Manager, Care Management Remote Jobs

Drive strategic initiatives in fraud, waste, and abuse management while ensuring compliance with state and federal regulations. Lead investigations, develop educational resources, and maintain the int...

Deliver strategic leadership to enhance quality of care for UPMC Health Plan members. Oversee physician collaboration and adherence to health standards while driving comprehensive solutions for utiliz...

Drive exceptional service delivery by leading a skilled team of Implementation Consultants, ensuring successful deployment and adoption of connected operations solutions for enterprise clients while p...

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...

Drive strategic leadership for Medicaid utilization and care management. Lead development and execution of initiatives aimed at enhancing quality, access, and cost management while collaborating with...

Champion compliance and integrity in healthcare by leading fraud, waste, and abuse investigations. Drive strategic development of fraud plans alongside state and federal regulations, ensuring proper e...

Lead operational excellence in healthcare by managing workflows and strategic initiatives that enhance value-based care and team performance while influencing outcomes through effective coaching...

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...

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

Innovate your career by leading extensive Prior Authorization governance strategy across diverse populations. Drive enterprise decision-making and improve operational efficiency through strategic coll...

Lead utilization management efforts by reviewing complex Home Health authorization requests, ensuring evidence-based decision-making, and collaborating with interdisciplinary teams to optimize patient...

Advance your career by leading managed care strategies, negotiating contracts, and optimizing revenue streams in a dynamic healthcare environment. Collaborate with diverse teams to enhance operational...

Transform healthcare by providing member-centered case management, supporting individuals with complex needs, coordinating services and resources. Your expertise will help navigate healthcare complexi...

Transform disability management by leading high-performing teams to enhance recovery outcomes and customer experiences. Drive strategic initiatives and partnerships ensuring operational excellence acr...

Advance organizational effectiveness by overseeing strategic planning and implementation of managed care programs. Drive negotiation and analysis of contracts, ensuring compliance, growth, and marketi...

Drive impactful customer success within our Scaled team by leading, coaching, and inspiring members to optimize client engagement and satisfaction, ensuring measurable value and improving operational...

Inspire and lead a talented software development team, ensuring seamless integrations and timely delivery of high-quality solutions that meet business needs and drive innovation across various departm...

Lead the charge in claims operations by overseeing a team of examiners to ensure timely resolution of complex claims, drive process improvements, and maintain compliance, positively impacting client s...

Elevate care coordination for specialty populations by assessing needs, implementing interventions, and collaborating with healthcare teams to ensure effective resource utilization and member support...

Shape the future of healthcare by leading value analysis initiatives, optimizing clinical product utilization, and collaborating across teams to enhance patient outcomes and operational efficiency whi...

Drive excellence in vendor management by developing strategic partnerships, optimizing performance, and ensuring compliance. Lead operational oversight, foster relationships, and mitigate risks for su...

Drive integration excellence as a key leader, enhancing customer success through high-quality, scalable software solutions while managing a team of experts and fostering collaboration, innovation, and...

Join a team that's redefining care management. You'll provide comprehensive support and interventions for members and families, enhancing quality of care and health outcomes while collaborating with h...

Lead workforce planning and operations for a 24/7 multi-channel contact center, ensuring effective staffing and service levels while optimizing systems in a dynamic remote environment. Foster collabor...

Drive transformative strategies for enterprise risk adjustment, overseeing operations to achieve financial and operational goals while fostering collaboration across teams and providers for sustainabl...