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Remote Health Administration Jobs in Nevada (NOW HIRING)

Background in customer service, hospitality, retail, or administration is a plus, but not required ... Health exchange plan options and life insurance coverage. * Commission-Based Opportunity: Your ...

New

... healthcare administration, or related field. • 4-7 years of marketing experience, preferably in HealthTech, healthcare services, digital health, virtual care, remote care management, population ...

Senior People Generalist

Las Vegas, NV · On-site +1

$65K - $85K/yr

Own end-to-end payroll administration through Paylocity moving to Remote, ensuring timely and ... Unlimited Paid Vacation Days 401(k) programme Health, Dental & Vision Insurance All Vay team ...

Operations Manager

Las Vegas, NV · On-site +1

$57K - $62K/yr

What You'll Be Doing Because we are a fast-growing startup, this isn't a passive administration ... health, vision, dental, and other insurance benefits * Generous vacation policy * Remote work $57 ...

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Showing results 1-20

Remote Health Administration information

See Nevada salary details

$32.1K

$87.9K

$147.1K

How much do remote health administration jobs pay per year?

As of Aug 6, 2026, the average yearly pay for remote health administration in Nevada is $87,867.00, according to ZipRecruiter salary data. Most workers in this role earn between $71,300.00 and $94,200.00 per year, depending on experience, location, and employer.

What is the difference between Remote Health Administration vs Remote Medical Billing Specialist?

AspectRemote Health AdministrationRemote Medical Billing Specialist
Required CredentialsHealthcare administration degree, certifications like CHAA or CPHRMMedical billing and coding certifications (e.g., CPC, CCS)
Work EnvironmentHealthcare facilities, insurance companies, or remote administrative officesMedical offices, billing companies, or remote setup for healthcare providers
Employer & Industry UsageHospitals, clinics, healthcare organizationsMedical practices, billing companies, insurance firms
Common Search & ComparisonRemote Health AdministrationRemote Medical Billing Specialist

Remote Health Administration involves managing healthcare operations, requiring administrative degrees and certifications. In contrast, Remote Medical Billing Specialists focus on processing medical claims and coding, often with specialized billing certifications. Both roles are essential in healthcare but differ in responsibilities, credentials, and work environments.

What are the key skills and qualifications needed to thrive as a remote health administrator, and why are they important?

To thrive as a Remote Health Administrator, you need strong organizational skills, healthcare management knowledge, and a relevant degree such as healthcare administration or a related field. Familiarity with electronic health records (EHR) systems, HIPAA compliance, telehealth platforms, and sometimes certification like Certified Medical Manager (CMM) is typically required. Excellent communication, problem-solving, and self-motivation are standout soft skills for coordinating teams and managing operations remotely. These skills ensure efficient healthcare delivery, regulatory compliance, and effective team collaboration in virtual environments.

What are some common challenges faced by professionals in remote health administration roles, and how can they be addressed?

Remote health administration professionals often encounter challenges such as maintaining clear communication across distributed teams, managing sensitive patient data securely from home, and adapting to rapidly changing healthcare regulations. Overcoming these obstacles requires strong digital communication skills, familiarity with secure health information systems (like EHR platforms), and a proactive approach to ongoing training and compliance updates. Regular virtual check-ins with colleagues and supervisors, as well as participation in remote training sessions, can help ensure effective collaboration and up-to-date knowledge.

What is remote health administration?

Remote health administration refers to managing healthcare operations, resources, and services from a location outside of a traditional healthcare facility. This role often involves tasks such as scheduling, billing, maintaining patient records, and coordinating with healthcare professionals through digital tools. Working remotely allows health administrators to support clinics, hospitals, or private practices efficiently, using technology to ensure smooth operations. Increasing adoption of telehealth and digital health solutions has made remote health administration an essential part of modern healthcare.
What are popular job titles related to Remote Health Administration jobs in Nevada? For Remote Health Administration jobs in Nevada, the most frequently searched job titles are:
What job categories do people searching Remote Health Administration jobs in Nevada look for? The top searched job categories for Remote Health Administration jobs in Nevada are:
What cities in Nevada are hiring for Remote Health Administration jobs? Cities in Nevada with the most Remote Health Administration job openings:
Infographic showing various Remote Health Administration job openings in Nevada as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $87,867 per year, or $42.2 per hour.

Medical Director, Utilization Management (Commercial & MA)

HJ Staffing

Henderson, NV • Remote

Full-time

Medical

Posted 16 days ago


Job description

We are seeking a Medical Director of Utilization Management to lead and support the clinical integrity of our utilization management (UM) functions, with a primary focus on inpatient and post-acute care reviews.

In this role, you will ensure timely, consistent, and appropriate care determinations for Commercial and Medicare Advantage members. By leveraging evidence-based practices, CMS regulations, and health plan benefit structures, you will evaluate the medical necessity of care, participate in peer-to-peer consultations, and collaborate with multidisciplinary teams to drive optimal clinical outcomes, regulatory compliance, and cost efficiency.

Duration: August 10, 2026 - February 10, 2027

Location: Henderson, NV (100% Fully Remote Opportunity)

Reporting To: Chief Medical Officer

Start Date: Immediate Need

Key Responsibilities
  • Utilization Review & Medical Necessity: Conduct timely medical necessity determinations for inpatient admissions, continued stays, and post-acute care settings (SNF, IRF, LTACH, Home Health) for Commercial and Medicare Advantage populations.
  • Evidence-Based Evaluation: Apply nationally recognized guidelines (MCG, InterQual), CMS coverage criteria, and health plan policies to ensure appropriate level-of-care determinations.
  • Complex Case Escalation: Serve as the lead physician reviewer for complex, high-risk, or potentially adverse UM cases requiring clinical judgment.
  • Peer-to-Peer Engagement: Conduct peer-to-peer discussions with attending and treating physicians to clarify documentation, discuss options, and align on appropriate care plans.
  • Cross-Functional Collaboration: Partner with Care Management and UM teams to identify utilization trends, reduce avoidable readmissions/extended stays, and streamline care transitions.
  • Policy & Quality Support: Offer clinical expertise to support quality improvement initiatives, regulatory audit preparedness (CMS/NCQA), policy development, and UM committee activities.
  • Documentation & Compliance: Maintain precise, compliant, and timely documentation of all reviews and rationales in accordance with federal, state, and organizational guidelines.
Must-Have Qualifications
  • Education & Licensure: Active M.D. or D.O. degree with an active, unrestricted medical license in good standing (in state of residence).
  • Board Certification: Current Board Certification in an appropriate medical specialty.
  • Clinical & Leadership Experience: Minimum of 5 years of clinical practice, including at least 3 years of direct experience in utilization management, physician review, or medical leadership within a managed care or health plan setting.
  • Population Expertise: Demonstrated physician-level experience supporting Commercial and/or Medicare Advantage lines of business.
What Will Make You Successful
  • Criteria Proficiency: Advanced expertise with MCG guidelines and strong working knowledge of InterQual and CMS criteria.
  • Regulatory Knowledge: Deep understanding of Medicare Advantage regulations, Commercial health plan benefit structures, and state/federal UM mandates.
  • Technical Skills: Experience navigating medical management platforms, enterprise applications, and Microsoft Office products.
  • Communication & Negotiation: Exceptional written and oral communication skills, with a proven ability to handle delicate peer-to-peer discussions and articulate complex clinical rationales clearly.
  • Analytical Mindset: Strong problem-solving abilities, attention to detail, and a data-driven approach to identifying utilization trends and quality gaps.
Preferred Qualifications
  • Master's degree in Public Health, Business Administration, or Health Administration (MPH, MBA, or MHA).
  • Certification by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP).
Why Apply?

This is a 100% remote, high-impact contract opportunity starting immediately, offering you the flexibility of working from home while managing key clinical determinations for a dynamic health plan environment.

Employment Type: FULL_TIME