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Medicaid regulations Remote Jobs

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9 fresh jobs found
Clinical Review Nurse - Concurrent Review
Remote-NC, United States Centene Corporation logo Centene Corporation
Health management systems Medicaid regulations Health management Utilization Clinical Review Medical necessity Acute care Discharge planning Medical Records +19
Mid Full Time
USD 52K+
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Clinical Review Nurse - Concurrent Review
Remote-IN, United States Centene Corporation logo Centene Corporation
Utilization Health management systems Medicaid regulations Health management Medical necessity Clinical Review Acute care Discharge planning Medical Records +19
Mid Full Time
USD 95K+
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Clinical Review Nurse - Prior Authorization
Remote-FL, United States Centene Corporation logo Centene Corporation
Utilization Medicare regulations Cost-effective care Service authorization Health management systems Medicaid regulations Health management Authorization requests Medical appropriateness +26
Mid Full Time
USD 52K+
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Clinical Review Nurse - Prior Authorization
Remote-NY, United States Centene Corporation logo Centene Corporation
Service authorization Health management systems Health management Medicaid regulations Authorization requests Medical appropriateness Clinical reviews Clinical Information Clinical Review +21
Mid Full Time
USD 95K+
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Clinical Review Nurse - Concurrent Review
Remote-MN, United States Centene Corporation logo Centene Corporation
RN licensure Health management systems UM Medicaid regulations Health management InterQual Acute care Discharge planning Clinical Review +22
Mid Full Time
USD 52K+
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Clinical Review Nurse - Prior Authorization
Remote-IL, United States Centene Corporation logo Centene Corporation
Service authorization Medical necessity analysis Medicare regulations Health management systems Medical appropriateness Health management Clinical reviews Authorization requests Medicaid regulations +22
Mid Full Time
USD 95K+
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Clinical Review Clinician - Appeals (RN)
Remote-TX, United States Centene Corporation logo Centene Corporation
Appeals process Interdepartmental Collaboration Ncqa standards Clinical reviews Medicaid regulations NCQA Clinical Review Medical necessity Medical Records +23
Mid Full Time
USD 95K+
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Associate Counsel, Medicaid
Full Time Remote - North Carolina, United States Blue Cross NC logo Blue Cross NC
Improvement Legal services Medicaid regulations Contract drafting Legal research Policy Development Contract management Medicaid Continuous Improvement +6
Mid Full Time
USD 110K+
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Clinical Review Clinician - Appeals
Remote-MO, United States Centene Corporation logo Centene Corporation
Appeals processing Interdepartmental Collaboration Clinical data analysis Ncqa standards Clinical reviews Medicaid regulations NCQA Clinical Review Medical necessity +25
Mid Full Time
USD 52K+
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