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Cost Containment Remote Jobs

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20 fresh jobs found
Coordination of Benefits Specialist
Remote MO Maryland Heights 63043, United States Magellan Health logo Magellan Health  Remote-first
Coordination of benefits Claims systems Cost Containment Adjudication Security Controls MS Office Suite Coordination Medicaid Data Entry +4
Mid Full Time
USD 31K+
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Sr. Claims Specialist, Medical Malpractice (LTC)
Recruiting Only - Telecommuter, United States Sedgwick logo Sedgwick
Legal defense Social Security Strategic vendor partnerships Medical malpractice Settlement strategies Injury claims Vendor partnerships Insurance principles Claims coding +36
Senior Full Time
USD 100K+
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Remote Medical Director - California
Remote-CA, United States Centene Corporation logo Centene Corporation
Adverse trend evaluation Medical Necessity Review Health financing Medical management programs Provider network development Health care quality Clinical quality improvement Health administration Government programs +44
Exec Senior Full Time
USD 231K+
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Lead Actuarial Analyst
United States Cohere Health logo Cohere Health  Remote-first
Cost savings analysis ROI Reporting Data Analysis Tools Actuarial modeling Clinical Strategy Strategic recommendations Cost Containment Strategic Insights Model Development +34
Senior Full Time
USD 135K+
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Personal Health Nurse - Remote
United States Tenet Healthcare logo Tenet Healthcare
Clinical analysis Personal health management Email proficiency Care Plan Development Cost Containment Medical management Healthcare industry expertise Utilization Review Utilization management +21
Mid Full Time
USD 64K+
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Senior Medical Economics Analyst
Chicago/Remote Homeward logo Homeward
Analytical Infrastructure Advanced Data Tools Healthcare Utilization Medical economics Value-based contracts Actuarial Analysis Cost Containment Financial Forecasting Risk Adjustment +4
Senior Mid Full Time
USD 121K+
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Medical Director
Remote-IL, United States Centene Corporation logo Centene Corporation
Health financing Health care quality Medical management programs Substance Use Disorders Provider network development Clinical quality improvement Government programs Clinical Quality Substance use +45
Exec Senior Full Time
USD 221K+
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Claims Examiner - Workers Compensation - Telecommute CO
Telecommuter CO, United States Sedgwick logo Sedgwick
Strategic vendor partnerships Vendor partnerships Social Security Insurance principles Claims coding Vendor Coordination Cost Containment Litigation management Rehabilitation +34
Senior Mid Full Time
USD 65K+
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Care Coordinator- CISC
Remote NM Taos 87571, United States Magellan Health logo Magellan Health  Remote-first
Social resources Cost-effective care Clinical resources Monitoring and Evaluation Interdisciplinary Team Collaboration Health risk assessment Long Term Care Occupational Health Cost Containment +23
Mid Full Time
USD 50K+
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Senior Vice President, C&F Stop Loss
Phoenix, AZ, United States Crum & Forster logo Crum & Forster
Medical underwriting Cost Containment Strategic development Reinsurance Portfolio Management Claims Financial Planning Underwriting Product Development +29
Senior Full Time
USD 206K+
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Claims Specialist Sr - Professional Liability
Telecommuter NY, United States Sedgwick logo Sedgwick
Settlement strategies Legal defense Injury claims Medical malpractice Vendor partnerships Strategic vendor partnerships Social Security Insurance principles Claims coding +40
Senior Full Time
USD 110K+
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Senior Healthcare Analyst, Actuarial
United States Cohere Health logo Cohere Health  Remote-first
Claims Data Actuarial modeling Clinical Intelligence Cost Containment Client-facing Healthcare Analytics Financial Forecasting Medical necessity Prior authorization +36
Senior Mid Full Time
USD 100K+
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Care Coordinator - Remote
Remote NM Las Vegas 87701, United States Magellan Health logo Magellan Health  Remote-first
Monitoring and Evaluation Interdisciplinary Team Collaboration Health risk assessment Long Term Care Occupational Health Cost-benefit analysis Cost Containment Care Planning Community Health +18
Mid Full Time
USD 50K+
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Remote Marketplace Medical Director
Remote-MO, United States Centene Corporation logo Centene Corporation
Claims review Medical management programs Provider network development Government programs Health care quality Health financing Clinical quality improvement Personnel management Health administration +39
Exec Mid Full Time
USD 231K+
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Auto Claims Adjuster (Per Diem/Remote)
Recruiting Only - Telecommuter, United States Sedgwick logo Sedgwick
Auto Claims Management Insurance principles Claims coding Liability Cost Containment Interpretive Auto Claims Performance competencies Adjudication +25
Mid Full Time
USD 70K+
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Clinical Operations Manager
Remote Gravie logo Gravie
Medical necessity reviews Health Plan Operations Clinical Strategy Cost Containment Strategic decision-making Fraud Prevention Clinical operations Claims processing Utilization management +5
Senior Mid Full Time
USD 104K+
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Surety Claims Advisor
Recruiting Only - Telecommuter, United States Sedgwick logo Sedgwick
Legal Coordination Surety claims Legal defense Settlement strategies Strategic vendor partnerships Vendor partnerships Recovery Claims coding Cost Containment +35
Senior Mid Full Time
USD 110K+
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Medical Director
Remote-OH, United States Centene Corporation logo Centene Corporation
Substance Use Disorders Medical management programs Clinical quality improvement Health care quality Utilization Provider network development Government programs Health financing Accreditation Standards +45
Exec Senior Full Time
USD 221K+
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Remote Medical Director - South Carolina
Remote-SC, United States Centene Corporation logo Centene Corporation
Utilization Medical management programs Clinical quality improvement Health care quality Government programs Provider network development Health financing Personnel management Accreditation Standards +39
Exec Mid Full Time
USD 221K+
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Senior Claim Representative I
United States Blue Cross Blue Shield of Michigan logo Blue Cross Blue Shield of Michigan
Statutory knowledge Cost Containment Computer Proficiency Claims handling Litigation Underwriting Scheduling Team Collaboration Relationship Management +7
Senior Full Time
USD 71K+
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