Remote Utilization Management Jobs

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CALSTART
Human Resources Manager (Contract)
30+ days ago

CALSTART - Non-profit Organization - Charity - SME

Remote from
United States
Fixed term

Senior (5-10 years)

ADP Payroll
Human Resources Information System (HRIS)
Workforce Planning
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Pie Insurance
Medical Only Claims Adjuster - California
30+ days ago

Pie Insurance - Insurance - Scaleup

Remote from
United States, California (USA)
Full time

Junior (1-2 years)

60 - 75K
Case Management Systems
Workers' Compensation Claims
Adjudication
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Integra Partners
Utilization Review Medical Director
30+ days ago

Integra Partners - Health Care - SME

Remote from
United States
Full time

Expert & Leadership (>10 years)

Clinical Data Analysis
Utilization Management
Health Policies
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Gold Coast Health Plan
RN, Clinical Care Manager I
30+ days ago

Gold Coast Health Plan - Health Care - SME

Remote from
United States, California (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Nurse Licensure Compact
Clinical Assessments
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La Frontera EMPACT - Suicide Prevention Center
Associate Director of Housing and Residential Services EMPACT
30+ days ago

La Frontera EMPACT - Suicide Prevention Center - Health Care

Remote from
United States, Arizona (USA)
Full time
28 - 28K
Clinical Supervision
Psychotherapy
Regulatory Compliance
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Medical Review Institute
Dermatology Utilization Review - Remote - Contract (1099)
30+ days ago

Medical Review Institute - Health Care - SME

Remote from
United States, Texas (USA)
Freelance

Senior (5-10 years)

Utilization Management
Clinical Medicine
Dermatology
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Alchemy.us
Workday Senior Consultant, Financials for Production Services
30+ days ago

Alchemy.us - Information Technology & Services - Scaleup

Remote from
United States
Freelance

Senior (5-10 years)

Workday (Software)
Data Management
Asset Management
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Medical Review Institute
PM&R Pain Utilization Review - Remote - Contract (1099)
30+ days ago

Medical Review Institute - Health Care - SME

Remote from
United States, Saint Pierre and Miquelon, Texas (USA)
Freelance

Senior (5-10 years)

R (Programming Language)
Utilization Management
Physical Medicine And Rehabilitation
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Integra Partners
Utilization Management Coordinator
30+ days ago

Integra Partners - Health Care - SME

Remote from
United States
Full time

Expert & Leadership (>10 years)

36 - 36K
Utilization Management
ICD 503
Medical Abbreviations
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Clutch
Manager, Technical Delivery
30+ days ago

Clutch - Financial Services, Fintech: Finance + Technology - Scaleup

Remote from
United States
Full time

Senior (5-10 years)

ASP.NET
Solution Architecture
Project Management
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Dane Street, LLC
Neurosurgeon Needed for Record Review in Utah
30+ days ago

Dane Street, LLC - Insurance - SME

Remote from
United States, Indiana (USA), Utah (USA)
Full time
Neurosurgery
Medical Diagnosis
Medical Record Management
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University of Rochester
Registration&Insur Mgt Rep III
30+ days ago

University of Rochester - Education

Remote from
United States, New York (USA)
Full time
37 - 50K
Account Management
Payment Plan Agreements
Prior Authorization
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Cohere Health
Associate Medical Director, Utilization Management Review
30+ days ago

Cohere Health - Computer Software / SaaS - SME

Remote from
United States
Full time

Junior (1-2 years)

Clinical Data Analysis
Utilization Management
Evidence-Based Practice
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Medical Review Institute
Oncology Utilization Review - Remote - contract 1099
30+ days ago

Medical Review Institute - Health Care - SME

Remote from
United States, Texas (USA)
Freelance

Senior (5-10 years)

Medical Licensing (Health Law)
Medical Oncology
Data Security
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Globalization Partners
Benefits Specialist, Product Strategy & Renewals
30+ days ago

Globalization Partners - Information Technology & Services, Computer Software / SaaS - Large

Remote from
United States
Full time

Mid-level (2-5 years)

64 - 81K
Benefits Administration
Benefits Realization Management
Vendor Management
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Monte Nido & Affiliates
Virtual Primary Therapist (Licensed in Oregon)
30+ days ago

Monte Nido & Affiliates - Health Care - Large

Remote from
United States, Indiana (USA), Oregon (USA)
Full time
60 - 90K
Group Therapy
Family Therapy
Telepsychiatry
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Abacus Group
Incident Response Project Manager
30+ days ago

Abacus Group - SME

Remote from
United States, Indiana (USA)
Full time

Senior (5-10 years)

Disaster Recovery
Virtualization
Project Management
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Cohere Health
Lead Healthcare Analyst
30+ days ago

Cohere Health - Computer Software / SaaS - SME

Remote from
United States
Full time
Predictive Modeling
SQL (Programming Language)
Python (Programming Language)
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3Y
BCBA Consultant - New York (Part-Time, Remote)
30+ days ago

3Y

Remote from
United States
Full time

Entry-level / graduate

Outcomes Research
Functional Behavior Assessment
Autism Spectrum Disorders
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University of Rochester
RN, Clinical Document Spec
30+ days ago

University of Rochester - Education

Remote from
United States
Full time

Senior (5-10 years)

81 - 105K
Clinical Auditing
Physician Data Query
Clinical Documentation
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Alliant Health Solutions
Review Nurse - EDWP (Elderly and Disabled Waiver Program)
30+ days ago

Alliant Health Solutions

Remote from
United States, Georgia (USA)
Full time

Mid-level (2-5 years)

Evaluation Of Care
Utilization Management
Clinical Medicine
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Cotiviti
Business Analyst-Professional Services
30+ days ago

Cotiviti - Information Technology & Services - Large

Remote from
United States
Full time
76 - 94K
SQL (Programming Language)
Hl7 V2
Cerner EHR
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Vaya Health
Member & Recipient Services Representative (Remote NC, Mon-Fri)
30+ days ago

Vaya Health - Health Care - SME

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

Mid-level (2-5 years)

19 - 19K
Health Risk Assessments
Patient Referral
Behavioral Health
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Mindoula
Clinical Program Manager, Suicide Prevention Program at Mindoula Health
30+ days ago

Mindoula - Health Care - SME

Remote from
United States
Full time

Mid-level (2-5 years)

Care Management
Hazard Analysis
Crisis Management
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Mindoula
FL Licensed Therapist - 100% Remote (LMFT, LCSW, LPC) at Mindoula Health
30+ days ago

Mindoula - Health Care - SME

Remote from
United States, Florida (USA), Illinois (USA) +3
Full time
75 - 75K
Psychosocial Assessments
Addiction Treatment
Group Therapy
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Bausch + Lomb
Career Opportunities: Field Access Manager - Great Lakes (18013)
30+ days ago

Bausch + Lomb - Pharmaceuticals - XLarge

Remote from
United States, Canada
Full time
150 - 175K
Liability Insurance
Patient Education And Counseling
Reimbursement Regulations
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The Legends Agency
Salesforce Delivery Manager
30+ days ago

The Legends Agency - Human Resources, Staffing & Recruiting - TPE

Remote from
Africa
Full time

Mid-level (2-5 years)

Salesforce
Technical Delivery Management
Salesforce
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Avertium
Resource Manager | Professional Services
30+ days ago

Avertium - Cybersecurity - Scaleup

Remote from
United States
Full time

Senior (5-10 years)

Resource Planning
Utilization Management
Capacity Planning
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Conviva Care Solutions
Utilization Management Nurse
30+ days ago

Conviva Care Solutions - Health Care - Large

Remote from
United States, Texas (USA)
Full time
71 - 97K
Utilization Management
Nurse Licensure Compact
Medical Necessity
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Dane Street, LLC
Clinical Utilization Review Trainer/Specialist
30+ days ago

Dane Street, LLC - Insurance - SME

Remote from
United States
Full time
Utilization Management
Employee Onboarding
Nurse Licensure Compact
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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
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CDL Nuclear Technologies
Vice President of Staffing - Remote
30+ days ago

CDL Nuclear Technologies - SME

Remote from
United States, Arizona (USA), Florida (USA) +9
Full time
Staffing Metrics
Staff Planning
Workforce Planning
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Avicado Construction Technology Services, LLC
Project Operations Specialist
30+ days ago

Avicado Construction Technology Services, LLC - Professional Services - Scaleup

Remote from
United States
Full time
Salesforce
Notion (Software)
Toggl
View Similar Jobs →
Integra Partners
Senior Utilization Review Medical Director
30+ days ago

Integra Partners - Health Care - SME

Remote from
United States
Full time

Senior (5-10 years)

Credential Manager
Utilization Management
Health Policy Development
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Conviva Care Solutions
Utilization Management Nurse
30+ days ago

Conviva Care Solutions - Health Care - Large

Remote from
United States, Kentucky (USA)
Full time
71 - 97K
Utilization Management
Nurse Registry
Clinical Data Analysis
View Similar Jobs →
Partners Health Management
Innovations Care Manager (QP)-Mobile/Remote (Forest City, NC)
30+ days ago

Partners Health Management - Health Care - SME

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

Mid-level (2-5 years)

Care Coordination
Health And Human Services
Budget Management
View Similar Jobs →
Bausch + Lomb
Career Opportunities: Field Access Manager - Tennessee Valley (18014)
30+ days ago

Bausch + Lomb - Pharmaceuticals - XLarge

Remote from
United States, Canada, Tennessee (USA)
Full time
150 - 175K
Utilization Management
Reimbursement Regulations
Health Reimbursement Arrangement
View Similar Jobs →
Patra Corporation
Senior Director, Implementation
30+ days ago

Patra Corporation - Insurance - XLarge

Remote from
United States
Freelance
Project Implementation
Financial Management
Governance Risk Management And Compliance
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Res Consultant Group / Recruiting Edge Staffing
Remote Chief CPA - Reginal/National - (UA101001)
30+ days ago

Res Consultant Group / Recruiting Edge Staffing - Human Resources, Staffing & Recruiting - Small startup

Remote from
United States, New York (USA)
Full time

Expert & Leadership (>10 years)

Merger Integration
Accounting
Tax Consulting
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Saviance Technologies Pvt. Ltd.
Care Review Clinician I
30+ days ago

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

Remote from
Anywhere
Full time

Junior (1-2 years)

InterQual Criteria
Utilization Management
Prior Authorization
View Similar Jobs →
Dane Street, LLC
VP, Independent Medical Exams Operations
30+ days ago

Dane Street, LLC - Insurance - SME

Remote from
United States
Full time

Expert & Leadership (>10 years)

Provider Network Management
KPI Management
Clinical Auditing
View Similar Jobs →
Medecision
Project Manager
30+ days ago

Medecision - Computer Software / SaaS

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Resource Allocation
Project Management
Governance Risk Management And Compliance
View Similar Jobs →
Medical Review Institute
Remote 1099 Utilization Review Work for Physicians
30+ days ago

Medical Review Institute - Health Care - SME

Remote from
United States, Utah (USA)
Freelance
Utilization Management
Family Medicine
Medical Licensing (Health Law)
View Similar Jobs →
AmeriHealth Caritas
Supervisor Utilization Management Review
30+ days ago

AmeriHealth Caritas - Health Care - XLarge

Remote from
United States
Full time
InterQual Criteria
Utilization Management
Acute Care Nursing
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UASI
Education and Quality Manager
30+ days ago

UASI - Health Care

Remote from
Anywhere
Full time
Compliance Management
Learning Management Systems
Medical Coding
View Similar Jobs →
ProgenyHealth, LLC
Utilization Management Supervisor
30+ days ago

ProgenyHealth, LLC - Health Care

Remote from
Anywhere
Full time
Utilization Management
Nurse Licensure Compact
Managed Care
View Similar Jobs →
Talpro - Leaders in Technology Hiring
Oracle Utilities MDM Consultant
30+ days ago

Talpro - Leaders in Technology Hiring - Human Resources, Staffing & Recruiting - SME

Remote from
Anywhere
Freelance

Senior (5-10 years)

Oracle Application Framework (OAF)
Meter Data Management
Java (Programming Language)
View Similar Jobs →
Lantana Consulting Group
Associate Director, Delivery & Portfolio Management
30+ days ago

Lantana Consulting Group - Information Technology & Services - SME

Remote from
Anywhere
Full time

Expert & Leadership (>10 years)

Government Contracting
Project Management
Portfolio Management
View Similar Jobs →
Embrace Software Inc
VP of Operations (AI-Driven Transformation Leader)
30+ days ago

Embrace Software Inc - Computer Software / SaaS

Remote from
Anywhere
Full time

Senior (5-10 years)

Business Process Automation
Data-Driven Decision Making
Data-Flow Analysis
View Similar Jobs →
LivantaLLC
Medicaid Peer Reviews
30+ days ago

LivantaLLC - Information Technology & Services

Remote from
Anywhere
Full time

Senior (5-10 years)

Utilization Management
Medical Record Management
Clinical Assessments
View Similar Jobs →
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