Care Management Manager Remote Jobs

Transform healthcare management by telephonically assessing members' needs, creating actionable care plans, and fostering collaboration in a fast-paced, compliance-driven environment while ensuring op...

Join us to drive innovation and operational excellence in healthcare initiatives, collaborating across teams to identify needs and develop solutions, while simplifying complex data into actionable ins...

Develop and lead innovative product strategies leveraging AI and LLM insights. Collaborate cross-functionally to prioritize market needs and optimize solutions, guiding all phases from conception to l...

Champion healthcare project success by planning, executing, and overseeing diverse initiatives. Collaborate with multidisciplinary teams to ensure compliance, transparency, and timely delivery within...

Unlock potential by leading client analytics setups to create impactful reporting for health systems, enhancing revenue cycle efficiency through data processes, and driving implementation improvements...

Lead the charge in managing complex commercial casualty claims, providing strategic oversight and fostering a high-performing team. Drive improvement in claims outcomes, enhance customer experiences...

Lead the charge in delivering efficient utilization management services by leveraging clinical expertise to assess and coordinate appropriate healthcare options for members, while ensuring compliance...

Join as a Senior Quantitative Project Manager to oversee global market research projects, ensuring all objectives are met on time and within budget while liaising between clients and teams across diff...

Unlock innovative data science solutions by transforming healthcare challenges into impactful AI-driven models. Collaborate across teams to enhance risk adjustment strategies, fostering a data-driven...

Lead data operations by managing team performance and optimizing data pipelines while ensuring data integrity across platforms. Foster collaboration with engineering and analytics teams to meet strate...

Drive impactful healthcare cost analyses and develop innovative strategies. Collaborate with cross-functional teams to enhance performance of value-based contracts while leading a small team of analys...

Drive holistic care coordination for members, ensuring seamless transitions and support across health and social service systems, while collaborating closely with interdisciplinary teams to address di...

Empower your career as a Senior Medical Reviewer, leading medical reviews, utilization management, and providing guidance to team members in a supportive, remote environment focused on high-quality he...

Shape strategic partnerships and manage complex provider relationships to optimize revenue growth, negotiate high-impact contracts, and drive performance alignment, all while collaborating cross-funct...

Champion the clinical appeals process by researching, analyzing, and responding to member and provider appeals in compliance with regulations, ensuring excellence in patient care and service delivery...

Investigate and address clinical appeal requests with clinical expertise. Collaborate with stakeholders to evaluate disputes, uphold regulations, and communicate decisions effectively while maintainin...

Lead the charge in driving operational excellence within the Neurology Business Unit, ensuring data-driven decisions enhance client and patient services while supporting sustainable growth and complia...

Take ownership of multi-departmental collaboration to ensure optimal use of products, conduct training, gather feedback, and drive clinical excellence while managing strategic evidence plans to suppor...

Lead project teams in managing global clinical trials, ensuring compliance with protocols and deliverables, while supervising resources and maintaining communication with sponsors to achieve project m...

Join a team that's transforming project management for strategic growth. As a Strategic Project Manager, you'll streamline processes, drive cross-functional collaboration, and empower timely decision...

Lead the charge in operational oversight of HIMS coding data quality, guiding coder education activities to ensure compliance, accuracy, and continuous improvement in data management across acute care...

Transform account management by owning high-value client relationships, guiding strategies for growth, and optimizing customer health insights across segments. Engage collaboratively with cross-functi...

Analyze data to drive strategic decisions by executing analytics initiatives, developing reports, and collaborating with teams. Ideal for early-career analytics professionals eager to support operatio...

Join us to lead strategic operations for a dynamic team, driving efficiency and process improvements. You will oversee budgeting, staff development, and policy changes, ensuring alignment with broader...

Elevate provider relations by leading network management and developing strategic initiatives. Collaborate with key stakeholders to drive growth, enhance provider satisfaction, and ensure compliance w...