16 remote care manager jobs at 9 companies in Wheeling, WV
1mo
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Telephonic Care Manager (RN) - HCBS Command Team
Pittsburgh, Pennsylvania, United States
$34-$57/hr RemoteFull Time
2+ YOEActive RN licensure, 2+ years clinical and case management nursing experience, computer proficiency and home office with wired internet, strong communication and clinical assessment skills; BSN preferred; case management certification and Act 34 noted.
3w
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Program Integrity Manager, Pennsylvania - Remote
Pittsburgh, Pennsylvania, United States
$92k-$164k/yr RemoteFull Time
2+ YOE2+ years FWA, investigations, regulatory, compliance, or related experience in government/health care/managed care; ability to translate complex concepts; root-cause analysis; intermediate+ Microsoft Word/Excel/PowerPoint.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
2mo
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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.
2d
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Clinical Pharmacy Specialist (Remote)- Care Management Team
Pittsburgh, Pennsylvania, United States
$55-$82/hr RemoteFull Time
1+ YOEPharmacy bachelor's or Pharm.D. degree, Pennsylvania pharmacist registration or eligibility, strong analytical and communication skills, computer literacy, and managed care or direct patient pharmacy experience preferred.
pharmacy programming, word processing, data management
2w
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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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Director of Clinical & Operational Strategy, Acute Care
Pittsburgh or United States
RemoteFull Time
5+ YOERegistered Nurse or equivalent licensure required; 5+ years acute-care clinical experience; experience with hospital operations, care management, throughput, and patient flow; strong communication, analytical and facilitation skills; Master’s preferred.
3w
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Clinical Pharmacy Specialist (Remote)- Prior Authorization Team!
Pittsburgh, Pennsylvania, United States
$55-$82/hr RemoteFull Time
PA-licensed pharmacist (RPh) required, Pharm.D. or BS in Pharmacy, current CE requirements, managed care/pharmacy benefit experience preferred, strong communication, analytical, and computer 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.
1mo
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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
1mo
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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%.
2mo
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Holistic Health Specialist - Work From Home
Chicago or Dallas or Tulsa or Santa Fe or Houston or Nashville or Pittsburgh or Portland or Salt Lake City or Seattle or Birmingham or Baltimore or Downers Grove or Midwest City or Austin or San Antonio or Huntsville or Alamogordo or Richardson or Kalispell or Philadelphia or Broken Arrow or Helena or Albuquerque or Great Falls or Oklahoma City or Norman or Waco
$62k-$136k/yr RemoteFull Time
2+ YOEActive RN license, 2 years clinical practice, 1 year care/condition management in managed care, PC proficiency (Word, Excel, Lotus Notes), clinical judgment, familiarity with HHC/SNF/Hospice, and strong communication skills.
Microsoft Word, Microsoft Excel, Lotus Notes, Milliman Guidelines
1w
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Pharmacist Consultant
Pittsburgh or Hermitage or Erie or Meadville
RemoteFull Time
Pharmacy bachelor's degree or doctorate, current pharmacist license, immunization certification, and knowledge of medication therapy, IV care, formulary management, and long-term care regulations.
Facebook, Twitter, LinkedIn
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.
3d
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Disease Management Coordinator - Population Health
Monongalia County, West Virginia, United States
RemoteFull Time
5+ YOERequires ADN with 7 years of clinical healthcare experience or BSN with 5 years, current RN or multistate eNLC license, background checks, and BLS within 30 days; care coordination preferred.
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