48 Healthcare Compliance Manager jobs

United States (Remote)

$83–132.8K / year

Job Summary: The Manager, Clinical Appeals is responsible for the oversight of all clinical appeals activities ensuring consistency of services and…

United States (Remote)

$56.2–101K / year

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high…

United States (Remote)

$56.2–101K / year

You could be the one who changes everything for our 28 million members.

Iowa, US (Hybrid)

$75.3–135.4K / year

Position Purpose: Supervises the care coordination team that serves long-term care members to promote quality and efficacy of care management delivery.

United States (Remote)

$56.2–101K / year

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high…

Michigan, US (Hybrid)

$56.2–101K / year

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high…

United States (Remote)

$56.2–101K / year

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to…

United States (Remote)

$83–132.8K / year

Job Summary: The Manager, Utilization Management is responsible for the oversight of all utilization management activities ensuring consistency of…

United States (Remote)

From $90K / year

As a registered nurse with an Illinois nursing license, you will work remotely to enhance the quality of member management, maximize both…

United States (Remote)

$56.2–101K / year

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high…

United States (Remote)

Overview The Manager, Utilization Review Nursing is responsible for the operational oversight and leadership of Sendero Health Plans’ Utilization…

United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to…

United States (Remote)

$100–130K / year

At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors.

United States (Remote)

Overview Ansible Government Solutions, LLC (Ansible) is currently recruiting multiple Remote Registered Nurse Case Managers to support the VA Office…

Delaware, US (Hybrid)

$72.7–116.6K / year

Company : Highmark Inc.

United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Performs care management duties to assess, plan and coordinate aspects of medical and supporting services across the continuum of…

Chicago, Illinois, US (Hybrid)

$23.00 – $39.00 / hour

Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.

United States (Remote)

$18.00 – $28.00 / hour

Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers…

United States (Remote)

Company Archimedes About Us Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions.

United States (Remote)

$71.1–97.8K / year

Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the…