ago

Staffosaurus - Human Resources, Staffing & Recruiting - Small startup

Remote from
Anywhere
Full time
Appeals
Utilization Management
Prior Authorization
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Fulfillment IQ
Head of Operations - India (General Manager)
30+ days ago

Fulfillment IQ - Information Technology & Services

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Capacity Requirements Planning
Financial Management
Business Operations
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Saviance Technologies Pvt. Ltd.
Healthcare - Care Review Clinician II
30+ days ago

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

Remote from
Anywhere
Full time

Mid-level (2-5 years)

InterQual Criteria
Utilization Management
Prior Authorization
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Gravie
Senior Manager, Clinical Pharmacy
30+ days ago

Gravie - Insurance - SME

Remote from
Anywhere
Full time

Senior (5-10 years)

Utilization Management
Clinical Pharmacy
Contract Management
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AffirmedRx, a Public Benefit Corporation
Clinical Client Consultant
30+ days ago

AffirmedRx, a Public Benefit Corporation - Health Care

Remote from
Anywhere
Freelance

Expert & Leadership (>10 years)

Clinical Data Analysis
Utilization Management
Clinical Consulting
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Harbor Health
Sr. Financial Analyst
30+ days ago

Harbor Health - Health Care - Startup

Remote from
Anywhere
Full time
Health Reimbursement Arrangement
Value-Based Care
Financial Modeling
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Saviance Technologies Pvt. Ltd.
Healthcare - Care Review Clinician II
30+ days ago

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

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Utilization Management
Inpatient Care
Home Health Care
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Saviance Technologies Pvt. Ltd.
Healthcare - Care Review Clinician II
30+ days ago

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

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Utilization Management
Prior Authorization
Nurse Registry
View Similar Jobs →
MUBI
Sales Manager
30+ days ago

MUBI - Leisure & Entertainment - SME

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Digital Rights Management
Sales Reporting
Full-Cycle Sales
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Diverse Lynx
Customer Service
30+ days ago

Diverse Lynx - Computer Software / SaaS - Large

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Care Coordination
Call Center Experience
Prior Authorization
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Gravie
Senior Pharmacy Analyst
30+ days ago

Gravie - Insurance - SME

Remote from
Anywhere
Full time
103 - 172K
Pharmacy Benefit Management
Clinical Informatics
Analytical Dashboard
View Similar Jobs →
Blue Acorn iCi
Sr Project Manager, Adobe Experience Cloud
30+ days ago

Blue Acorn iCi - SME

Remote from
Anywhere
Full time
Accounting
Adobe Experience Cloud
Project Management
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Spring Health
Senior Business Analyst, Operations Analytics (Care Support)
30+ days ago

Spring Health - Health Care - Scaleup

Remote from
Anywhere
Full time

Senior (5-10 years)

SQL (Programming Language)
Mathematical Modeling
Conversions (API)
View Similar Jobs →
Saviance Technologies Pvt. Ltd.
Healthcare - Care Review Clinician I
30+ days ago

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

Remote from
Anywhere
Full time

Junior (1-2 years)

Utilization Management
Inpatient Care
Care Coordination
View Similar Jobs →
Saviance Technologies Pvt. Ltd.
Healthcare - Care Review Clinician I
30+ days ago

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

Remote from
Anywhere
Full time
Utilization Management
Clinical Documentation
Nurse Registry
View Similar Jobs →
Tia
VP, Operations
30+ days ago

Tia - Health Care - Scaleup

Remote from
Anywhere
Full time
0 - 275K
Operational Intelligence
Capacity Planning
Account Analysis
View Similar Jobs →
CREO
Principal Consultant - Strategy, Growth, & Transformation
30+ days ago

CREO - Management Consulting

Remote from
Anywhere
Freelance

Senior (5-10 years)

Business Transformation
Financial Modeling
Business Strategies
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AristaMD
Referral Nurse Navigator (RNN)
30+ days ago

AristaMD - Health Care

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Utilization Management
Referral Marketing
Clinical Nursing
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Georgia IT, Inc.
Healthcare Project Manager- Remote
30+ days ago

Georgia IT, Inc. - Information Technology & Services

Remote from
Anywhere
Full time

Expert & Leadership (>10 years)

Agile Software Development
Project Management
Medicaid
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Remote
Vice President, Professional Services
30+ days ago

Remote

Remote from
Anywhere
Full time

Senior (5-10 years)

Service Development
Go-to-Market Strategy
Project Management
View Similar Jobs →
Gainwell Technologies LLC
Career Opportunities: Senior Director, Pharmacy Operations (34873)
30+ days ago

Gainwell Technologies LLC - Information Technology & Services - Large

Remote from
Anywhere
Full time

Senior (5-10 years)

Utilization Management
Clinical Pharmacy
Prior Authorization
View Similar Jobs →
Centivo
Stop Loss Analyst
30+ days ago

Centivo - Insurance

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Financial Analysis
Claims And Litigation Management
Application Development
View Similar Jobs →
Axelon Services Corporation
Quality Improvement Coordinator I - 211125
30+ days ago

Axelon Services Corporation - Human Resources, Staffing & Recruiting - SME

Remote from
Anywhere
Full time

Expert & Leadership (>10 years)

Clinical Quality Management
Clinical Medicine
Medical Record Management
View Similar Jobs →
Synapticure
FP&A Director
30+ days ago

Synapticure - Health Care - Startup

Remote from
Anywhere
Full time

Expert & Leadership (>10 years)

Revenue Accounting
Financial Modeling
Health Reimbursement Arrangement
View Similar Jobs →
MetaOption LLC
Senior Project Manager
30+ days ago

MetaOption LLC - Information Technology & Services - SME

Remote from
Anywhere
Full time

Senior (5-10 years)

Stakeholder Communications
Project Management
Risk Management
View Similar Jobs →
GD Resources
Medicaid Economics Data Analyst - Full Time - Remote Role
30+ days ago

GD Resources - Management Consulting

Remote from
Anywhere
Full time
Microsoft Business Intelligence
SQL (Programming Language)
Healthcare Analytics
View Similar Jobs →
Leap Brands
VP of Operations-AUT
30+ days ago

Leap Brands - Human Resources, Staffing & Recruiting - Startup

Remote from
Anywhere
Full time

Expert & Leadership (>10 years)

Compliance Management
Financial Management
Health Care Industry
View Similar Jobs →
Staffosaurus
Utilization Review Specialist
30+ days ago

Staffosaurus - Human Resources, Staffing & Recruiting - Small startup

Remote from
Anywhere
Full time
60 - 65K
Appeals
Utilization Management
Behavioral Health
View Similar Jobs →
Fulfillment IQ
Head of Operations - India (General Manager)
30+ days ago

Fulfillment IQ - Information Technology & Services

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Information Security Management
Capacity Development
Labor Compliance
View Similar Jobs →
Belong Health
Senior Manager of Growth
30+ days ago

Belong Health - Health Care - Scaleup

Remote from
Anywhere
Full time
150 - 178K
Full-Cycle Sales
Solution Selling
Business Development
View Similar Jobs →
MDA Edge
Managed Care / Healthcare Project Manager - Population Health & Clinical Systems Migration
30+ days ago

MDA Edge - Computer Software / SaaS - Scaleup

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Clinical System Operations
Stakeholder Communications
Public Health
View Similar Jobs →
NexTec Group
Senior Sage X3 Finance Consultant (Remote) at NexTec Group
30+ days ago

NexTec Group - Information Technology & Services - SME

Remote from
Anywhere
Freelance
85 - 120K
Financial Advising
ERP Systems Knowledge
Cross-Functional Collaboration
View Similar Jobs →
Zing Health
Utilization Management Nurse- RN
30+ days ago

Zing Health - Health Care - Startup

Remote from
Anywhere
Full time

Mid-level (2-5 years)

82 - 92K
Care Coordination
Utilization Management
Clinical Assessments
View Similar Jobs →
Spring Health
Senior Business Analyst, Clinical Operations
30+ days ago

Spring Health - Health Care - Scaleup

Remote from
Anywhere
Full time
1 - 114K
SQL (Programming Language)
Analytical Dashboard
Data Presentation
View Similar Jobs →
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