Remote Healthcare Program Director, HealthRules & Payer Ops
UST Inc
UST is seeking a seasoned Program Director to lead end-to-end delivery for the Administrative Platform services in the HealthRules Payer ecosystem. You will govern governance forums, manage a broad set of integrations, and ensure successful delivery across health plan operations, enrollment processing, and reporting services. You will drive compliance, security reviews, and governance for SLA/KPI attainment while coordinating with multiple partners to enable strategic growth and operational #J-18808-Ljbffr
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Healthcare Program Director, HealthRules & Payer Ops in Indianapolis, IN vacancy
- ...Overview Remote With Possible Future Travel Full... ...Uses program and project management... ...Organization, specifically a HealthRules Payer claims system Implementation... ...executives, directors, managers, and individual... ...members from across the healthcare organization. Proficiency...Remote workFull timeLive outFlexible hours
Projé
Chicago, IL4 days ago $65 - $75 per hour
...corporation and health plan provider, seeks an accomplished Healthcare Payer Project / Program Manager . *** Candidate must be authorized to work in USA... ...: Woodland Hills CA, El Dorado Hills CA or Oakland CA (Remote Acceptable) *** *** Duration: 6 months contract w/...Remote workContract workTemporary workLocal areaAmerit Consulting
Sacramento, CA1 day ago$65 - $75 per hour
A staffing and consulting firm is seeking a seasoned Healthcare Payer Project / Program Manager to manage large-scale projects in a remote or on-site capacity. Candidates should have substantial project management experience in the healthcare sector, specifically with payer...Remote jobContract work- ...Judi Health, LLC is seeking a Clinical Programs Specialist to provide operational and administrative support for clinical programs and vendor partnerships under the Clinical Programs Specialists Manager. You will handle program reporting, vendor invoicing, drug list maintenance...Remote work
Judi Health, LLC
United States1 day ago - ...A reputable consulting firm is seeking a Project Manager with expertise in HealthRules Payer claims system to lead complex healthcare projects. The role involves stakeholder engagement, ensuring deliverables are met, and managing project teams effectively. Ideal candidates...Remote workFlexible hours
Projé
Chicago, IL4 days ago $223.8k - $313.1k
...partner is looking for a Medical Director National OP, Medicare based in the... ...to support evidence-based healthcare decisions and ensure appropriate... ...requirements. Working remotely, you will collaborate with... ...Advantage, and/or Managed Medicaid programs. Previous utilization...Remote workTemporary workMonday to Friday- ...Pfizer Inc. in the United States seeks an Oncology Field Medical Outcomes Director to lead medical engagement with payers and regional accounts, delivering clinical and economic insights on Pfizer Oncology medicines. You will develop and execute Medical account plans...Remote work
Pfizer
New York, NY3 hours ago - ...within the health insurance sector, specifically focusing on HealthRules Payer systems. The role involves managing stakeholder relationships... ...position offers competitive pay, excellent benefits, and the potential for remote work with some travel. #J-18808-Ljbffr Projé IncRemote job
- ...sector. The role involves engaging stakeholders, managing configuration for HealthRules Payer, and ensuring project deliverables are met. Candidates should have a Bachelor’s degree in healthcare administration and significant experience in health care project management...Remote jobFlexible hours
$95k - $105k
...excellent opportunity for a Sr. Program Manager, Health Science... ...Engage with clients at hospitals, healthcare systems, post-acute... ...work or understanding of EMS, Payers, CMS, and other aspects of a... ...with Disabilities #AHAIND3, #LI-Remote Job SummaryRequisition ID: 2...Remote workFull timeWork at officeLocal areaWork from homeNight shiftAmerican Heart Association
Dallas, TX6 days ago$95k - $105k
...partner is looking for a Sr. Program Manager, Health Science based... ...in the United States. Lead healthcare quality improvement... ...The position is full-time and remote, with occasional travel and funding... ...care continuum, including EMS, payers, the Centers for Medicare & Medicaid...Remote workFull timeWork from homeNight shift- The Athenian School seeks a Director of Summer Programs to lead ASP with strategic oversight of summer camps, residential offerings, and non-summer operations. You will manage staff, design programs, and drive revenue while ensuring safety and community impact on a 75-acre...Remote jobSummer work
- Valenz Group seeks a Director of Strategic Partnerships for Health Plans & Direct Payers to drive high-value collaborations that expand market reach, capabilities,... ...move partnerships from exploration through launch. Remote work with US-based eligibility is required. #J-...Remote job
- Pfizer is seeking an Oncology Field Medical Outcomes Director to lead medical strategy and payer engagement across a Mid-Atlantic territory. You will translate... ...and field teams to improve patient outcomes. This remote, field-based role requires strong presentation skills,...Remote job
- ...Clinical Program Manager Post Acute Analytics (PAA) is a healthcare technology company building the operating system for post... ..., Anna, gives providers, payers, and caregivers the visibility and... ...and eligibility This role is remote within the United States. PAA is...Remote workWork at officeLocal areaVisa sponsorshipFlexible hours
Post Acute Analytics
United States1 day ago - ...Devoted Health is seeking a physician leader to build a national Musculoskeletal (MSK) program, combining expert clinical care with an AI-powered platform. You will define care models, triage pathways, and perioperative optimization while mentoring a multidisciplinary...Remote work
Devoted Medical Group, PC
Waltham, MA2 days ago - ...Division of Family Health and Wellness, is seeking a Public Health Program Director 1 for a FT contract in Nashville. The hybrid role requires... ...collaboration with internal and external stakeholders, remote-work adaptability, and participation in trainings and meetings...Remote workContract work
Novalink Solutions
Nashville, TN3 days ago - ...Medical Affairs Program ManagerAt Medtronic you can... ...while helping champion healthcare access and equity for... ...and will report to the Director of Medical Science, Medical... ..., will consider remote. Ability to travel up... ...health care providers, payers, government agencies,...Remote work
Medtronic Plc
Boulder, CO3 days ago $75k - $108k
...Clinical Program DirectorAs a Clinical Program Director, you will be responsible for all social work and clinical programming for Menta Tech Academy, a part... ...80% work responsibilities are virtual/remote and 20% work responsibilities are in-personLead day-to...Remote workWork at officeLocal areaFlexible hoursThe Menta Education Group
Chicago, IL2 days ago- ...Universe, Inc. is seeking a Staff Technical Program Manager to lead strategic, cross-functional programs... ...business goals. This role offers hybrid or remote work options within the United States and opportunities to scale PSA Ops supporting global growth. #J-18808-LjbffrRemote work
Collectors Universe
New York, NY4 days ago - ...Acentra Health is seeking a Senior Program Director to lead a new CA UIS Care Coordination program, combining strategic leadership with day... ...day operations across interdisciplinary teams. The role is remote but requires residency in California; ideal candidates in LA...Remote work
Acentra Health
Sacramento, CA4 days ago $159.3k - $273.2k
...scale. Join us in making healthcare work better for everyone... .... Growing together. The Director, Behavioral Health Payer Value Creation leads the... ...*All employees working remotely will be required to adhere... ...incentive and recognition programs, equity stock purchase and...Remote jobMinimum wageFull timeWork experience placementLocal area$144.5k - $180.6k
...About the Role As a Technical Program Manager (TPM) at Planet, you will drive the company... ...operational efficiencies and define a GTM ops roadmap. Drive results by continuously improving... ...integration middleware. Experience with remote sensing, earth observation data, or...Remote workFull timeTemporary workWork at officeLocal areaWorldwideHome officePlanet
San Francisco, CA2 days ago$115k - $140k
...underutilized assets in the American healthcare system, and we are building... ...technology, partnership and programs to change that. Our... ...first year. As Clinical Program Director, you serve as SiteLabs'... ...The balance of your time is remote. You will report to the...Remote workFull timeShift workSiteLabs
United States4 days ago- ...for employers, brokers, payers, and providers to... ...quality, and elevate the healthcare experience. Through advanced... ...Opportunity: As the Director, Strategic Partnership... ...Work: This is a fully remote position, and we’ll... ...Employee Assistance Program that includes professional...Remote workImmediate startFlexible hours
- UnitedHealthcare’s Clinical Program Director, Laboratory and Pathology, is a remote leadership role that guides strategic development, implementation, and oversight of clinical programs to optimize laboratory and genomic testing quality, access, and cost. You will lead...Remote job
$1,500 - $2,500 per month
Clinical Director, Program Launch | O'Fallon O'Fallon, United States | Posted on 10/15/2026 Salary... ...Engagement Work Arrangement: Primarily Remote, with On-Site Availability as Needed... ...Participation in licensing, accreditation, or payer‑readiness reviews Experience creating...Remote workPermanent employmentFull timePart timeFor contractorsFlexible hours$150k - $195k
...Health is currently looking for a Senior Program Director to lead a new critical program in CA... ...engagement, and outcomes. Position is remote, but candidates must reside in California... ...Qualifications/Experience Bachelor's Degree in healthcare, nursing, social work or related field...Remote workContract workLocal areaAcentra Health
New York, NY3 hours ago$152.9k - $254.9k
...is seeking a strategic clinical leader to direct the Clinical Program department and advance behavioral health programs that improve... ...oversight, research, and enterprise influence. The Clinical Program Director leads department leaders and teams, establishes priorities and...Remote workFull timeLocal areaWork from home- ...Simplify Alpha is seeking an Account Manager for Health Plan Accounts to own a named book of payer relationships and drive retention and growth. The role requires hands-on experience with health plan operations and a working command of payer technology solutions within...Contract work
Simplify Alpha
Brooklyn, NY1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Healthcare Program Director, HealthRules & Payer Ops. Be the first to apply!
Related searches
- medical and health service manager Indianapolis, IN
- director clinical pharmacology Indianapolis, IN
- clinical research manager remote Indianapolis, IN
- remote medical billing manager Indianapolis, IN
- director behavioral health Indianapolis, IN
- medical coding supervisor Indianapolis, IN
- part time medical director Indianapolis, IN
- health services manager Indianapolis, IN
- medical director Indianapolis, IN
- clinical nutrition manager Indianapolis, IN