Surest Senior Director, Benefit Innovation - Remote UnitedHealth Group Inc.Surest Senior Director, Benefit Innovation - RemoteNew York, NYRemote$159,300–$273,200 / yearThis role brings together rigorous performance monitoring, creative problem solving, deep benefit design expertise, and cross enterprise leadership to develop, define, and continuously refine current and future plan design capabilities. The role serves as a strategic connector across Surest and UnitedHealthcare product leadership translating performance signals and market dynamics into clear decisions, priorities, and ultimately differentiated, scalable innovation.
NewClinical Expert - Cardiology Product Manager - Remote UnitedHealth Group Inc.Clinical Expert - Cardiology Product Manager - RemoteNew York, NYRemote$91,700–$163,700 / yearBy bringing real-world clinical expertise into product planning, design, validation, and adoption, this role helps improve how cardiology teams work day- to-day reducing unnecessary complexity, improving efficiency, and increasing confidence in clinical outcomes. The Clinical adoption product manager serves as the clinical and workflow domain expert for the Cardiology product team, supporting the evolution of CPACS and CVIS product solutions across invasive and non-invasive Cardiovascular workflows.
Clinical Documentation Specialist I - Remote Mount Sinai Health SystemClinical Documentation Specialist I - RemoteNew York, NYRemote$65,885–$98,827 / yearWe are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
Senior Forward Deployed Engineer Remote Build Remote Technology IncSenior Forward Deployed Engineer Remote BuildNYRemote$53,300–$215,750 / yearYou will turn messy, real-world requirements into production-grade implementations - often by building integrations, automations, and agentic workflows - and you'll translate field learnings back into reusable patterns and product roadmap inputs. Build AI-enabled solutions that integrate with customer systems and Remote's platform (e.g., data pipelines, workflow automations, tool integrations, agentic services) and perform real tasks end-to-end.
Drug Utilization Review (DUR) Pharmacist – Remote Pharmacy CareersDrug Utilization Review (DUR) Pharmacist – RemoteNewark, New JerseyRemoteRemote DUR Pharmacist – Safe & Cost-Effective Medication Use | Work From Home Analyze medication use patterns, apply clinical guidelines, and collaborate with providers — all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical analysis and want to improve outcomes at scale.
Remote Clinical Review Pharmacist Pharmacy CareersRemote Clinical Review PharmacistNewark, New JerseyRemoteAbout Us We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time. Remote Clinical Review Pharmacist – Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role.
Account Executive (Remote: Westchester, New York Vitu IncAccount Executive (Remote: Westchester, New YorkWhite Plains, NYRemoteFull timeWith the mission of expanding and automating Vehicle-to-Government (V2Gov) transactions, the Vitu platform is reimagining how drivers, businesses and governments interact with vehicles. Vitu has offices in California, Florida, Georgia, Illinois, Indiana, Minnesota, Montana, North Carolina, New Hampshire, New Jersey, New York, Ohio, Oregon, Pennsylvania, and Virginia.
HealthKit User - Fully Remote MercorHealthKit User - Fully RemoteNew York, New YorkRemoteFor details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome. Ensure your submission is a genuine export from your own Health app with a complete profile and continuous history.
Bilingual Spanish - BH Counselor - Evernorth - Remote NY State The Cigna GroupBilingual Spanish - BH Counselor - Evernorth - Remote NY StateNew York, NYRemote$67,100–$111,800 / yearThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Revenue Cycle Specialist-Revenue Integrity Pathology-REMOTE Weill Cornell Medical CollegeRevenue Cycle Specialist-Revenue Integrity Pathology-REMOTENew York, NYRemote$32.69–$36.76 / hourThe CBO partners with WCM Clinical Departments to increase and expedite service revenue, reduce aged AR, and trend denials for their root causes thereby driving efficiencies, to include clinical documentation improvement and coding denials prevention. Resolves outstanding accounts utilizing ancillary applications and websites as tools to retrieve medical documentation, claim status and billing guidelines to substantiate corrected claim submissions, written appeals, coding and medical necessity reviews.
Medical Coding Leader - Fully Remote MercorMedical Coding Leader - Fully RemoteNew York, New YorkRemoteMonitor coding KPIs, including coder productivity, accuracy rates, unbilled accounts, and claim denial rates due to coding errors. Evaluate AI-generated coding assignments, including ICD-10-CM/PCS , CPT/HCPCS , and DRG assignments.
NewTelemedicine Registered Nurse RN Carrot Fertility IncTelemedicine Registered Nurse RNNYRemote$40–$50 / hourCarrot is regularly featured in media reporting on issues related to the future of work, women in leadership, and healthcare innovation, including MSNBC, The Economist, Bloomberg, The Wall Street Journal, CNBC, National Public Radio, Harvard Business Review, and more. Carrot''s comprehensive clinical program delivers industry-leading cost savings for plan sponsors and award-winning experiences and improved outcomes for millions of people worldwide.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseNJRemote$71,100–$97,800 / yearWork-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Registered Nurse (RN) – Principal Care Management (PCM) Elaya HealthRegistered Nurse (RN) – Principal Care Management (PCM)Great Neck, NYRemoteReview patient charts, medications, labs, and care plans• Coordinate care with providers, nursing staff, pharmacies, and families when needed• Document patient interactions accurately and thoroughly• Identify changes in condition and escalate concerns appropriately• Assist with chronic disease management and patient education• Ensure PCM services are completed in compliance with CMS guidelines. • Active RN license required• Nursing home or long term care experience preferred• Experience with chronic care management or PCM is a plus• Strong communication and organizational skills• Comfortable working independently in a remote environment• EMR experience preferred.
Utilization Management, Registered Nurse RN Clover Health Investments CorpUtilization Management, Registered Nurse RNNYRemote$90,000–$106,000 / yearAs a Utilization Management, Registered Nurse (RN), you will: Perform medical necessity reviews for prior authorization and concurrent review across acute inpatient, post-acute (SNF, IRF, LTACH) and outpatient services Apply CMS Medicare guidelines, NCD/LCD policies, and MCG criteria to support determinations Manage cases end-to-end from prior authorization through concurrent review and discharge Collaborate with providers and facilities to obtain clinical information and support care coordination Ensure compliance with CMS turnaround times and regulatory requirements Participate in Quality Assurance (QA) activities, including case audits and peer reviews to ensure accuracy and consistency in decision-making Have strong personal accountability, responsibility and independent decision-making abilities. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents * And much more!
Registered Nurse, Clinical Delivery Care Access Research LLCRegistered Nurse, Clinical DeliveryNYRemote$34–$48 / hourWith programs like Future of Medicine, which makes advanced health screenings and research opportunities accessible to communities worldwide, and Difference Makers, which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Furthermore, they serve as a point of escalation for the Member Services team, addressing complex inquiries related to lab results and assisting in the resolution of patient concerns by providing clinical insights and ensuring patients receive accurate information and appropriate follow-up.
Bilingual Pediatric Registered Nurse Imagine Pediatrics LLCBilingual Pediatric Registered NurseNYRemote$40–$47 / hourAs a Pediatric Registered Nurse at Imagine Pediatrics, you are the primary point of contact for our families as you work to deeply know our patients through frequent virtual touchpoints and are the first line of defense when our patients are having a clinical problem. You leverage an integrated technology platform and are complimented by an entire interdisciplinary team including MDs, APPs, social workers, navigators, pharmacists, and dietitians.
Registered Nurse #26-15220 US Tech Solutions, Inc.Registered Nurse #26-1522037 BROADWAY, NYRemote$38–$50 / hourThe RN will administer state-approved immunizations, including pediatric vaccinations, while ensuring safe patient care and accurate documentation. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
NewRN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorNew York, New YorkRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Care Manager (RN) Centene Corporation GroupCare Manager (RN)NJRemote$56,200–$101,000 / yearPosition Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families. Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs.