Care Management Manager Remote Jobs

Unlock potential by managing complex relationships with multi-hospital systems, guiding clients through intricate reimbursement processes, and influencing strategies that drive partnerships and operat...

Pioneer innovative care management by assessing member needs, coordinating services, and ensuring optimal health outcomes through collaboration with families and providers. This role requires strong c...

Shape operational strategies and drive business performance by collaborating across departments to enhance service quality and efficiency, ensuring alignment with organizational goals through data-dri...

Pioneer strategic program management by mentoring teams, overseeing project execution, and driving excellence in client relations. Ensure operational efficiency while managing complex programs within...

Empower our Loss Mitigation team by leading complex operational strategies, ensuring compliance, optimizing processes, and enhancing borrower outcomes while driving quality performance and team develo...

Join a team that plans and manages complex care coordination cases to ensure timely patient access, effective treatment progression, and continuity of care while optimizing processes for better outcom...

Lead the charge in coordinating patient care by managing cases, ensuring seamless communication among patients, families, and providers, and resolving barriers to therapy. Focus on optimizing the pati...

Join a team that's shaping the future of internal audits! Lead operational and financial audits in a dynamic environment, focusing on risk assessment and fostering strong stakeholder relationships whi...

Transform healthcare delivery by ensuring quality, compliant care for PACE participants. Collaborate with interdisciplinary teams to optimize service utilization and enhance outcomes, leveraging clini...

Drive revenue enhancement and strategic transformation for healthcare clients. Navigate complex contract negotiations and implement managed care solutions, improving financial performance across multi...

Drive the strategic vision for anti-fraud initiatives by optimizing analytics and data resources. Lead a team to enhance fraud detection strategies while collaborating with stakeholders to improve pro...

Shape strategic cost recovery initiatives while collaborating with health plans and vendors to optimize performance and achieve financial targets. Drive process improvements and present actionable ins...

Analyze complex healthcare data to provide insights that enhance the Veterans Health Administration's Specialty Care Program. Collaborate across teams to drive operational improvements and deliver imp...

Pioneer innovative training programs for audit teams, driving excellence in quality and compliance through comprehensive learning interventions that enhance performance and utilize cutting-edge AI too...

Drive organizational success by leading transformative talent initiatives, enhancing leadership pipelines, and managing comprehensive development programs across the enterprise to facilitate workforce...

Drive operational excellence in behavioral health management, overseeing a dynamic team to enhance quality care and reduce costs for complex populations while fostering innovation and collaboration ac...

Lead the strategic oversight of GCP Quality Management Systems, ensuring compliance across global clinical operations, fostering continuous improvement, and managing a dynamic QA team. Drive quality i...

Explore the complexities of claim resolution as you evaluate coverage, assess exposures, and collaborate with diverse stakeholders to ensure compliant, timely outcomes that support member needs in a d...

Join a team that's focused on fostering client relationships and overseeing project delivery to ensure success and satisfaction. Collaborate across teams to manage scope, contracts, and financials whi...

Lead the charge in innovative product development to enhance user experience and profitability, driving AI technology integration and strategic decision-making across multiple business units to achiev...

Join us to lead and integrate Compliance and Privacy initiatives, ensuring strategic governance and operational effectiveness across business units while managing risks and fostering accountability in...

Join our senior management team to oversee medical policy, lead case reviews, develop guidelines, and enhance provider relations while ensuring adherence to regulatory standards and best practices in...

Join a team dedicated to transforming provider networks and healthcare delivery. As a Network Contract Manager, you will lead unit cost management, negotiate agreements, and optimize provider networks...

Unlock potential by providing clinical oversight in payment integrity programs, enhancing provider engagement and ensuring compliance with reimbursement policies for improved healthcare outcomes and o...

Elevate healthcare analytics by leading implementation and insights for value-based programs. Drive efficiency using AI and automated solutions while transforming complex data into actionable insights...