FreshRemote.Work

Sign in

Medicaid Remote Jobs

283 fresh jobs found

Associate Actuary - Seattle Health
Seattle, Washington, United States

Healthcare actuarial US healthcare system Healthcare data analysis Health actuarial Actuarial techniques Entrepreneurial Spirit Medicare Advantage Actuarial science Healthcare Data +24

USD 86K+

Actuary (FSA) – Seattle Health
Seattle, Washington, United States

Healthcare actuarial US healthcare system Healthcare data analysis Health actuarial Actuarial techniques Entrepreneurial Spirit Medicare Advantage Actuarial science Healthcare Data +25

Senior Full Time

USD 100K+

Medicaid CHIP Senior/Principal Associate (Remote Flexible)
Rockville, MD, United States

Quality Measurement Capitation Rate-Setting Public Policy Research CHIP Network Access Policy analysis Federal regulations Management consulting Public Policy +20

Senior Mid Full Time

USD 120K+

Consulting Actuary
Houston, Texas, United States; Dallas, Texas, United States

Medicaid Managed Care Healthcare actuarial US healthcare system Health actuarial Actuarial techniques Entrepreneurial Spirit Healthcare Data Employee Benefits Financial +18

Senior Full Time

USD 460K+

Manager, Provider Management - Florida
Work From Home - FL

Provider management Network development Provider Relations Network management Medicare Advantage Credentialing Microsoft Teams Claims processing Leadership Development +27

Senior Mid Full Time

USD 74K+

Actuarial Analyst, Analytics/Forecasting
Remote US

Metrics establishment Actuarial Analysis Valuation Consumer Experiences Efficiency Market strategy Contracting Data integrity SAS +32

Entry Mid Full Time

USD 78K+

Care Management Support Assistant
Work at Home - Kentucky

Care resources Microsoft Access Travel Clinical support Care management BI Healthcare industry Vision Administrative Support +32

USD 31K+

Field Care Manager, Behavioral Health
Work at Home - Kentucky

Social determinants Medical Services Microsoft Office Word Social service agencies Health outcomes Health promotion Rating Community Health Bilingual English/Spanish +50

USD 25K+

Senior Research Scientist, Humana Healthcare Research
Remote US

Interrupted time series analysis Difference in difference Propensity score analysis Large data analysis Statistical coding Inverse probability treatment weighting Administrative claims data Multivariate regression Regression discontinuity designs +47

Senior Full Time

USD 93K+

Associate Director, Technology Solutions
Remote US

Quality automation Analytics Solutions Custom solutions Collaborative relationships Social Determinants of Health Health outcomes Operations Research Interoperability Digital Experience +62

Senior Mid Full Time

USD 126K+

Senior Cloud Architect, Network
Remote US

Cloud network design ThousandEyes Cisco ISE QoS Architecture Development Zscaler Technical Concepts Software Defined Networking Infrastructure Engineering +92

Senior Full Time

USD 126K+

Senior Payment Integrity Product Lead
Any city, TX, US, 99999

Gainwell Technologies

Clinical medical record review Payment integrity systems Bill audit Payment Integrity Technology Architecture Medical Record Review Analytical Techniques Posting Edge +27

Senior Full Time

USD 108K+

Individual & Family Plans (IFP) Claims Strategy and Payment Integrity Senior Manager - Remote - Cigna Healthcare
Connecticut Work at Home

The Cigna Group

Claims auditing Payment Integrity Healthcare operations Risk Adjustment Enrollment Cost Management Utilization management Claims processing Financial +29

Senior Full Time

USD 111K+

Senior Manager LTSS Aetna Better Health of Virginia
Work At Home-Virginia

Health Care Delivery Electronic Documentation Clinical Management Registered Nurse Health Services Care Coordination RN Care management MS Office Suite +14

Senior Full Time

USD 100K+

Case Manager - Dodgeville, Richland Center, WI
Work at Home - Wisconsin

Health and Wellness Coordination Social service care management Community integration Health and wellness Family Care Prevention Social services Human services Risk +37

USD 47K+

Professional Field Representative - Remote WI
Any city, WI, US, 99999

Gainwell Technologies

Provider education Healthcare Billing Service Delivery Managed Care Health Insurance Billing Medical Medicaid Medicare +14

USD 54K+

Senior - Content & Campaign Planning
Remote US

Print Marketing Campaign Planning B2C Marketing Functions Consumer Experiences Marketing campaigns Advanced Analytics B2B Marketing Content development +41

Senior Full Time

USD 69K+

UM Nurse Consultant - Prior Authorization
Work At Home-Ohio

Benefit utilization Coverage determination Benefit management Navigating multiple systems Medical necessity Clinical Criteria Keyboarding RN licensure Discharge planning +27

USD 52K+

Outbound Enrollment Representative
United States

Healthcare Knowledge Social Work Virtual care Email Data-driven decision making Spanish Outreach Medicaid Equity +9

Entry Mid Full Time

USD 40K+

Outreach & Engagement Specialist
United States

Social Work Virtual care Email Engagement Data-driven decision making Spanish Outreach Medicaid Equity +9

Entry Mid Full Time

USD 40K+

Bilingual Outreach & Engagement Specialist
United States

Digital Outreach Community outreach Healthcare Knowledge Social Work Virtual care Email Engagement Data-driven decision making Spanish +13

Entry Mid Full Time

USD 40K+

Nursing Lead (Manager)
United States

Tech Adaptation Healthcare practice Labor and delivery Maternal-child health Metrics-driven environment Child health Evidence-Based Care Population health Registered Nurse +14

Senior Full Time

USD 100K+

Lactation Consultant (IBCLC)
United States

Inclusion promotion Lactation care Equity promotion Diversity promotion Healthcare practice Clinical protocols EHRs Software Proficiency Patient Engagement +17

USD 65K+

Medical Economics Analyst (Full time Remote- NC based role)
Morrisville, North Carolina, United States

Alliance Health

Financial data analysis MicroStrategy Healthcare economics Utilization management Statistical analysis Medicaid Financial analysis Verbal communication Data Visualization +12

Entry Mid Full Time

USD 58K+

Claims Supervisor
Work From Home - AZ

Dental coding Error reduction Diagnosis coding Hcpcs coding Audit Support CPT coding Performance reviews Microsoft Applications Accuracy +22

USD 50K+

Field Nurse Care Manager - Milwaukee, WI
Work at Home - Wisconsin

Health Assessment Interdisciplinary Teamwork Health and wellness Family Care Infection control Health promotion Home Health Crisis Intervention Registered Nurse +35

USD 69K+

Senior Compliance Professional
Remote US

Health Plan Operations Pharmacy operations Regulatory Analysis Analyzing Risk Claims processing Claims Strategic initiatives CMS +42

Senior Full Time

USD 84K+

Senior Learning Systems Professional
Remote US

Area9 Adaptive Learning Articulate Suite Mobile learning Multimedia Project documentation Highspot Articulate Analyzing Learning Management System +38

Senior Mid Full Time

USD 69K+

Case Manager RN (Remote)
Work At Home-Florida

Home healthcare Telework Proprietary applications Navigating multiple systems Keyboarding Clinical Tools Clinical resources Healthcare Coordination Holistic approach +35

USD 54K+

Social Work Case Manager - Blair, WI
Work at Home - Wisconsin

Housing support Face-to-face assessments Employment support Health and Wellness Coordination Community Resource Coordination Community integration Social service care management Health and wellness Family Care +38

USD 47K+

Medicaid Lead, Technology Solutions
Work at Home - Oklahoma

Compliance Audits IT Strategy Documentation Management Healthcare operations Process Flows IT solutions Technology Trends RFP Enrollment +50

Senior Full Time

USD 115K+

Associate Actuary, Part D Pricing
Remote US

Pricing tools Financial metrics Rating Actuarial science Consumer Experiences Vision Pricing Dental Healthcare services +27

USD 104K+

Compliance Specialist
Remote CA - R1

Spreadsheet Applications Regulatory Analysis ERISA Word Processing Independent Judgment Verbal and written communication Discretion Information security Medicaid +17

USD 51K+

Nurse Auditor 2
Remote US

Clinical audit Medical record documentation Coding certification Medical Record Review Medical claims CPT codes Clinical Review CPT Consumer Experiences +37

USD 69K+

Actuary - Enterprise Financial Analytics
Remote US

Rate filing Reporting & Analysis Trending Reserving Actuarial Analysis Valuation Financial Forecasting Functions Market trends +32

USD 126K+

Senior Manager Reimbursements *Remote*
Renton, WA, United States

Regulatory reporting Supervisory Health care Mathematics Evaluation Medicaid Medicare Statistics Reimbursement +7

Senior Full Time

USD 89K+

Physician, Urgent Care (Part-Time)
Nevada

Included Health

Diagnostic Tests Referral Family Medicine Specialty care In-person care Manual Dexterity Care Navigation Triage Urgent care +21

USD 139K+

Physician, Urgent Care (Part-Time)
Denver, CO

Included Health

Diagnostic Tests Referral Family Medicine In-person care Specialty care Manual Dexterity Care Navigation Triage Urgent care +23

USD 139K+

Physician, Urgent Care (Part-Time)
Arizona

Included Health

Adult Care Diagnostic Tests Pediatric care Referral Family Medicine In-person care Specialty care Manual Dexterity Care Navigation +25

USD 139K+

Physician, Urgent Care (Part-Time)
Washington

Included Health

Diagnostic Tests Referral Family Medicine In-person care Specialty care Manual Dexterity Care Navigation Triage Urgent care +22

USD 139K+

Manager, Encounter Data Management
Remote US

X-12 data Business process development Large data sets Microsoft SQL CAS Analyzing Microsoft SQL Server Microsoft Office Applications Compliance Standards +51

USD 76K+

Lead Systems Engineer
Remote US

EMM Solutions Lucid COTS Custom solutions TOGAF Jamf CIS PCI M365 +64

Senior Full Time

USD 115K+

Sr Business Analyst (Product)
United States - Remote

Workflow Diagrams API documentation Implementations Agile Scrum Gap Analysis MS Project Prior authorization Software testing Public Sector +35

Senior Mid Full Time

USD 83K+

Implementation Manager I
Work From Home - AZ

Work plan development Implementation management Quality improvement Leadership Development Microsoft Teams Medicaid Medicare Stakeholder engagement Technical Support +18

USD 61K+

Senior Clinical Research Scientist
Remote US

Recommender system Spark/Scala Analytics Solutions Spark r Healthcare economics Clinical Informatics Business Insights Analyzing Network Analysis +65

Senior Mid Full Time

USD 93K+

Bilingual Member and Recipient Services Coordinator (Full time Remote, North Carolina based)
Morrisville, North Carolina, United States; Fayetteville, North Carolina, United States; Smithfield, North Carolina, United States; Charlotte, North Carolina, United States; Remote, North Carolina, United States

Alliance Health

Decision Tools Grievance Resolution Call management Multi-function phone system Software Navigation Referral Community Resources Triage Care management +13

USD 50K+

Senior Consultant/ Project Manager, FQHC (Medicaid Financing & Policy Consulting)
Remote (United States)

Policy Research Medicaid Financing Healthcare Consulting Policy analysis Public Policy Asana Medicaid Financial analysis Stakeholder management +7

Senior Full Time

USD 79K+

Senior Full-Stack Developer (Angular and Node JS)
Remote USA

Softrams Remote-first

Node js HX Cloud Development SonarQube Health IT EDI Public Trust Clearance Healthcare Data Unit Testing +27

Senior Full Time

USD 100K+

Clinical Analyst I
Remote, United States

Medical procedures Logical thinking Medicaid regulations Payment ICD Healthcare Analytics HCPCS ICD-10 CPT +24

USD 70K+

Medical Coding Specialist
United States

Medicaid coding Telehealth coding Child health Obstetrics ICD-10 Coding CPT coding Therapy Medical Coding Virtual care +11

Senior Mid Full Time

USD 50K+

Remote Jobs in North America Remote Jobs in Europe Remote Jobs in South America Remote Jobs in Asia/Pacific Remote Jobs in Africa Remote Jobs in Middle East 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 GBP > 80K in Salary Remote Jobs with CAD > 80K in Salary Remote Jobs with PHP > 40K in Salary Remote Jobs with PHP > 60K in Salary Remote Jobs with PHP > 120K in Salary Remote Jobs with PHP > 80K in Salary Remote Jobs with EUR > 80K in Salary Remote Jobs with PHP > 140K in Salary Remote Jobs with PHP > 160K in Salary Remote Jobs with PHP > 100K in Salary Remote Jobs with PHP > 260K in Salary Remote Jobs with PHP > 280K in Salary Remote Jobs with PHP > 240K in Salary Remote Jobs with PHP > 200K in Salary Remote Jobs with PHP > 220K in Salary Remote Jobs with PHP > 180K in Salary Remote Jobs with PHP > 300K in Salary Remote Jobs with CAD > 100K in Salary Remote Jobs with GBP > 100K in Salary Remote Jobs with CAD > 120K in Salary