Manager, Care Management Remote Jobs

Join a team that's committed to ensuring quality credentialing for providers. Utilize your analytical skills and experience in a collaborative environment to streamline processes and enhance provider...

Join a team that's dedicated to optimizing medication therapy through innovative benefit designs and clinical programs, ensuring clients achieve excellent therapeutic outcomes and economic efficiency...

Empower client relationships, drive revenue growth, and enhance satisfaction while collaborating closely with teams to deliver exceptional service and execute strategic account plans effectively...

Manage and enhance integrated care programs for dual eligible and LTSS models. Drive operational improvements, collaborate with stakeholders, and support strategic initiatives for efficient delivery o...

Lead daily outreach and enrollment performance, ensuring team accountability while enhancing patient interaction quality and meeting ambitious metrics for growth in assigned markets. Manage, train, an...

Deliver comprehensive oversight of utilization management activities, ensuring consistency in service delivery, regulatory compliance, and optimal member outcomes through effective team leadership and...

Drive effective change on complex projects by applying change management principles and collaborating with key stakeholders to enhance adoption and accountability, navigating ambiguity and competing p...

Manage and enhance nursing care delivery in a home health setting, ensuring compliance, clinical excellence, and operational efficiency while leading and supporting clinical staff to improve patient o...

Unlock potential by managing effective utilization of medical services through expert clinical reviews, collaboration with healthcare professionals, and ensuring compliance with regulatory guidelines...

Join a team that drives strategic initiatives within the Veterans Health Administration. As a Project Manager, you'll thrive in a collaborative environment ensuring compliance with VA standards while...

Architect high-impact specialty care programs, ensuring successful execution and alignment with VHA priorities. Drive strategic planning and effective stakeholder engagement to support and enhance hea...

Grow your career with a dynamic role driving medical management programs, optimizing utilization processes, and ensuring compliance while leading data-driven strategies to improve outcomes across dive...

Champion the Utilization Management program by leading a team to ensure high-quality service and adherence to clinical guidelines. Collaborate across functions to drive performance, facilitate continu...

Partner with us to lead the Grievance & Appeals department, ensuring compliance and efficient processing of member and provider appeals while managing a team and collaborating with external stakeholde...

Drive strategic product management and governance for advanced eSource platforms, ensuring compliance and enhancing decentralized and hybrid trials. Collaborate cross-functionally to shape product vis...

Champion impactful partnerships by driving engagement and success with health system/provider networks. Utilize clinical research knowledge to foster collaboration among cross-functional teams and enh...

Drive employee development by designing and implementing scalable learning programs that enhance leadership capability and business performance. Collaborate globally to create engaging, AI-enabled lea...

Shape the future of product development by driving growth and profitability, leading cross-functional teams, conducting market research, and executing go-to-market strategies to align with the company...

Engage with us to transform patient care by utilizing your RN expertise in a non-clinical setting. You will review authorization requests, coordinate care, and collaborate with health professionals to...

Join a dynamic team to drive client success in revenue cycle management, ensuring service excellence and strategic growth. Collaborate with leadership to enhance client metrics and foster long-term, i...

Drive quality improvement initiatives across a vast network of crisis centers, ensuring optimal performance and compliance. Lead a dynamic team, collaborate with stakeholders, and enhance impactful se...

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...

Elevate initiatives by managing key projects and leading teams to enhance healthcare access and performance. Drive strategic growth through collaboration, risk assessment, and effective communication...

Champion client success by ensuring seamless technology delivery, driving engagement in implementation, and enabling optimal product adoption. Leverage your technical expertise and leadership skills t...

Join a collaborative team and lead initiatives in Utilization Management, ensuring quality medical service delivery while mentoring staff and enhancing efficiency within a fast-growing health plan org...