Manager, Care Management Remote Jobs

Lead the charge in strategic pricing and analytics to optimize healthcare payer negotiations. Collaborate with cross-functional teams, manage complex models, and deliver actionable insights to drive d...

Tackle medical necessity reviews and authorizations, working collaboratively to enhance utilization management processes while ensuring quality care and adherence to regulatory standards across health...

Join a team that's transforming client relationships in healthcare by driving success and maximizing the value of our solutions. Leverage your expertise to foster partnerships, ensuring top-tier care...

Shape and elevate brand strategy by leading a creative team to ensure consistent brand expression and alignment with business goals across diverse channels and audiences. Drive brand initiatives and p...

Lead the charge in managing complex projects from initiation to completion, coordinating between stakeholders and external teams to ensure efficient and effective procurement for Pennsylvania DHS Heal...

Help us enforce Medicare Compliance by guiding regulatory strategies and ensuring effective implementation. Collaborate cross-functionally to track compliance issues, conduct audits, and support risk...

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...

Lead the charge in managed care contracting, negotiating and optimizing agreements while ensuring compliance. Collaborate with internal teams and payer representatives to enhance operational efficienc...

Join a team that's dedicated to cultivating strong, strategic relationships with high-value customers, driving product adoption, and ensuring successful outcomes to achieve growth and renewals...

Grow clinical leadership capacity and efficiency by partnering with local teams to enhance performance and service quality, ensuring best practices across the market for impactful healthcare delivery...

Lead the charge in developing and executing the enterprise-wide fraud program, ensuring compliance across diverse healthcare lines through advanced analytics and strategic oversight while managing a s...

Shape the future of data operations by leveraging AI to unify and analyze operational data, drive problem management practices, and enhance decision-making across technical teams, ultimately ensuring...

Transform the healthcare payment integrity landscape by leading product strategy and analytics for fraud detection solutions, ensuring impactful delivery and cross-team collaboration within a fast-pac...

Join a dynamic team driving Medicaid product innovation that enhances member experiences. Lead cross-functional collaboration, ensuring compliance and strategic planning while mentoring junior team me...

Drive quality management innovation by leading product strategy and development, ensuring effective workflows that enhance clinician performance and improve patient outcomes in healthcare settings acr...

Lead the charge in hospital billing operations by driving accuracy, compliance, and performance excellence. Manage teams and collaborate with stakeholders to optimize revenue cycle processes and foste...

Empower our team as a Senior Manager, leading risk analysis for privacy and security compliance. Drive operational readiness, support governance initiatives, and foster stakeholder relationships while...

Join a mission-driven team delivering care coordination and support for members' health needs. Leverage your nursing expertise in a rewarding, fully remote environment with a focus on improving health...

Advance your nursing career by delivering proactive case management remotely. Collaborate with team members to assess and coordinate care, improving health outcomes through effective communication and...

Shape strategic Revenue Cycle Management projects focusing on systems, automation, and operational efficiencies, ensuring regulatory compliance in policies and procedures while driving team growth thr...

Deliver exceptional client support as you manage operational alignment, performance insights, and issue resolution across assigned accounts, advocating for clients while collaborating with internal te...

Lead the charge in establishing revenue cycle operations and processes for new market expansion. Build a scalable RCM department and evolve into a leadership role overseeing billing specialists as the...

Join a team that's passionate about customer success and driving value. As a key partner, you will build relationships, guide priorities, and ensure the adoption of innovative solutions in the life sc...

Join a team that's dedicated to client success by managing all aspects of client relationships, ensuring satisfaction, and overseeing projects with precision. Utilize your skills to drive outcomes and...

Deliver impactful market coordination and sales execution support, collaborating with cross-practice teams and enterprise partners to drive growth and operational efficiency in a dynamic, matrixed env...