Remote Utilization Management Jobs

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Charlie Health
Clinical Admissions Therapist (Delaware)
30+ days ago

Charlie Health - Health Care - SME

Remote from
United States, Delaware (USA)
Full time
55 - 67K
Psychosocial Assessments
Telehealth
Care Coordination
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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
Utilization Management
Nurse Licensure Compact
Prior Authorization
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Williams Engineering Canada Inc.
Electrical Team Lead
30+ days ago

Williams Engineering Canada Inc. - Information Technology & Services - SME

Remote from
Canada, Washington (USA)
Full time
Electrical Engineering
Budget Management
Project Management
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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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Nuvance Health
Clinical Denials Prevention & Appeals Specialist RN
30+ days ago

Nuvance Health - Health Care - XLarge

Remote from
Connecticut (USA)
Full time

Senior (5-10 years)

86 - 161K
InterQual Criteria
Milliman Care Guidelines (MCG)
Utilization Management
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Privia Health
Virtual Clinic NP OR PA
30+ days ago

Privia Health - Health Care - SME

Remote from
United States, Nepal, Oregon (USA) +1
Full time

Mid-level (2-5 years)

Performance Analytics
Family Medicine
Telehealth
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Transparity
Consultancy Resource Manager
30+ days ago

Transparity

Remote from
United Kingdom
Full time
Microsoft Azure
Project Management
Calendar Management
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AmeriHealth Caritas
Supervisor Behavioral Health Utilization Management Review
30+ days ago

AmeriHealth Caritas - Health Care - XLarge

Remote from
United States
Full time
InterQual Criteria
Behavioral Health
KPI Reporting
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Fotona Lasers US
Territory Manager - Aesthetic/Medical Lasers (Southern Florida)
30+ days ago

Fotona Lasers US - Medical Device - SME

Remote from
Florida (USA)
Full time

Mid-level (2-5 years)

Medical Sales
Sales Management
Microsoft Dynamics CRM
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Connection
Sr Systems Engineer
30+ days ago

Connection - Information Technology & Services - Large

Remote from
United States, Liechtenstein, Indiana (USA) +1
Full time
104 - 135K
Storage Architecture
VMware Virtualization
Server Virtualization
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Reveleer
Solution Architect at Reveleer
30+ days ago

Reveleer - Health Care - SME

Remote from
United States, Austria
Full time
Engineering Validation Tests
Solution Architecture
System Implementation
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Performant Corp
Medical Review Nurse II - Home Health
30+ days ago

Performant Corp - Financial Services - Large

Remote from
United States
Full time
75 - 80K
ICD Coding (ICD-9/ICD-10)
Medical Insurance Claims
CPT Coding
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Medical Review Institute
Internal Medicine (MD/DO) Utilization Review - Remote - Contract (1099)
30+ days ago

Medical Review Institute - Health Care - SME

Remote from
United States, Maryland (USA), Texas (USA)
Freelance
Utilization Management
Clinical Medicine
Internal Medicine
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CorVel Corporation
Medical Case Manager I
30+ days ago

CorVel Corporation - Insurance - Large

Remote from
United States, Maryland (USA)
Full time

Junior (1-2 years)

62 - 93K
Care Coordination
Case Management Systems
Clinical Assessments
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Precision Medicine Group
SVP, Director of Client Services - Market Access Marketing
30+ days ago

Precision Medicine Group - Pharmaceuticals - Large

Remote from
United States
Full time

Expert & Leadership (>10 years)

203 - 304K
New Business Development
Client Services
Managed Markets
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Fessler & Bowman
Project Manager (Travel)
30+ days ago

Fessler & Bowman - Construction & Civil Engineering

Remote from
Michigan (USA)
Full time

Expert & Leadership (>10 years)

Construction Management
Project Management
Contract Management
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Comagine Health
Clinical Reviewer
30+ days ago

Comagine Health - Health Care

Remote from
United States
Full time

Mid-level (2-5 years)

Utilization Management
Clinical Nursing
InterQual Criteria
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MCG Health
Product Manager
30+ days ago

MCG Health - Health Care - Scaleup

Remote from
Anywhere
Full time
Product Management
Large Language Modeling
Go-to-Market Strategy
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RxBenefits, Inc.
Senior Financial Analyst
30+ days ago

RxBenefits, Inc. - Pharmaceuticals - SME

Remote from
Anywhere
Full time

Senior (5-10 years)

Pharmacy Benefit Management
Pharmacy Operations
Pricing Systems
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AmeriHealth Caritas
Healthcare Business Insights Analyst Senior
30+ days ago

AmeriHealth Caritas - Health Care - XLarge

Remote from
United States
Full time
SQL (Programming Language)
Healthcare Analytics
Python (Programming Language)
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Crusoe
Staff Product Manager, Fleet Management (SF/Sunnyvale/New York)
30+ days ago

Crusoe - Information Technology & Services

Remote from
United States, Canada, California (USA) +1
Full time
3 - 253K
Lifecycle Management
Fleet Management
User Account Control
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SmarterDx
Procurement & Vendor Operations Analyst
30+ days ago

SmarterDx - Information Technology & Services - Scaleup

Remote from
United States
Full time

Mid-level (2-5 years)

Procurement
Vendor Management
Contract Management
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Mount Auburn Hospital
Virtual Hospitalist, Hospital at Home Program
30+ days ago

Mount Auburn Hospital - Health Care - Large

Remote from
United States
Full time
240 - 316K
Geriatrics
Family Medicine
Internal Medicine
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Rapinno Health Care
RN UM|LPN UM
30+ days ago

Rapinno Health Care - Health Care - SME

Remote from
United States, U.S. Minor Outlying Islands, Maine (USA)
Freelance
Nurse Registry
Nurse Licensure Compact
Utilization Management
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Oscar Health
Manager, Medical Policy
30+ days ago

Oscar Health - Insurance - Large

Remote from
United States
Full time
131 - 172K
Clinical Data Analysis
Biomedical Instrumentation
Health Policy Development
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Enlyte
Field Case Manager
30+ days ago

Enlyte - Information Technology & Services

Remote from
United States, Georgia (USA)
Full time

Mid-level (2-5 years)

70 - 80K
Care Management
Workers' Compensation Claims
Clinical Assessments
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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
Prior Authorization
Inpatient Care
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Formic
Chief of Staff to the CEO
30+ days ago

Formic - Machinery - Scaleup

Remote from
United States
Full time
150 - 185K
Business Analysis
Executive Conversations
Cross-Functional 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
Evaluation Of Care
InterQual Criteria
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Enlyte
Medical Field Case Manager
30+ days ago

Enlyte - Information Technology & Services

Remote from
United States, Idaho (USA)
Part time

Mid-level (2-5 years)

62 - 67K
Care Management
Nurse Licensure Compact
Workers' Compensation Claims
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CommonSpirit Health
System Physician Advisor
30+ days ago

CommonSpirit Health - XLarge

Remote from
United States, Arizona (USA), California (USA) +5
Full time

Junior (1-2 years)

Utilization Management
ICD 503
Medical Necessity
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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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Monte Nido & Affiliates
Virtual Mental Health Therapist (Massachetts)
30+ days ago

Monte Nido & Affiliates - Health Care - Large

Remote from
United States
Full time
60 - 90K
Family Therapy
Group Therapy
Medical Licensing (Health Law)
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Mindoula
Washington Licensed Therapist - 100% Remote (LMFT, LCSW, LMHC, LPC at Mindoula Health
30+ days ago

Mindoula - Health Care - SME

Remote from
United States, Austria, Nevada (USA) +2
Full time
Addiction Treatment
Group Therapy
Clinical Assessments
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Covetrus
Veterinary Relationship Manager
30+ days ago

Covetrus - Veterinary - XLarge

Remote from
United States
Full time

Mid-level (2-5 years)

Account Management
Medical Practice Management Software
Sales Management
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Keyrock
Head of Credit Capital Markets
30+ days ago

Keyrock - Financial Services - Scaleup

Remote from
United States, Portugal, Spain +6
Full time

Senior (5-10 years)

250 - 300K
Underwriting
Credit Risk Management
Python (Programming Language)
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Covetrus
Veterinary Relationship Manager
30+ days ago

Covetrus - Veterinary - XLarge

Remote from
United States
Full time

Mid-level (2-5 years)

Medical Practice Management Software
Salesforce
Profit-Based Sales Targets
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WVU Medicine
Disease Management Coordinator Population Health Weirton
30+ days ago

WVU Medicine - Health Care - XLarge

Remote from
United States
Full time
Care Coordination
Utilization Management
Disease Management
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Keyrock
Senior Repo & Lending Trader - Digital Assets
30+ days ago

Keyrock - Financial Services - Scaleup

Remote from
United States, Spain, Switzerland +8
Full time
Custom Scripting
Lending Procedures
Analytical Dashboard
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Cohere Health
Healthcare Analyst II
30+ days ago

Cohere Health - Computer Software / SaaS - SME

Remote from
United States
Full time
Big Data Analytics
SQL (Programming Language)
Tableau (Business Intelligence Software)
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Enlyte
Field Case Manager
30+ days ago

Enlyte - Information Technology & Services

Remote from
United States, Georgia (USA)
Full time

Mid-level (2-5 years)

70 - 80K
Nurse Registry
Workers' Compensation Claims
Care Management
View Similar Jobs →
US Tech Solutions
Registered Nurse
30+ days ago

US Tech Solutions - Human Resources, Staffing & Recruiting - Large

Remote from
Kansas (USA)
Fixed term

Mid-level (2-5 years)

Utilization Management
Managed Care
Prior Authorization
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Monte Nido & Affiliates
Virtual Primary Therapist
30+ days ago

Monte Nido & Affiliates - Health Care - Large

Remote from
United States
Part time
Nutrition Intervention
Group Therapy
Family Therapy
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Model N
Vice President, Life Sciences Professional Services PMO
30+ days ago

Model N - Computer Software / SaaS - SME

Remote from
United States
Full time
178 - 270K
Regulatory Compliance
Organizational Leadership
Client Services
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Veeva Systems
Team Manager - Cloud Managed Services
30+ days ago

Veeva Systems - Computer Software / SaaS - SME

Remote from
European Union
Full time

Senior (5-10 years)

3 - 3K
Managed Services
Veeva
Project Management
View Similar Jobs →
Saviance Technologies Pvt. Ltd.
Healthcare - Care Review Processor II
30+ days ago

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

Remote from
Anywhere
Full time
Utilization Management
Medical Coding
Managed Care
View Similar Jobs →
AmTrust Financial Services, Inc.
Claims Adjuster III, Agriculture
30+ days ago

AmTrust Financial Services, Inc. - Insurance - XLarge

Remote from
United States, California (USA)
Full time

Mid-level (2-5 years)

87 - 95K
Settlement
Workers' Compensation Claims
Business Communication
View Similar Jobs →
Rapinno Health Care
RN UM
30+ days ago

Rapinno Health Care - Health Care - SME

Remote from
United States, U.S. Minor Outlying Islands, Connecticut (USA)
Freelance
Nurse Registry
Utilization Management
View Similar Jobs →
Oscar Health
Associate, Data Analytics
30+ days ago

Oscar Health - Insurance - Large

Remote from
United States
Full time
SQL (Programming Language)
Python (Programming Language)
Pandas (Python Package)
View Similar Jobs →
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
View Similar Jobs →
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