Care Management Manager Remote Jobs

Lead a team focused on optimizing systems operations and processes within Utilization Management and Clinical Operations, ensuring stability and efficiency of core applications in a dynamic healthcare...

Empower state hospitals with your clinical expertise. Define workflows, enhance EHR adoption, and drive transformation in complex, high-acuity environments while ensuring alignment with regulations an...

Lead a team of SIU Investigators to combat fraud, waste, and abuse in healthcare. Collaborate with regulatory agencies while enhancing compliance strategies and overseeing health plan policy updates...

Drive excellence in clinical services by ensuring safety readiness, coaching staff, and enhancing patient outcomes through audits and quality initiatives. Collaborate with leadership to address perfor...

Elevate value-based care initiatives by analyzing and scaling delivery of insights to enhance partner EHR workflows, substantially impacting transformation projects across analytics, operations, and i...

Lead complex healthcare technology implementations to enhance access, care coordination, and outcomes for movement-restricted populations, driving success through strong project management and collabo...

Drive compliance excellence by overseeing healthcare regulatory activities, managing governance policies, and collaborating cross-functionally to ensure adherence to regulations and operational readin...

Transform Medicaid risk adjustment through strategic leadership, analytics, and compliance. Lead a diverse team while innovating analytics methodologies and ensuring accuracy in reporting and risk sco...

Elevate client relationships as you drive growth and innovation in the U.S. Healthcare Payer sector. You will manage key accounts, ensuring quality delivery and strategic alignment to achieve measurab...

Transform your career by leading quality improvement initiatives and healthcare oversight for a diverse population. Drive engagement with healthcare providers to ensure high standards of care delivery...

Join a team that drives Medicaid program integrity through strategic leadership, compliance oversight, and data analytics while promoting operational excellence and financial stewardship in safeguardi...

Advance your career by driving strategic Medicare Advantage decisions, leveraging deep data insights to optimize product offerings and enhance operational workflows with innovative analytics and AI-dr...

Transform patient reimbursement experiences by managing education and support services for healthcare providers. Engage in relationship-building while navigating reimbursement challenges and collabora...

Reimagine healthcare payer operations by driving AI strategies and product vision across claims, member management, and benefit configuration, ensuring innovative capabilities deliver measurable value...

Optimize risk adjustment and Star Ratings processes by bridging technical and operational teams, enhancing data-driven decisions, and fostering cross-functional collaboration to align goals and improv...

Champion the delivery of high-quality medical care by providing clinical expertise and guidance on medical policies, claims, and appeals to enhance patient outcomes and organizational efficiency in a...

Advance healthcare revenue cycle management by implementing best practices, enhancing billing processes, and overseeing projects to drive efficiency and financial performance while leading and mentori...

Partner with us to enhance patient care at our advanced virtual care center, ensuring high-quality service through leadership, teamwork, and compliance with medical standards. Join us in creating exce...

Join a team that's dedicated to delivering exceptional patient-centered care in a dynamic virtual care center while enhancing operational efficiency and team collaboration to improve clinical outcomes...

Pioneer innovative care management as an Advanced Practice Provider specializing in chronic disease, collaborating with cross-functional teams to enhance patient outcomes through virtual visits and ce...

Unlock potential by leading innovative chronic disease management as an Advanced Practice Provider. Collaborate with a cross-functional team to deliver patient-centric care through digital and traditi...

Lead the charge in innovative chronic disease management as an Advanced Practice Provider, collaborating with a dynamic team to enhance patient care through digital platforms and personalized treatmen...

Lead the development of state arbitration processes by managing a team, optimizing workflows, and ensuring efficient dispute resolution operations across multiple states as we expand our initiatives i...

Oversee contract governance and vendor management frameworks while conducting risk-based audits and compliance assessments. Partner with stakeholders to evaluate operational risks and support audit re...

Transform healthcare reimbursement processes by building relationships and delivering patient support services. This role requires strategic interaction with providers and manufacturers while working...