61 Healthcare Quality Management jobs

United States (Remote)

JOB DESCRIPTION Job Summary Provides senior level clinical support to quality team - contributing to quality management programs, initiatives,…

United States (Remote)

About Sevaro Sevaro is redefining neurology care through cutting-edge technology, data, and AI-driven innovation.

Riverside, California, US (Hybrid)

Job Description Job Summary Provides support for clinical facility site reviews.

United States (Remote)

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

United States (Remote)

JOB DESCRIPTION Job Summary Work Location: California - Ability to work remote, but ideal candidate will reside in the state of California.

United States (Remote)

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

United States (Remote)

$56.2–101K / year

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

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)

$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)

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw…

Parsippany, New Jersey, US (Hybrid)

$87–114K / year

Posting Date 09/15/2026900 Lanidex Plz, Parsippany, New Jersey, 07054-2707, United States of America RN Case Manager Experienced (IKC) Job…

United States (Remote)

$62.7–97.2K / year

Company : Highmark Inc.

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)

$70–75K / year

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

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)

$140–170K / year

Job Description A bit about the role The Palliative Care NP Manager will provide expert clinical care for the Palliative Care Program and provide…

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)

$72–81K / year

Scope: The Case Manager manages an individual caseload using the case management process in order to meet the needs of the MedWatch, LLC customers and consumers.

United States (Remote)

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