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Utilization management Remote Jobs

15 fresh jobs found
Psychiatrist - PRN (Remote U.S.) - Bismarck, ND, United States
CNSI logo CNSI
Medical Information Analysis Utilization Review Psychiatry Utilization management Clinical expertise Regulatory Compliance Strategic planning
Senior Mid Full Time
USD 250K+
Preview Details Apply
Clinical Reviewer - BCBA-D - Part-Time (Remote U.S.) - United States - Remote
Acentra Health logo Acentra Health
Applied Behavioral Analysis (ABA) Pediatric Behavioral Therapy Clinical Experience Utilization Review Prior authorization Utilization management Decision making Clinical expertise Critical thinking +2
Senior Mid Part Time
USD 144K+
Preview Details Apply
Utilization Management Strategy Analyst - Remote US
Humana logo Humana
Healthcare Management Data-driven strategies Network management Network Population health SAFe Data interpretation Efficiency Clinical operations +31
Mid Full Time
USD 84K+
Preview Details Apply
Psychiatrist - PRN (Remote U.S.) - United States - Remote
Acentra Health logo Acentra Health
Medical management Utilization Review Utilization management Nursing Clinical expertise Case Management Mental Health Education Quality Assurance +6
Senior Full Time
USD 250K+
Preview Details Apply
Clinical Reviewer - Board Certified Behavior Analyst (BCBA) - United States - Remote
Acentra Health logo Acentra Health
Pediatric Behavioral Therapy Clinical Experience Utilization Review Clinical assessment Utilization management Clinical expertise Decision making Medical terminology Critical thinking +4
Mid Full Time
USD 60K+
Preview Details Apply
Intensive Care Manager (Remote within Virginia) - Richmond, Virginia, United States - Remote
Acentra Health logo Acentra Health
DSM-5-TR Utilization management Quality improvement Clinical expertise Data Collection Mental Health Documentation Problem-solving Communication
Mid Full Time
USD 72K+
Preview Details Apply
Practice Manager - United States - Remote
Vynca logo Vynca
HIPAA Regulations Utilization management Google Suite Salesforce Collaboration Data analysis Communication
Mid Full Time
USD 100K+
Preview Details Apply
Utilization Management Strategy Lead - Remote US
Humana logo Humana
Strategic mindset Data-driven strategies Efficiency SAFe Prior authorization Utilization management Economics Clinical services Public health +24
Senior Full Time
USD 112K+
Preview Details Apply
Medical Director - North Central Region - Medicaid - Remote US
Humana logo Humana
Health claims review Coding practices Medical background Population health management Clinical Standards Medical interpretation Discharge planning Rehabilitation National Guidelines +35
Exec Senior Full Time
USD 199K+
Preview Details Apply
Clinical Supervisor - RN (Remote within Indiana preferred) - Indianapolis, IN, United States
CNSI logo CNSI
Healthcare administration InterQual criteria Milliman Care Guidelines Utilization management Utilization Review Clinical expertise
Senior Mid Full Time
USD 80K+
Preview Details Apply
Program Director - RN (Remote within Illinois) - Illinois, United States - Remote
Acentra Health logo Acentra Health
Utilization management Clinical expertise Contract management Budgeting Customer Relationship Management Strategic planning Problem-solving Training Compliance +1
Exec Senior Full Time
USD 115K+
Preview Details Apply
Clinical Pharmacist Supervisor - Remote
Oscar logo Oscar
Clinical Criteria Clinical Review Utilization management Technology Operations Compliance Project Management Communication
Mid Full Time
USD 131K+
Preview Details Apply
Clinical Operations Manager - Registered Nurse (RN) (Remote U.S.) - United States - Remote
Acentra Health logo Acentra Health
Performance Improvement Regulatory standards Clinical Review Clinical knowledge Utilization management Clinical expertise Clinical services Clinical operations Nursing +7
Senior Mid Full Time
USD 100K+
Preview Details Apply
Intensive Care Manager (Remote within Virginia) - Virginia, United States - Remote
Acentra Health logo Acentra Health
Interdisciplinary Team Collaboration Clinical Documentation Review Utilization management Clinical expertise Mental Health Documentation Problem-solving Communication
Mid Full Time
USD 72K+
Preview Details Apply
Behavioral Health Medical Director - N. Central Medicaid - Remote US
Humana logo Humana
Social Determinants of Health Psychiatry National Guidelines Utilization management Quality Management Care management Wellness Health Insurance Population health +17
Exec Senior Full Time
USD 219K+
Preview Details Apply
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