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Remote Managed Care Jobs in Appleton, WI (NOW HIRING)

The Customer Care Coordinator handles customer inbound and outbound calls, primarily with customers ... Highly organized, with strong time management skills and the ability to be resourceful.

Diabetes Sales Associate - Green Bay, WI

Green Bay, WI · Remote

$13.50 - $18.50/hr

The Opportunity This position is a remote opportunity in the Abbott Diabetes Care Division. We are ... Collaborate with various channels partners within HCP, Managed Care, Retail, and Point of Care ...

Accounts Receivable Specialist - Remote

Appleton, WI · On-site +1

$19.75 - $26/hr

... are Management. * Proficiency in basic computer applications, including Microsoft Excel. * High ... Work schedule is remote, hybrid or in office. Scheduled Weekly Hours: 40 Scheduled FTE: 1 Location:

Accounts Receivable Specialist - Remote

Appleton, WI · On-site +1

$19.75 - $26/hr

... are Management. * Proficiency in basic computer applications, including Microsoft Excel. * High ... Work schedule is remote, hybrid or in office. Scheduled Weekly Hours: 40 Scheduled FTE: 1 Location:

Let's go! We're on a mission to revolutionize healthcare practices effortlessly and we live out our ... For REMOTE roles, use this verbiage: We're excited to consider remote candidates for this role!

Let's go! We're on a mission to revolutionize healthcare practices effortlessly and we live out our ... For REMOTE roles, use this verbiage: We're excited to consider remote candidates for this role!

... care systems and other strategic partners. Collaborate with internal stakeholders to enhance ... Experience leading remote or geographically dispersed teams. * Experience managing partnerships ...

... care systems and other strategic partners. Collaborate with internal stakeholders to enhance ... Experience leading remote or geographically dispersed teams. * Experience managing partnerships ...

... LI-Remote ADA Statement & EEO Statement In developing this care was taken to include all ... Regional Manager, Wastewater, Water Treatment, Pre-Sales, Sales Management, Management, Engineering ...

... LI-Remote ADA Statement & EEO Statement In developing this care was taken to include all ... Regional Manager, Wastewater, Water Treatment, Pre-Sales, Sales Management, Management, Engineering ...

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Remote Managed Care information

See Appleton, WI salary details

$58.5K

$86.6K

$121K

How much do remote managed care jobs pay per year?

As of Aug 29, 2026, the average yearly pay for remote managed care in Appleton, WI is $86,595.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,700.00 and $101,000.00 per year, depending on experience, location, and employer.

What is a remote managed care?

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.

What does a remote managed care do?

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.

What are the key skills and qualifications needed to thrive in remote managed care?

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.

What job categories do people searching Remote Managed Care jobs in Appleton, WI look for?

The top searched job categories for Remote Managed Care jobs in Appleton, WI are:

What cities near Appleton, WI are hiring for Remote Managed Care jobs?

Cities near Appleton, WI with the most Remote Managed Care job openings:

Infographic showing various Remote Managed Care job openings in Appleton, WI as of August 2026, with employment types broken down into 88% Full Time, 9% Part Time, and 3% Contract. Highlights an 6% In-person, and 94% Remote job distribution, with an average salary of $86,595 per year, or $41.6 per hour.

Application Analyst | Epic Contract Build

Bellin

Green Bay, WI • On-site, Remote

Full-time

Medical, Life, Retirement, PTO

Posted 12 days ago


Job description

We are seeking an experienced Application Analyst focused within Epic Contracts to join our Managed Care team. This role serves as the primary technical and operational resource for contract modeling, reimbursement configuration, and variance workflow support across Revenue Cycle, Payer Relations, Finance, and IT teams.
The ideal candidate will possess or be wiling to learn a deep knowledge of healthcare reimbursement methodologies, payer contract interpretation, Epic Resolute Contract Management functionality. This individual will play a critical role in ensuring accurate expected reimbursement calculations, supporting contract negotiations, and maintaining contract integrity across hospital and professional billing environments.
Responsibilities:
  • Responsible for Epic Hospital Billing (HB) and Professional Billing (PB) contract build including interpreting, building, migrating and updating complex payer contracts (Commercial, Medicare, Medicare Advantage, Medicaid) on the Epic Contract Management platform. Collect, build, and maintain third-party and government payer Expected Reimbursement Contracts
  • Maintain contract builds and timely resolution of build errors
  • Develop and implement Epic contract maintenance processes to ensure contracts are updated accurately and timely
  • Maintain and document the status of Epic contract build and applicable work queues
  • Complete Epic contract modeling extracts that are used in contract negotiations
  • Primary Epic and IT resource for Contract Management and variance workflows for Payer Relations and Revenue Cycle teams
  • Interpret financial contracts to build logic within Epic Resolute for accurate expected reimbursement calculations
  • Conduct testing to validate accuracy of contract build maintenance and updates

What's Available:
  • Fulltime, 80 hours biweekly (1.0 FTE)
  • Monday-Friday core business hours
  • Remote work options for residents in WI or MI only, with occasional need to work onsite for support initiatives in either La Crosse, WI or Green Bay, WI.
  • Immigration sponsorship (e.g., H-1B) is not available for this position.
  • Based on experience, this position may also be filled at an Application Analyst or Senior Application Analyst level.

Qualifications:
  • Education: Bachelor's degree or a related field or equivalent years of experience and education
  • Experience: At least 2-4 years of relevant work experience
  • Certifications: Epic Resolute PB or HB Billing Claims certification, Preferred.
  • Strong understanding of healthcare reimbursement methodologies, payer contracts, and revenue cycle operations.
  • Experience with Medicare, Medicaid, Managed Care, and commercial payer reimbursement structures.
  • Proven ability to interpret complex contractual language and translate it into system configuration requirements.
  • Strong analytical, problem-solving, and testing skills.
  • Experience working cross-functionally with Revenue Cycle, Finance, Payer Relations, and IT stakeholders.
  • Excellent organizational, communication, and documentation skills.
Why Emplify Health by Bellin?
With so many amazing healthcare organizations in this area, why Emplify?
Emplify Health offers a proud, local history spanning more than 100 years. Our personalized patient care model is only the beginning of what you will experience as we foster population health transformation and innovation to serve our communities. You can be part of an exciting dynamic place that offers an employee-first culture, work-life balance, and career advancement & growth opportunities. This culture allows our organization to attract elite talent, like yourself!
Additional perks include:
  • Top-notch benefits: 401(k) with matching, paid time off, competitive health insurance, wellness programs to keep you and your family healthy, tuition reimbursement, and more
  • Preventative care focused medical coverage that includes free visits to: Emplify Health by Bellin primary care providers, Urgent Care & Fast Care facilities, physical therapy sessions and any labs required during these visits
  • Professional Development: Access to online continuing education for career growth
  • Empowerment: Shape your work environment, encouragement to improve processes and create efficiencies, and support when seeking opportunities for growth.
  • Self-Care Culture: Encourages self-care and provides you with opportunities to be your best self at work and at home

Be a member of a passionate workforce, that feels like family and is driven to provide exceptional patient care with a strong focus on community. We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values - belonging, respect, excellence, accountability, teamwork, and humility - our pillars set our foundation and our future.
Emplify Health is an Equal Opportunity Employer.