FreshRemote.Work

Sign in

Judgement Remote Jobs

21 fresh jobs found

Medical Director - Mid West Region
Remote US, United States

Computer-Based Review Community Groups Outpatient services Grievance and appeals processes Inpatient rehabilitation Commercial health insurance Clinical group practice management Post-acute care Humana policies +83

Exec Senior Full Time

USD 223K+

Medical Director - Gulf South
Remote US, United States

Post-acute services Grievance and appeals processes Community Groups Outpatient services Clinical group practice management Commercial health insurance Inpatient rehabilitation Post-acute care Humana policies +88

Exec Senior Full Time

USD 223K+

Behavioral Health Medical Director - Medicaid
Remote US, United States

Computer-Based Review CGX Community Groups Clinical reference materials CMS policies Medical background MCG Medical Director Clinical evaluation +48

Exec Senior Full Time

USD 223K+

Lead Digital Product Manager - CenterWell Experiences
Remote US, United States

AEM Digital Product Management Judgement Product lifecycle management Home Health Digital products Efficiency Technical Strategy Azure DevOps +48

Senior Full Time

USD 126K+

Manager, Care Management (Maternal-Child Health)
Work at Home - Virginia, United States

Clinical Intervention Maternal-Child Health Face-to-face assessments Interpreting Data Operational Leadership Cultural Competence Judgement Health and wellness Rating +66

USD 25K+

Medical Director - Pacific SW
Remote US, United States

Health claims review Community Groups Outpatient services Grievance and appeals processes Clinical group practice management Commercial health insurance Inpatient rehabilitation Post-acute care Humana policies +84

Exec Senior Full Time

USD 223K+

Medical Director- South Central
Remote US, United States

Community Groups Outpatient services Grievance and appeals processes Post-acute services Clinical group practice management Inpatient rehabilitation Post-acute care Commercial health insurance Humana policies +86

Exec Senior Full Time

USD 223K+

Medical Director - Northeast Region
Remote US, United States

Community Groups Outpatient services Post-acute services Grievance and appeals processes Clinical group practice management Commercial health insurance Post-acute care Inpatient rehabilitation CMS policies +88

Exec Senior Full Time

USD 223K+

Medical Director - Southeast Region
Remote US, United States

Health claims review Community Groups Outpatient services Post-acute services Grievance and appeals processes Clinical group practice management Commercial health insurance Inpatient rehabilitation Humana policies +84

Exec Senior Full Time

USD 223K+

Supervisor, UM Administration - Medicare
Remote US, United States

Ethical Decision Making Operational Concepts CGX Microsoft Office Word Judgement Supervisory experience Consumer Experiences Verbal and written communication Supervisory +41

USD 71K+

Medical Director - South Central
Remote US, United States

Community Groups Grievance and appeals processes Outpatient services Post-acute services Clinical group practice management Commercial health insurance Inpatient rehabilitation Post-acute care Social determinants +85

Exec Senior Full Time

USD 223K+

Prior Authorization List Business Owner
Remote US, United States

Judgement Microsoft Access Consumer Experiences Healthcare experience Authorization Prior authorization BI Healthcare services Vision +33

Senior Full Time

USD 78K+

Medical Director - Mid West Region
Remote US, United States

Clinical guidelines knowledge Managed Care Knowledge Medicare Knowledge Commercial health insurance Clinical group practice management Inpatient rehabilitation Clinical Decision Making Social determinants Grievance and appeals +78

Exec Senior Full Time

USD 223K+

Medical Coding Auditor
Remote US, United States

Radiation Oncology Claims Life Cycle Peer reviews Chemotherapy Database analysis Ambulatory Payment Classification Infusion Medical claims Medical Documentation +48

USD 59K+

Accreditation Manager
Remote US, United States

Accreditation management NCQA Compliance Continuous process improvement Health Plan Experience Functional strategies NCQA Judgement Accreditation LESS +42

Senior Mid Full Time

USD 94K+

Clinical Research Scientist
Remote US, United States

Spark scala Recommender system Spark r Recommender Systems Analytics Solutions Clinical Strategy Causal inference Judgement Clinical Informatics +67

USD 71K+

National Medicaid Medial Director - Long Term Services & Supports (LTSS)
Remote US, United States

Medical Authorization Community Groups Health Care Facilities Long Term Services & Supports Therapy Services Social determinants Post-acute care Clinical reference materials Medical background +73

Exec Senior Full Time

USD 223K+

Medical Director- South Central
Remote US, United States

Post-acute services Clinical group practice management Commercial health insurance Outpatient services Grievance and appeals processes Clinical Decision Making Post-acute care Inpatient rehabilitation Social determinants +83

Exec Senior Full Time

USD 223K+

Business Support Officer
Hybrid (on-site and remote)

Political Sensitivity OneNote Judgement Office 365 Spreadsheets Training and Development Diversity and Inclusion Administrative Support Confidentiality +15

GBP 29K+

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+

Investigations Support Officer
Hybrid (on-site and remote)

Stakeholder interaction Evidence collection Judgement Investigative Interviewing Training and Development Consultation Confidentiality Investigation +3

GBP 41K+

Remote Jobs in North America Remote Jobs in Europe Remote Jobs in Asia/Pacific Remote Jobs in South America Remote Jobs in Middle East Remote Jobs in Africa Full Time Remote Jobs Part Time Remote Jobs Internship Remote Jobs Contract Remote Jobs Temporary Remote Jobs Freelance Remote Jobs Mid-Level Remote Jobs Senior-Level Remote Jobs Entry-Level Remote Jobs Exec-Level Remote Jobs Lead-Level Remote Jobs

Remote Jobs with CAD > 80K in Salary Remote Jobs with GBP > 80K in Salary Remote Jobs with EUR > 80K in Salary Remote Jobs with CAD > 100K in Salary Remote Jobs with PHP > 40K in Salary Remote Jobs with PHP > 60K in Salary Remote Jobs with PHP > 80K in Salary Remote Jobs with PHP > 240K in Salary Remote Jobs with PHP > 220K in Salary Remote Jobs with PHP > 160K in Salary Remote Jobs with PHP > 260K in Salary Remote Jobs with PHP > 120K in Salary Remote Jobs with PHP > 180K in Salary Remote Jobs with PHP > 200K in Salary Remote Jobs with PHP > 140K in Salary Remote Jobs with PHP > 100K in Salary Remote Jobs with PHP > 280K in Salary Remote Jobs with PHP > 300K in Salary Remote Jobs with CAD > 120K in Salary Remote Jobs with EUR > 100K in Salary