13 remote care manager jobs at 7 companies in Vandergrift, PA
16h
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Discharge Care Manager Nurse, RN - Remote in Pennsylvania
Pennsylvania or Philadelphia or Scranton or Pittsburgh or Erie or Allentown
$60k-$107k/yr RemoteFull Time
5+ YOEBSN, unrestricted Pennsylvania Compact RN license, 5+ years acute inpatient experience, 2+ years discharge planning or case management, insurance product experience, and Microsoft Office proficiency.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, InterQual, MCG Guidelines
3mo
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New Product Planning Manager, Digital and Connected Care
Pittsburgh or Atlanta or Parsippany or Houston or Minneapolis or Boston
$135k-$155k/yr HybridFull Time
5+ YOE5-7 years in new product planning or strategy in medical devices; experience with digital health, SaMD, AI/ML, remote monitoring; Bachelor’s in business or engineering; MBA preferred.
1w
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Collaborating Psychiatrist / Supervising Physician (MD or DO) — Remote | Telehealth | Part-Time | Pennsylvania
United States or Reading or Harrisburg or Philadelphia or Pittsburgh or Scranton or York or Lancaster or Bethlehem or Erie or Allentown
$50k-$150k/yr RemotePart Time, Contract
Unrestricted medical license in at least one U.S. jurisdiction; strong psychiatric assessment, diagnosis, medication-management, communication, remote-care, and electronic health record skills.
electronic health record systems, UpToDate, Carlat
11h
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Medical Director, Utilization Management (Remote)
Pittsburgh, Pennsylvania, United States
RemoteFull Time
5+ YOEMD or DO required, Pennsylvania medical license, 5–10 years clinical experience preferred, managed care and payer utilization management experience preferred, with board certification favored.
1mo
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Actuary – Medical Cost Economics (Remote)
Pittsburgh, Pennsylvania, United States
$47-$82/hr RemoteFull Time
5+ YOEASA or FSA credential, bachelor's in a quantitative field, 5+ years actuarial experience in health insurance/managed care, experience with healthcare claims and cost/trend analysis, strong analytical and communication skills.
HCG Grouper, Milliman HCG, Power BI
1mo
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Managing Actuary, Value-Based Contract Analytics (Remote)
Pittsburgh or United States
RemoteFull Time
6.5+ YOECredentialed actuary (ASA required, FSA preferred), bachelor's in a quantitative field required, 6.5+ years actuarial experience in health insurance/managed care, supervisory experience, strong analytics and communication skills.
2mo
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Senior Clinical Pharmacy Specialist (Remote)- Must be licensed in PA!
Pittsburgh or Pennsylvania
$51-$87/hr RemoteFull Time
1+ YOEMust be registered pharmacist in Pennsylvania or eligible for PA licensure; Pharm.D. or B.S. in Pharmacy required; 1+ year managed care pharmacy experience preferred; strong analytical, communication, and computer skills; ability to lead projects and mentor staff.
1w
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Staff Psychiatrist (MD or DO) — Remote | Telehealth | Full-Time or Part-Time | Pennsylvania
United States or Reading or Harrisburg or Philadelphia or Pittsburgh or Scranton or York or Lancaster or Bethlehem or Erie or Allentown or Austin
$300k-$500k/yr RemoteFull Time, Part Time
Active unrestricted medical license in at least one U.S. jurisdiction, strong psychiatric assessment and medication-management skills, excellent communication, EHR proficiency, and commitment to compassionate evidence-based care.
EHR, e-Prescribe, AI, UpToDate, Carlat
2mo
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Physician, Emergency Medicine – Telemedicine Opportunity – DrHouse
Philadelphia or Pittsburgh or Allentown or Reading or Erie or Pennsylvania
$100-$200/hr RemotePart Time
Board-certified MD or DO licensed in Pennsylvania, experienced in virtual care; comfortable with EHRs and remote patient management across primary, urgent, women\u0002s/men\u0002s health and chronic conditions.
EHR
2mo
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Implementation Specialist
Pittsburgh, Pennsylvania, United States
RemoteFull Time
Bachelor's degree or equivalent experience; knowledge of long-term care pharmacy operations and DEA/state/federal regulations; strong communication, troubleshooting, training, and customer service skills; ability to travel up to 50%.
1mo
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Medical Director, Utilization Management
Pittsburgh, Pennsylvania, United States
RemoteFull Time
10+ YOEMD or DO with PA medical license, minimum ~10 years clinical experience, managed care experience preferred, BLS/CPR/other certifications as applicable, strong quality improvement and utilization management experience.
2mo
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Medical Director, Utilization Management
Pittsburgh, Pennsylvania, United States
RemoteFull Time
5+ YOEMD or DO with PA medical license; minimum 5 years clinical experience (5–10 preferred); managed care experience preferred; board certification in Internal Medicine, Family Medicine, Geriatrics, or Emergency Medicine preferred.
4d
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Quality Analyst - Clinical Validation Audit
Pittsburgh, Pennsylvania, United States
$85k-$100k/yr RemoteFull Time
5+ YOERequires RN qualification, associate's or bachelor's degree, and 5+ years of acute care nursing experience. Preferred: DRG/PPR auditing and CCS, RHIA, or RHIT credentials.
Solventum/3M, TruBridge, Webstrat, Microsoft Excel, Microsoft Word, Microsoft OneNote