The specialist manages prior authorization requests and appeals with insurance carriers to ensure patients receive necessary medications. They also collaborate with healthcare providers and maintain accurate documentation while ensuring HIPAA compliance.
Remote Healthcare Jobs (12,430)
Job category = Healthcare
The specialist manages prior authorization requests and appeals with insurance carriers to ensure patients receive necessary medications. They also collaborate with healthcare professionals and maintain accurate documentation while ensuring HIPAA compliance.
The Pharmacy Prior Authorization Specialist manages prior authorization requests and appeals with insurance carriers to ensure patients receive necessary medications. They also collaborate with healthcare professionals and maintain accurate documentation while ensuring HIPAA compliance.
The Pharmacy Technician will manage high-volume prescription data entry, perform claim adjudication, and provide exceptional customer service via phone. They act as a liaison between patients, doctors, and pharmacists to ensure accurate medication onboarding and ongoing care.
The Director of Healthcare Markets will define and execute the company's healthcare market strategy to drive growth and establish leadership. They will partner with sales and product teams to build influence across healthcare procurement channels and align the product portfolio with industry requirements.
New remote healthcare jobs delivered to your inbox
We'll notify you when new positions matching this search are posted
The Market Physician Executive leads in-home multi-specialty care models, overseeing clinical operations, patient treatment plans, and quality improvement initiatives. They are responsible for driving population health strategies, managing clinical teams, and ensuring adherence to evidence-based clinical pathways to improve patient outcomes.
The Case Manager gathers clinical information to certify medical necessity and determine appropriate lengths of stay for patient admissions. They also communicate with stakeholders, document work accurately, and promote utilization review services.
Nurse Practitioner (PRN) - In-Home Health Assessments
Matrix Medical Network
·
Full Time
·
7 Weeks Ago
Matrix Medical Network
Providers conduct comprehensive in-home health assessments for older adults and at-risk individuals to identify chronic conditions and close care gaps. They collaborate with primary care physicians, family members, and social workers to ensure coordinated care and clear documentation.
Copy of Care Navigator (Remote LPN) - Illinois License Required
HealthSnap
·
Full Time
·
7 Weeks Ago
HealthSnap
The Care Navigator will support patients in chronic care management and remote patient monitoring programs by providing education and monitoring health data. They will maintain accurate patient records and collaborate with care teams to improve patient adherence and health outcomes.
The incumbent manages a panel of members by assessing health needs, developing care plans, and coordinating clinical interventions to improve health outcomes. They also monitor quality metrics and ensure all activities comply with regulatory standards and accreditation requirements.
Case Manager - Student Advocacy & Accountability
Louisiana State University
·
Full Time
·
7 Weeks Ago
Louisiana State University
The Case Manager adjudicates academic and behavioral student conduct cases while advancing integrity education and prevention efforts. They also contribute to departmental assessment, reporting initiatives, and provide support for graduate assistants and practicum students.
Breast Radiologist- Hybrid RP Helios
Radiology Partners
·
Full Time
·
7 Weeks Ago
Radiology Partners
The radiologist will perform screening and diagnostic breast imaging while supporting a high-quality, efficient breast imaging program. The role requires working independently in a remote environment to deliver exceptional patient care.
Medical Director for Health Plan (Full-time or Part-time)
Evry Health
·
Full Time
·
7 Weeks Ago
Evry Health
The Medical Director will lead utilization management strategy and medical policy development to ensure the delivery of cost-effective, high-quality healthcare services. They will also collaborate with cross-functional teams to identify care trends, improve clinical quality, and evaluate new patient engagement technologies.
Provide expert mental health therapy services to clients through an online platform. Manage clinical decisions and maintain a caseload while the platform handles administrative and insurance tasks.
Licensed Independent Clinical Social Worker - Remote
BetterHelp
·
Full Time
·
7 Weeks Ago
BetterHelp
Provide high-quality mental health therapy to adults, couples, or teens through an online platform. Manage clinical caseloads independently while focusing on client care without administrative overhead.
Provide expert mental health therapy to adults, couples, or teens through an online platform. Manage clinical decisions independently while maintaining a professional environment for sessions.
Licensed Independent Clinical Social Worker - Remote
BetterHelp
·
Full Time
·
7 Weeks Ago
BetterHelp
Provide high-quality mental health therapy to adults, couples, or teens within a private practice model. Manage clinical caseloads independently while maintaining professional standards and documentation.
New remote healthcare jobs delivered to your inbox
We'll notify you when new positions matching this search are posted
The Virtualist clinician conducts virtual psychiatric evaluations, consultations, and panel management to improve access to behavioral health services. They also manage electronic consults and in-basket tasks to ensure seamless continuity of care for patients across the region.
Senior Medical Science Liaison (Northeast/U.S. Oncology)
Tango Therapeutics
·
Full Time
·
7 Weeks Ago
Tango Therapeutics
The Senior MSL will conduct high-quality scientific exchange with key opinion leaders and provide critical support for clinical trial execution and site engagement. They will also synthesize field insights to inform medical strategy, clinical development, and commercialization readiness.
Senior Clinical Trial Manager
Angitia Incorporated Limited
·
Full Time
·
7 Weeks Ago
Angitia Incorporated Limited
The Senior Clinical Trial Manager leads cross-functional study teams and manages vendors to ensure clinical trials are executed efficiently, on time, and within budget. They are responsible for overseeing study deliverables, ensuring compliance with regulatory guidelines, and managing clinical trial data quality.
The Licensed Social Worker will manage complex cases for TRICARE beneficiaries by assessing, planning, and coordinating healthcare services to ensure high-quality outcomes. They will conduct telephonic outreach, perform medical necessity reviews, and collaborate with healthcare providers to implement effective care plans.
Consultant – Clinical Performance Improvement (Emergency Department) – Healthcare
BRG
·
Full Time
·
7 Weeks Ago
BRG
The consultant is responsible for analyzing organizational performance against industry standards and leading benchmarking studies to provide actionable recommendations. They will also develop project plans and collaborate with cross-functional teams to implement performance improvement initiatives in emergency department settings.
Managing Consultant – Clinical Performance Improvement (Emergency Department) – Healthcare
BRG
·
Full Time
·
7 Weeks Ago
BRG
The Managing Consultant leads complex clinical performance improvement projects, overseeing project teams and ensuring high-quality deliverables. They are responsible for driving client value through advanced analytics, strategic recommendations, and managing client relationships.
Specialty Practice Pharmacy Analyst
The Ohio State University
·
Full Time
·
7 Weeks Ago
The Ohio State University
The Medication Access Pharmacist collaborates with clinical teams to ensure accurate clinical information for prior authorization requests and insurance approvals. The role also involves direct patient communication, addressing insurance barriers, and leading process improvement initiatives within the pharmacy department.
Manager Actuarial Services, Geisinger Health Plan (Eastern United States resident)
Geisinger
·
Full Time
·
7 Weeks Ago
Geisinger
The manager oversees daily operations of the Actuarial Services Department, including product pricing, financial forecasting, and trend analysis. They also provide leadership in strategic initiatives, regulatory reform impact modeling, and data management oversight.
Occupational Therapist - Havertown, PA
FOX Rehabilitation
·
Full Time
·
7 Weeks Ago
FOX Rehabilitation
Provide one-on-one occupational therapy to older adults in their homes or senior living communities using evidence-based treatment plans. Collaborate with an interdisciplinary team and utilize telehealth tools to support patient mobility, independence, and functional wellness.
New remote healthcare jobs delivered to your inbox
We'll notify you when new positions matching this search are posted
Bilingual Pediatric Registered Nurse
Imagine Pediatrics
·
Full Time
·
7 Weeks Ago
Imagine Pediatrics
The Pediatric Registered Nurse serves as the primary point of contact for families, providing proactive clinical triage and care coordination through virtual touchpoints. They work within an interdisciplinary team to develop and implement comprehensive care plans that address the clinical, psychosocial, and discharge needs of children with complex health conditions.
The Psychiatric Nurse Practitioner provides direct patient care for substance use and psychiatric disorders through both in-person and telemedicine platforms. They work collaboratively with the treatment team to ensure high-quality, compliant medical services and participate in continuous quality improvement initiatives.
The therapist will provide professional counseling and therapeutic services to individuals, families, and groups while addressing mental health and substance use disorders. Responsibilities include conducting assessments, developing individualized treatment plans, and collaborating with interdisciplinary teams to ensure continuity of care.
The Clinical Research Associate is responsible for conducting site visits, ensuring protocol compliance, and maintaining data integrity throughout clinical trials. They also collaborate with investigators and site staff to facilitate study conduct and prepare essential study documentation.
Automatically Apply to the Best Remote Jobs
Stop the endless job search. Our AI finds and applies to the best jobs for you.
Healthcare Jobs by Country
Remote Healthcare Jobs in United States
10361
Remote Healthcare Jobs in Canada
484
Remote Healthcare Jobs in United Kingdom
250
Remote Healthcare Jobs in Mexico
118
Remote Healthcare Jobs in Germany
118
Remote Healthcare Jobs in India
115
Remote Healthcare Jobs in Australia
105
Remote Healthcare Jobs in Spain
82
Remote Healthcare Jobs in Philippines
66
Remote Healthcare Jobs in France
65
Remote Healthcare Jobs in China
59
Remote Healthcare Jobs in Poland
57
Remote Healthcare Jobs in Brazil
55
Remote Healthcare Jobs in Colombia
52
Remote Healthcare Jobs in Argentina
52
Remote Healthcare Jobs in Italy
50
Remote Healthcare Jobs in Georgia
49
Remote Healthcare Jobs in Netherlands
48
Remote Healthcare Jobs in Belgium
28
Remote Healthcare Jobs in Switzerland
27
Remote Healthcare Jobs in Trinidad and Tobago
27
Remote Healthcare Jobs in Oman
26
