52 Healthcare Compliance jobs in Virginia, United States

United States (Remote)

$82–87K / year

The Clinical Compliance Auditor II is responsible for ensuring Guidehealth’s clinical operations, utilization management activities, and delegated…

United States (Remote)

Texas RN License Required | 100% Remote | Full-Time | U.S.

United States (Remote)

$34.00 – $61.00 / hour

Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.

United States (Remote)

$35.00 – $41.00 / hour

Location: Remote (U.S.-based) Commitment: 20 hours/week minimum, up to 40 hours/week Type: 1099 independent contractor About MiraMace MiraMace is a…

United States (Remote)

$25.00 – $30.00 / hour

Available Shift Hours: Weekday Coverage availability (Mon-Fri) Time: 4:00-11:00pm EST Overnight Shifts availability: Saturday & Monday Time:…

United States (Remote)

At PicnicCare, we are transforming healthcare by bridging the gap between patient needs and clinical services through our unique integration with PicnicHealth.

United States (Remote)

We are seeking experienced US registered nurses to review and assess AI-generated responses from a health coaching agent, with a focus on safety,…

United States (Remote)

Welcome! We’re excited you’re considering an opportunity with us!

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)

$70–75K / year

The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state…

United States (Remote)

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

United States (Remote)

$75.3–135.4K / year

Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members.

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)

$21.00 – $28.00 / hour

CareHarmony’s Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients.

United States (Remote)

$20.00 – $21.00 / hour

Licensed Practical Nurse (LPN) – Inbound Care Management Job Type: Full-Time Location: Remote Schedule: Monday–Friday | Within 8:00 AM–9:00 PM EST…

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…

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)

$21.00 – $28.00 / hour

CareHarmony’s Care Coordinators (LPN) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients.

United States (Remote)

$35.00 – $40.00 / hour

Job Summary At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare.

United States (Remote)

$71.1–97.8K / year

Become a part of our caring community Shift/Availability details: This is a full time position scheduled for 40 hours a week over 4 days for 10 hour shifts.