Director of Managed Care Remote Position Job Summary: We are seeking an experienced, detail-driven Director of Managed Care to oversee prior authorizations, payer coordination, and utilization ...
New
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Director of Managed Care Remote Position Job Summary: We are seeking an experienced, detail-driven Director of Managed Care to oversee prior authorizations, payer coordination, and utilization ...
New
Quick apply
Director of Managed Care Remote Position Job Summary: We are seeking an experienced, detail-driven Director of Managed Care to oversee prior authorizations, payer coordination, and utilization ...
New
Strongsville, OH · On-site +1
$167K - $285K/yr
Remote, WI Specialty: Managed Care Contracts Schedule: Days | Full-time | Occasional travel required Salary: $167,851.85 - $285,348.15 per year Eligible for an annual bonus incentive #LI-Remote ...
Strongsville, OH · On-site +1
$167K - $285K/yr
Remote, WI Specialty: Managed Care Contracts Schedule: Days | Full-time | Occasional travel required Salary: $167,851.85 - $285,348.15 per year Eligible for an annual bonus incentive #LI-Remote ...
Strongsville, OH · Remote
$167K/yr
Remote, WI Specialty: Managed Care Contracts Schedule: Days | Full-time | Occasional travel required Salary: $167,851.85 - $285,348.15 per year Eligible for an annual bonus incentive #LI-Remote ...
New
Strongsville, OH · Remote
$167K/yr
Remote, WI Specialty: Managed Care Contracts Schedule: Days | Full-time | Occasional travel required Salary: $167,851.85 - $285,348.15 per year Eligible for an annual bonus incentive #LI-Remote ...
New
OH · Remote
Care Management * Active clinical licensure -- any of the following: * Nurse Practitioner (NP) - ... and remote monitoring * Collaborate with physicians, RNs, social workers, therapists, caregivers ...
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OH · Remote
Care Management * Active clinical licensure -- any of the following: * Nurse Practitioner (NP) - ... and remote monitoring * Collaborate with physicians, RNs, social workers, therapists, caregivers ...
... Full-Time - Remote - Pharmacies: West Virginia, Ohio, Indiana and Maryland Position Overview ... Managed Care) * Works closely with the facility business office managers for Medicare Part D ...
... Full-Time - Remote - Pharmacies: West Virginia, Ohio, Indiana and Maryland Position Overview ... Managed Care) * Works closely with the facility business office managers for Medicare Part D ...
Fairlawn, OH · Remote
$17 - $20.75/hr
With a remote work schedule potential and a host of enticing benefits, this is your opportunity to ... A solid understanding of managed care authorizations and coverage limits, particularly within ...
New
Fairlawn, OH · Remote
$17 - $20.75/hr
With a remote work schedule potential and a host of enticing benefits, this is your opportunity to ... A solid understanding of managed care authorizations and coverage limits, particularly within ...
New
... healthcare review, managed care, etc.) to assure the recovery of denied revenue. Conducts ... This position is a remote/work from home - Local to Northeast Ohio Only
... healthcare review, managed care, etc.) to assure the recovery of denied revenue. Conducts ... This position is a remote/work from home - Local to Northeast Ohio Only
Remote The Care Manager will be assigned a patient panel based on skill and efficiency level and is expected to carry a patient panel of a minimum of 30- 50 patients per calendar month within the ...
Remote The Care Manager will be assigned a patient panel based on skill and efficiency level and is expected to carry a patient panel of a minimum of 30- 50 patients per calendar month within the ...
Delaware, OH · Remote
$10/hr
Remote The Care Manager will be assigned a patient panel based on skill and efficiency level and is expected to carry a patient panel of a minimum of 30- 50 patients per calendar month within the ...
Delaware, OH · Remote
$10/hr
Remote The Care Manager will be assigned a patient panel based on skill and efficiency level and is expected to carry a patient panel of a minimum of 30- 50 patients per calendar month within the ...
Delaware, OH · Remote
$10/hr
Remote The Care Manager will be assigned a patient panel based on skill and efficiency level and is expected to carry a patient panel of a minimum of 30- 50 patients per calendar month within the ...
Delaware, OH · Remote
$10/hr
Remote The Care Manager will be assigned a patient panel based on skill and efficiency level and is expected to carry a patient panel of a minimum of 30- 50 patients per calendar month within the ...
Remote The Care Manager will be assigned a patient panel based on skill and efficiency level and is expected to carry a patient panel of a minimum of 30- 50 patients per calendar month within the ...
Remote The Care Manager will be assigned a patient panel based on skill and efficiency level and is expected to carry a patient panel of a minimum of 30- 50 patients per calendar month within the ...
Toledo, OH · Remote
$18.50 - $23.25/hr
Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make ... Communicate with co-workers, management, and hospital staff regarding clinical and reimbursement ...
New
Toledo, OH · Remote
$18.50 - $23.25/hr
Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make ... Communicate with co-workers, management, and hospital staff regarding clinical and reimbursement ...
New
Remote Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients ...
Remote Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients ...
Remote Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients ...
Remote Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients ...
Cincinnati, OH · On-site +1
$17.25 - $22.50/hr
Remote Client Care Coordinator 100% Remote (U.S. Residents Only) | Work From Home | Full Training ... Schedule and manage virtual appointments * Maintain organized digital records and follow-up ...
Cincinnati, OH · On-site +1
$17.25 - $22.50/hr
Remote Client Care Coordinator 100% Remote (U.S. Residents Only) | Work From Home | Full Training ... Schedule and manage virtual appointments * Maintain organized digital records and follow-up ...
Columbus, OH · On-site +1
$54K - $107K/yr
This role is remote however candidates must live in Ohio. This role is laser focused on Quality ... and managing member and/or community interventions (e.g., removing barriers to care) and other ...
Columbus, OH · On-site +1
$54K - $107K/yr
This role is remote however candidates must live in Ohio. This role is laser focused on Quality ... and managing member and/or community interventions (e.g., removing barriers to care) and other ...
This role is remote however candidates must live in Ohio. This role is laser focused on Quality ... and managing member and/or community interventions (e.g., removing barriers to care) and other ...
This role is remote however candidates must live in Ohio. This role is laser focused on Quality ... and managing member and/or community interventions (e.g., removing barriers to care) and other ...
New Hampshire, OH · Remote
$286K - $353K/yr
Provide clinical leadership across utilization management, care management, population health, quality, pharmacy, medical policy, payment policy, and clinical program development. * Lead cross ...
New Hampshire, OH · Remote
$286K - $353K/yr
Provide clinical leadership across utilization management, care management, population health, quality, pharmacy, medical policy, payment policy, and clinical program development. * Lead cross ...
Cleveland, OH · Remote
$54K - $107K/yr
This role is remote however candidates must live in Ohio. This role is laser focused on Quality ... and managing member and/or community interventions (e.g., removing barriers to care) and other ...
Cleveland, OH · Remote
$54K - $107K/yr
This role is remote however candidates must live in Ohio. This role is laser focused on Quality ... and managing member and/or community interventions (e.g., removing barriers to care) and other ...
Cincinnati, OH · Remote
$54K - $107K/yr
This role is remote however candidates must live in Ohio. This role is laser focused on Quality ... and managing member and/or community interventions (e.g., removing barriers to care) and other ...
Cincinnati, OH · Remote
$54K - $107K/yr
This role is remote however candidates must live in Ohio. This role is laser focused on Quality ... and managing member and/or community interventions (e.g., removing barriers to care) and other ...
$57K - $62.6K
10% of jobs
$62.6K - $68.1K
13% of jobs
$68.8K is the 25th percentile. Wages below this are outliers.
$68.1K - $73.6K
21% of jobs
The median wage is $77K / yr.
$73.6K - $79.2K
11% of jobs
$79.2K - $84.7K
5% of jobs
$84.7K - $90.2K
6% of jobs
$94.5K is the 75th percentile. Wages above this are outliers.
$90.2K - $95.8K
12% of jobs
$95.8K - $101.3K
6% of jobs
$101.3K - $106.8K
5% of jobs
$106.8K - $112.4K
5% of jobs
$112.4K - $117.9K
5% of jobs
$57K
$84.4K
$117.9K
A Remote Managed Care job involves overseeing healthcare services, cost management, and patient care coordination from a remote location. Professionals in this role work with insurance providers, healthcare facilities, and patients to ensure efficient and cost-effective care. Responsibilities may include reviewing treatment plans, managing claims, and ensuring compliance with healthcare regulations. Remote Managed Care positions are common in insurance companies, hospitals, and telehealth organizations, requiring strong communication and analytical skills.
In a Remote Managed Care role, your primary daily tasks often include coordinating care plans, reviewing healthcare claims, ensuring members receive appropriate medical services, and communicating with providers, patients, and insurance companies. You may spend much of your day using online platforms to track cases, resolve billing issues, and document patient interactions. Collaboration with clinical teams, providers, and case managers is common to address patient needs and ensure the quality and cost-effectiveness of care. Working remotely requires a high level of self-motivation and strong organizational skills, as you’ll manage your caseload with minimal direct supervision.
To thrive in a Remote Managed Care role, you need a solid understanding of healthcare administration, insurance processes, patient advocacy, and compliance — usually demonstrated by relevant experience or a degree in healthcare or business. Familiarity with managed care software platforms, claims management systems, and relevant certifications such as Certified Case Manager (CCM) or Certified Professional in Healthcare Management (CPHM) are often required. Strong communication, time management, and problem-solving skills set top performers apart in this position. These skills are critical for effectively coordinating patient care, ensuring regulatory compliance, and delivering excellent service while working remotely.
The most popular types of Managed Care jobs in Ohio are:
For Remote Managed Care jobs in Ohio, the most frequently searched job titles are:
The top searched job categories for Remote Managed Care jobs in Ohio are:
Cities in Ohio with the most Remote Managed Care job openings:

Director of Managed Care
Remote Position
Job Summary:
We are seeking an experienced, detail-driven Director of Managed Care to oversee prior authorizations, payer coordination, and utilization management across six skilled nursing facilities in Arkansas and Ohio. As a key member of our team, you will ensure timely authorizations, accurate documentation, and strong communication with payers to optimize reimbursement and resident care.
Responsibilities:
Manage and process all prior authorizations for admissions, continued stays, therapy services, and specialty care
Serve as the primary contact for managed care organizations, insurance plans, and payer representatives
Monitor authorization timelines, length of stay, and payer requirements to ensure compliance
Collaborate daily with MDS, nursing leadership, therapy, admissions, and regional leadership
Track, resolve, and appeal denials, ensuring complete and accurate documentation
Provide clear, consistent communication to facility teams regarding authorization status and next steps
Identify trends, barriers, and opportunities to strengthen managed care outcomes
Maintain organized workflows and reporting across all six facilities
Requirements:
Strong background in Managed Care, Utilization Review, Prior Authorization, or MDS within SNF/LTC
Deep understanding of Medicare Advantage, commercial plans, and authorization processes
Excellent communication, follow-through, and problem-solving skills
Ability to manage multiple facilities, deadlines, and payer relationships
Highly organized, tech-savvy, and comfortable working fully remote
Proactive, positive, team-focused professional who thrives in a collaborative environment
Your expertise ensures residents receive timely approvals, facilities maintain accurate reimbursement, and teams across Arkansas and Ohio stay aligned and supported. You'll be the central hub that keeps managed care operations running smoothly.
Why Join Us:
Fully remote role
Supportive, mission-driven leadership
Opportunity to impact outcomes across multiple communities
Competitive compensation
A role where your work directly strengthens resident care and operational success
If you're passionate about managed care excellence and excited to support six dedicated healthcare teams across Arkansas and Ohio, we want to meet you. Apply today and help us continue building strong, high-performing communities.
Sourced by ZipRecruiter
Recruiting and staffing services
501 - 1,000 Employees
Boca Raton, FL, US
2003