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Healthcare services Remote Jobs

197 fresh jobs found

Care Coordinator II
Remote-MO, United States

Centene Corporation

Service assessments Education on Benefits Member Outreach Home visits Referrals Care Coordination Care management Healthcare services Health Insurance +11

Entry Mid Full Time

USD 55K+

Prior Authorization Clinician RN
Work At Home-Oklahoma, United States

Precertification Navigating multiple systems Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria RN licensure Clinical Judgment +18

USD 52K+

Senior Manager, Clinical Partnerships
Remote - Canada

LGBTQ2S+ Advocacy Patient Referral HIV Prevention Clinical partnerships Community Engagement Healthcare services Mental Health Empathy Relationship building +3

Senior Full Time

USD 80K+

Utilization Management Behavioral Health Professional
HGB SCA Remote KY, United States

Autism spectrum disorder Interpreting Criteria Tricare Applied Behavioral Analysis Medical Services CPT codes Prevention Productivity Process Management +48

USD 65K+

Utilization Management Nurse Consultant
Work At Home-Kansas, United States

CM/UM certification IT platforms Med/surg Coverage determination Benefit management Benefit utilization Clinical Criteria RN licensure Clinical Judgment +20

Entry Mid Full Time

USD 52K+

Utilization Management Nurse Consultant
Work At Home-Michigan, United States

CM/UM certification IT platforms Med/surg Coverage determination Benefit management Benefit utilization Clinical Criteria RN licensure Clinical Judgment +20

Entry Mid Full Time

USD 58K+

Software Development Engineer in Test- SDET
Remote US, United States

Streaming technologies Azure Cloud Data Models Cloud-native solutions Security Testing Health outcomes Microservices architecture Quality Engineering .NET Core +66

Senior Full Time

USD 106K+

Care Management Associate
Work At Home-Texas, United States

Care plan implementation Health care service delivery Patient Screening Medical Services Healthcare Coordination Phone Computer Systems Telephonic Communication Call Center Experience +42

USD 36K+

Billing & Reconciliation Representative
Remote US, United States

Reconciliation Consumer Experiences Pharmacy BI Travel MS Excel Prioritization Healthcare services Billing +24

Entry Mid Full Time

USD 40K+

Care Mgt Associate
Work At Home-Connecticut, United States

Care plan implementation Health care service delivery Patient Screening Medical Services Healthcare Coordination Phone Computer Systems Telephonic Communication Call Center Experience +42

USD 36K+

Pediatric Advanced Practice Provider (CA, FL, and/or TX License)
Remote

Pediatric care Cultural Competence Care Planning Patient Assessment Therapy Health education Primary Care Clinical support Telemedicine +6

USD 120K+

Growth Strategy Consultant
Remote NY NYC METRO, United States

Strategy Consulting Articulate Research and Analysis Medicare Advantage Investment Banking Qualitative analysis Strategy Development Collaborative Enrollment +41

USD 94K+

Case Manager- Weston, WI
Work at Home - Wisconsin, United States

Driver safety program Healthcare Coordination Social service care management Community integration Family Care Prevention Social services Health and wellness Human services +39

USD 53K+

Value-Based Programs Compass Analyst
Remote US, United States

Tables SQL queries Production Support Analyzing Interoperability Pivot Tables Healthcare Data Population health Consumer Experiences +52

Entry Full Time

USD 59K+

Case Manager- Sheboygan and Ozaukee Counties
Work at Home - Wisconsin, United States

Health and Wellness Coordination Driver safety program Social service care management Community integration Family Care Prevention Social services Health and wellness Human services +39

USD 53K+

Supervisor, Utilization Management
Remote-NC, United States

Centene Corporation

Regulations knowledge UM Accreditation Standards Accreditation Clinical Review Procedures Health Services Prior authorization Medical management +17

USD 73K+

Case Manager, LaCrosse, WI
La Crosse, United States

Electronic Case Note Documentation Electronic Information Applications Social service agencies Microsoft Office Word Health promotion Driver safety program Community Health Care Planning Family Care +47

USD 53K+

Lead Data Product Manager
Remote US, United States

Metrics Production Trend reporting Systems Development Life Cycle Genesys ADO Problem Analysis Consumer Experience Project leadership Software development life cycle +59

Senior Mid Full Time

USD 126K+

Utilization Management Nurse Consultant
Work At Home-Illinois, United States

Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria Computer Systems RN licensure Telephonic Communication Medical necessity +25

USD 64K+

Pharmacy Claims Representative
Remote US, United States

Dispensing systems Electronic claims submissions Pbm systems Pharmacy Claims Workflow enhancement Claims Adjudication PBM Prescription Billing Systems +37

Entry Mid Full Time

USD 40K+

Mental Health Therapist (OH License) - Full Time - Summers Off
Remote

Pediatric mental health Mental Health Counseling Clinical assessments Evidence-based practices Clinical Leadership Diagnosis Clinical assessment Therapeutic Interventions Therapy +14

USD 61K+

Mental Health Therapist (VA License) *Sign-On Bonus*- Full Time - Summers Off
Remote

Pediatric mental health Mental Health Counseling Clinical assessments Evidence-based practices Clinical Leadership Diagnosis Clinical assessment Therapeutic Interventions Therapy +14

USD 73K+

Mental Health Therapist (FL License) - Full Time - Summers Off
Remote

Pediatric mental health Mental Health Counseling Clinical assessments Evidence-based practices Clinical Leadership Diagnosis Clinical assessment Therapeutic Interventions Therapy +14

USD 61K+

Mental Health Therapist (CO License) - Full Time - Summers Off
Remote

Pediatric mental health Mental Health Counseling Clinical assessments Evidence-based practices Clinical Leadership Diagnosis Clinical assessment Therapeutic Interventions Therapy +14

USD 61K+

Mental Health Therapist (MD License) - Full Time - Summers Off
Remote

Pediatric mental health Mental Health Counseling Clinical assessments Evidence-based practices Clinical Leadership Diagnosis Clinical assessment Therapeutic Interventions Therapy +14

USD 73K+

Mental Health Therapist (IA License) *Sign-On Bonus* - Full Time - Summers Off
Remote

Pediatric mental health Mental Health Counseling Clinical assessments Clinical Leadership Diagnosis Clinical assessment Therapeutic Interventions Therapy Treatment Planning +13

USD 61K+

Mental Health Therapist (HI License) - Full Time - Summers Off
Remote

Pediatric mental health Mental Health Counseling Evidence-based practices Clinical Leadership Diagnosis Clinical assessment Therapeutic Interventions Therapy Treatment Planning +13

USD 70K+

Encounter Data Management Professional
Remote US, United States

Encounter data Microsoft SQL Healthcare Claims CAS Compliance Standards Cross-functional Teamwork Analytical tools SAS Verbal and written communication +45

Entry Mid Full Time

USD 65K+

Senior Market Finance Professional
Remote US, United States

Statistical platforms Large data sets Rating MS Access Reporting tools PC MS PowerPoint Clinical operations Data Warehousing +48

Senior Full Time

USD 78K+

FP&A Analyst
United States - Remote

Sage Intacct Financial Software HIPAA Compliance ERP systems Financial modeling Healthcare services Budgeting HIPAA Financial analysis +12

Entry Mid Full Time

USD 80K+

Strategic Finance Manager
Remote-MO, United States

Centene Corporation

Audit experience Business Case Development FP&A Procedures Contracting Financial modeling Healthcare services Health Insurance Financial reporting +17

USD 86K+

Medical Director - Southeast Region
Remote US, United States

Post-acute services Outpatient services Grievance and appeals processes Clinical group practice management Inpatient rehabilitation Commercial health insurance Coding practices Medical background Hospitalist +82

Exec Senior Full Time

USD 223K+

Intern - General 2
HGB SCA Remote KY, United States

Computations Consumer Experiences Oral communication Healthcare industry Travel Prioritization Administrative Healthcare services Medicare +15

Entry Internship Part Time

USD 37K+

Group Director, Operations - (Remote FL/GA/SC/MS/AL)
Remote, United States

Marathon Health

Occupational Health Pharmacy services Healthcare Delivery Primary Care Virtual care EMR Operations Management Revenue growth Healthcare services +11

Exec Senior Full Time

USD 105K+

Medicare Sales Field Agent- Camden County, NJ
Remote PA PHLD METRO, United States

Grass Roots Marketing Telephonic Interactions Medicare Sales Medicare products Prescription Driver safety program Multilingual Rating Annuity +40

USD 35K+

Long Term Care Functional Screen Manager & Liaison
Work at Home - Wisconsin, United States

Functional screening Long Term Care Family Care Microsoft Office Applications Health Services BI Policy Development Travel Network +39

USD 71K+

Utilization Management Clinical Consultant - Remote Kentucky
Work At Home-Kentucky, United States

Healthcare services coordination Triage support Crisis support Clinical Practice Guidelines Navigating multiple systems Keyboarding Benefit management Benefit utilization Evidence-Based Care +24

USD 52K+

Business Intelligence Engineer
Remote US, United States

Dashboard Tools SQL programming Microsoft SQL ADO SQL queries Microsoft SQL Server Consumer Experiences Efficiency Azure DevOps +43

USD 66K+

Business Support Coordinator
Work at Home - Wisconsin, United States

Long Term Care Family Care Presentations Network Administrative Administrative Support Databases Healthcare services Wellness +31

Entry Full Time

USD 38K+

Senior Provider Education Professional (Medicaid)
Remote US, United States

Managed healthcare contracts Learning design principles Template design Health Plan Operations Microsoft Office Word Learning Design Matrixed environment Provider Relations Provider education +44

Senior Full Time

USD 78K+

Utilization Management Nurse Consultant
Work At Home-New York, United States

Healthcare services coordination Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria Computer Systems RN licensure Telephonic Communication +25

USD 64K+

Senior Business Systems Analyst
Remote US, United States

System Requirement Specifications Procurement Systems Business Systems Analysis Coupa Qlik Microsoft Power BI Visualizations Data Reporting Process Automation +54

Senior Full Time

USD 78K+

Utilization Management Nurse Consultant
Work At Home-Florida, United States

Medical Necessity Review Coverage determination Benefit management Benefit utilization Clinical Criteria Telephonic Communication Medical necessity Acute care Clinical Judgment +21

USD 52K+

Project Manager
Remote US, United States

Microsoft Office Word Hive MS Project Functions Waterfall PMP Six Sigma Presentations BI +38

USD 71K+

Provider Installation Representative
Remote US, United States

PAAG PIMS PMDM Outbound Calling Apex CMS BI Network Data Governance +33

Entry Mid Full Time

USD 43K+

Leadership Development Specialist (Remote)
Remote, United States

Marathon Health

Team Effectiveness Skill gap analysis Occupational Health Training Design Pharmacy services Program Implementation Healthcare Delivery Organizational development Primary Care +9

Senior Mid Full Time

USD 70K+

Administrative Assistant
Remote US, United States

Travel Management Internet Research Microsoft Office Applications Control Functions Clinical operations Executive Presence Verbal and written communication Emotional Intelligence +48

USD 53K+

Senior EMR Analyst
Remote, United States

Marathon Health

Patient portals Occupational Health Pharmacy services EMR systems Customization Healthcare Delivery Healthcare IT Data migration System Integration +18

Senior Full Time

USD 90K+

Corporate Communications Principal, Speechwriter
Remote US, United States

Speechwriting Public policy writing Audience analysis Creative storytelling Corporate Communications Strategic communication Medicare Advantage Communication Strategies Functions +42

Senior Full Time

USD 150K+

Utilization Management Nurse Consultant
Work At Home-North Carolina, United States

Multi-systems navigation Navigating multiple systems Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria RN licensure Electronic Medical Records +24

USD 52K+

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