Remote Clinical Program Manager - Utilization & Outcomes
Texas Health Institute
- Remote job
UnitedHealth Group is seeking a senior leader to oversee the Utilization Management program for higher levels of care in behavioral health. The role includes clinical supervision, staff development, and change management across the UM team. You will develop policies, support audit readiness, and drive performance, with a focus on patient outcomes and regulatory compliance. Remote work from anywhere in the U.S. is supported. #J-18808-Ljbffr Texas Health Institute
- ...the direction of the Program Director,... ...bodies. Coordinates and manages data collection, and... ...protocols, related to outcomes to internal and... ...organization of qualitative clinical, financial,... ...WFLA Eligible for Remote Work On Site Job Quality/Utilization Management Organization...Remote workFull timeWork experience placementMonday to FridayShift work
$87.7k - $157.8k
...28 million members as a clinical professional on our Medical Management/Health Services team. Centene... ...on quality improvement, utilization management, or clinical... ...data to drive outcomes. Experience making presentations... ...approach to work with remote, hybrid, field or office...Remote workWork at officeFlexible hours- Clinical Program Manager, Specialty Population Health Join to apply for the Clinical... ...serve members, and deliver outcomes to our health plan partners... ...Hours... This is a 100% remote position that must be... ...physicians (s), and other providers utilizing clinical knowledge and...Remote workFull timeContract workFor contractorsWork at officeLocal areaMonday to Friday
$135.58k - $228.8k
...Clinical Program Manager In Specialty Pharmacy We're building a world of health... .... This position is 100% remote and can be located anywhere... ...patient care and clinical outcomes. You will collaborate with... ...and actionable insights Utilize market intelligence,...Remote workHourly payFull timeTemporary work- ...Maximus is seeking a Program Manager to provide strategic and operational leadership for the Ohio PASRR Program. This remote, nationwide role oversees contract compliance, performance... ...service delivery and successful outcomes. You will supervise program staff, coordinate...Remote workContract work
- ...Maximus is seeking a Program Manager to provide strategic and operational leadership for the... ...service delivery and successful contract outcomes. The Program Manager provides leadership... ...Requirement This position is fully remote within the United States. Occasional...Remote workContract workTemporary work
- ...Medical Affairs Program ManagerAt Medtronic... ...Medical Affairs Program Manager will lead the... ...establishing the clinical and economic value... ...reducing disparities in outcomes, expanding access,... ..., will consider remote. Ability to travel... ...organizations.Utilizes advanced subject matter...Remote work
$275k - $325k
...9 million patients, including clinical trials, transfusions, and other... ...oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada... ...policies to optimize patient outcomes. Key Responsibilities: Conduct...Remote workWork from home- Maximus is seeking a Program Manager to provide strategic and operational leadership for the Ohio PASRR Program. This role oversees program... ...continuous process improvements to ensure high-quality service delivery and successful contract outcomes. #J-18808-Ljbffr MaximusRemote jobContract work
- Maximus seeks a Program Manager to provide strategic and operational leadership for the Ohio PASRR Program, overseeing operations, ensuring... ...continuous process improvements to ensure high-quality service delivery and successful contract outcomes. #J-18808-Ljbffr MaximusRemote jobContract work
- ...Description 1st Choice is in search of a dynamic and passionate Remote Clinical Program Manager holding a LCSW to spearhead an assessment program... ...a track record of successful program implementation and outcomes. \nCompany Description 1st Choice is a professional...Remote workFull timeContract workWork from homeMonday to FridayFlexible hours
- ...resources to support better outcomes. Our Patient Advocates... ...to be the first clinical hire at a growing care navigation program. You won't just build the... ...in care navigation, case management, care coordination, or a... ...) Retirement Plan 100% Remote Generous paid time off...Remote workTemporary work
$80k - $87k
...exceptional mental health outcomes?Community Reach... ...matching Wellness Program Health Insurance... ...Role: The Program Manager, Outpatient... ...the operation of clinical program(s) using evidence... ...and care utilizing evidence-based practice... ...Planner (FULL TIME REMOTE) Denver, CO $160,0...Remote workFull timeTemporary workWork at officeLocal areaMonday to FridayShift work$300 per month
...Student Loan Assistance Program, where eligible... ...AND FETAL HEALTH PROGRAM MANAGER 3 Job Location: Address... ...strategies to improve health outcomes in rural and Tribal... ...identified goals whether in a remote or in‑office... ...program performance. Utilize data to inform action....Remote workTemporary workFor contractorsWork at officeLocal areaFlexible hours$70k
...Community Health Program Manager Brave Space Alliance... ...prevention education, and clinical compliance within BSA... ...Data-driven and outcome-oriented Culturally... .... Monitor service utilization, testing trends, and... ...site in Hyde Park with one remote day per week)...Remote workLocal area1 day per week$248.5k - $373k
...Area: Medical & Clinical OperationsCompany... ...directly improve health outcomes by connecting... ...will provide utilization review determinations... ...case and disease management teams to achieve... ...to work remotely * from anywhere within... ...and recognition programs, equity stock purchase...Remote workMinimum wageWork experience placementLocal area$50k
...Case Manager / Patient Advocate (Non-Clinical) Valeris is a fully integrated... ...qualifications for assistance programs and assisting... ...benefit coverage outcome and if needed,... ...business requirements Utilize Valeris' values as... ...are a plus. Remote work eligibility is...Remote workTemporary workWork at officeImmediate startWork from homeMonday to FridayShift work$280.84k - $393.18k
...Director Policy & Outcomes (Sr. Medical... ...Medical Policies and clinical leadership around... ...including quality management, grievance and... ...incorporate IEHP’s Quality Program goals including,... ...connections to utilization management,... ...schedule. (Mon & Fri - remote, Tues - Thurs...Remote workTemporary workLocal area- (Remote | Pacific Time Zone Preferred | Some Travel... ...focuses on improving clinical and operational... ...’re seeking a Senior Program Manager, HIT Programs , to serve... ...delivery and health outcomes. You will play a critical... ...EHR adoption and utilization. The Ideal Candidate...Remote workFlexible hours
$70k - $90k
...has an opportunity for Program Implementation Manager, Clinical Studies. This position can... ...experience and study outcomes. Assess each site's clinical... ...and training materials, utilizing collected insights; this... ...with Disabilities #LI-Remote Join our Talent Community...Remote workFull timeWork at officeLocal areaWork from homeNight shift$240.12k - $315.16k
...Medical Director to join our Utilization Management Team. Oscar is the first... ...pharmacy services by reviewing clinical information and applying... ...Director.Work Location: This is a remote position, open to... ...information and to explain review outcome decisions, including...Remote workFull timeImmediate startWork from homeHome office- ...overseeing and performing utilization reviews, prior... ...serve as a key clinical expert, ensuring... ...discussions. This is a remote position requiring... ...utilization management processes and improve member outcomes.Contribute to the... ...navigationChronic condition programs (diabetes, weight,...Remote workFull time
$386.5k
...yearJob Area: Medical & Clinical OperationsCompany:... ...Director Clinical Program Governance,... ...Evidence Group and manage the CPR team of 5-... ...flexibility to work remotely * from anywhere... ...medical policies, utilization management processes... ...improves health outcomes - an enterprise priority...Remote workMinimum wageFull timeWork experience placementLocal area$248.5k - $373k
...0Job Area: Medical & Clinical OperationsCompany: UnitedHealth... ...improve health outcomes by connecting people... ...for the Oncogenetic Program provides clinical... ...leadership and oversight for utilization management related to advanced... ...flexibility to work remotely * from anywhere...Remote workMinimum wageWork experience placementLocal area- ...Test Regionalization program, a key strategic initiative... .... The Senior Program Manager will drive the end-to-... ...is a Remote opportunity however the... ...operations, or a related field.Clinical laboratory or Health system... ...to senior leadership, utilizing detailed Cost of...Remote workFull timeTemporary workPart timeWork experience placementFlexible hours
$130k - $160k
...Program Manager (Utility Operations) Location: San Francisco Bay Area (U.S.) Primarily remote with occasional travel for stakeholder meetings, Hybrid cadence for key workshops and program milestones. Employment Type: Full-Time, Exempt About Celerity: Celerity is...Remote workFull timeFlexible hours$220k - $245k
...of Health Economics & Outcomes Research (HEOR), you will... ...translates WHOOP’s clinical performance into measurable... ..., productivity gains, utilization reduction, or risk... ..., or decentralized/remote health technologies preferred... ...Medical Device (SaMD) programs or regulated product...Remote workFull timeWork at officeRelocation- Comagine Health is seeking a Clinical Manager, Care Management to provide operational leadership... ...to a team of professionals involved in utilization management. This role encompasses... ...leadership skills. The position offers a fully remote environment with comprehensive benefits...Remote job
$90k - $120k
...insurance ~401(k) matching ~ Dental insurance Position Summary We are seeking a Clinical Research Program Manager to help develop and support the clinical outcome research program in mental health and substance use at Pacific Neuropsychiatric Specialist (PNS...Work at office$286.07k - $353.38k
...Health Plan provides senior clinical leadership across the... ...clinical performance, and member outcomes. This role requires strong... ...clinical leadership across utilization management, care management, population... ...policy, and clinical program development.Lead cross-functional...Remote workFull timeHome office
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