Care Management Manager Remote Jobs

Drive high-impact improvements in AI-driven insurance evaluation by leveraging deep expertise in underwriting and risk management. Collaborate with engineering teams to define tasks, evaluate outputs...

Lead the charge in medical coding oversight, training teams, and ensuring compliance. Utilize your expertise to communicate effectively with staff and clients while fostering quality and timely coding...

Transform legacy data management by leading archiving projects, aligning stakeholders, and ensuring compliance with regulatory standards while retiring outdated applications for enhanced organizationa...

Join a team that's shaping the future of healthcare through innovative claims review. Lead quality assurance for medical services, engage with providers, and influence policy development, while enjoyi...

Manage complex clinical trials from initiation to completion, ensuring project success through effective coordination, communication, and teamwork across diverse functional areas and stakeholders. Dri...

Elevate your career by utilizing your clinical nursing expertise to manage healthcare services, ensuring appropriate treatment and care through effective communication and collaboration within diverse...

Empower healthcare initiatives by leading clinical reviews and adjudication for appeals and grievances in a dynamic remote work environment, influencing quality and performance across a wide array of...

Shape the future of workforce efficiency by optimizing scheduling that balances customer demand, staffing needs, and employee preferences. Collaborate with cross-functional teams to enhance service pe...

Lead cross-functional teams to identify and develop competitive Medicare Advantage products, managing the entire product lifecycle from inception to launch. Drive strategic market initiatives and ensu...

Lead the charge in optimizing RCM operations by overseeing global partner teams, managing complex escalations, and ensuring high-quality performance through effective training, clear procedures, and c...

Join a team that's driving strategic marketing initiatives within a regulated pharmaceutical environment. Lead diverse projects, ensuring timely delivery, and collaborate with cross-functional teams t...

Transform your career by leading a skilled medical writing team to generate high-quality scientific documents. Drive processes and delivery for clinical trials while collaborating cross-functionally t...

Elevate the clinical adjudication process by leading cross-functional teams to ensure timely, high-quality project delivery while optimizing workflows and achieving strategic milestones in the pharmac...

Join a team that's driving project success in healthcare by leading clinical adjudication initiatives, enhancing workflows, and collaborating across departments to ensure quality and efficiency in pro...

Join a team that's transforming healthcare by negotiating network participation agreements, managing relationships with payers, and ensuring compliance. Leverage your experience to lead contract lifec...

Transform client relationships through expert pharmacy consultation, driving proactive clinical solutions and trends management to enhance satisfaction and delivery of clinical services. Collaborate a...

Shape the future of Medicaid compliance by overseeing program management, enhancing regulatory practices, and ensuring ethical standards within a dynamic health plan environment while collaborating wi...

Manage customer outcomes from onboarding through to renewal, driving success via strategic engagement and value realization. Be the go-to advisor ensuring alignment with business goals and optimizing...

Champion the proposal process by managing multiple RFPs from intake to submission. Collaborate across teams to enhance workflows, ensure compliance, and utilize automation for efficiency while support...

Drive your career with impactful leadership in compliance strategy for D-SNP programs. Engage with regulatory agencies, lead audits and training, and contribute to policy development in a dynamic and...

Execute mid-complexity claims management throughout the lifecycle. Review reports, assess compensability, establish reserves, and ensure compliance while delivering exceptional service and timely reso...

Transform claims management by overseeing mid-complexity workers' comp and liability claims through their lifecycle, ensuring compliance and fostering collaboration for timely resolutions and exceptio...

Shape the future of drug development by leading predictive modeling efforts, analyzing high-dimensional clinical data, and collaborating with cross-functional teams to enhance internal capabilities an...

Lead the charge in developing and implementing innovative training programs that enhance performance, drive career development, and optimize organizational effectiveness across the business unit...

Drive impactful medical communications projects, overseeing all phases from planning to execution. Collaborate with multidisciplinary teams to meet client expectations, manage budgets, and maintain st...