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Utilization Remote Jobs

9 fresh jobs found

Authorization Specialist I
Remote-NY, United States

Centene Corporation

Authorization processes Healthcare eligibility Utilization Authorization requests Prior authorization Referrals Medical management Health Services Utilization management +13

Entry Full Time

USD 45K+

Behavioral Health Service Mgr-BH Medication Monitoring
Remote-OK, United States

Centene Corporation

Behavioral health services Mental health resources Utilization Data Monitoring Clinical Nursing Quality of care Foster care Evidence-based practices Discharge planning +32

USD 95K+

Clinical Review Nurse - Concurrent Review
Remote-IN, United States

Centene Corporation

Utilization Health management systems Medicaid regulations Health management Medical necessity Clinical Review Acute care Discharge planning Medical Records +19

USD 95K+

Provider Engagement Account Executive
Remote-OK, United States

Centene Corporation

Value-based performance Utilization Cost and utilization Interpersonal relationships Quality measures HEDIS Health administration Provider engagement Network management +37

Exec Mid Full Time

USD 86K+

Manager, Provider Engagement Strategy
Remote-OK, United States

Centene Corporation

Provider performance management Utilization Performance Insights Provider communication Health administration Provider engagement Content development Training Development Engagement +18

USD 86K+

Clinical Review Nurse - Prior Authorization
Remote-FL, United States

Centene Corporation

Utilization Medicare regulations Cost-effective care Service authorization Health management systems Medicaid regulations Health management Authorization requests Medical appropriateness +26

USD 52K+

Quality Improvement Coordinator I
Remote-WA, United States

Centene Corporation

Utilization Clinical quality improvement Healthcare quality Clinical Quality HEDIS Quality of care Healthcare Management Medical Records Performance Improvement +22

USD 95K+

Remote Child / Adolescent Medical Director - Florida
Remote-FL, United States

Centene Corporation

Utilization Claims review Clinical quality improvement Medical management programs Health care quality Provider network development Health financing Personnel management Accreditation Standards +39

Exec Senior Full Time

USD 231K+

Grievance & Appeals Coordinator I
Burr Ridge - 1333 Burr Ridge Pkwy, Ste 125 (10938), United States

Centene Corporation

Claims research Utilization Grievance Grievances Managed care experience HEDIS Appeals Medical management Health Services +14

Entry Mid Full Time

USD 64K+

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