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16 remote Health Plan Operations jobs

16 open remote Health Plan Operations roles from top companies and boards — updated daily.

Senior Analyst/Manager, Incentive Programs4d ago
Astrana Health·United States·USD 90,000 - 130,000 / annual
healthcare-analyticshealth-plan-operationsvalue-based-carerevenue-cycle-managementhealthcare-qualitysenior-incentive-compensation-management-analyst
Manager of Clinical Appeals and Grievances4d ago
Healthfirst·United States·USD 88,700 - 149,430 / annual
clinical-appeals-managementgrievance-managementhealthcare-operations-managementutilization-managementhealth-insurance-compliancehealthcare-administration
HP Grievance & Appeals Coordinator4d ago
Banner Health·United States·USD 20.01 - 30.01 / hourly
appeal-and-grievance-coordinatorhealthcare-administrationclaims-processinghealth-plan-operationsmember-servicesgrievance-and-appeals-specialist
Medical Director II, Utilization Management4d ago
Devoted Health·United States·USD 280,000 - 345,000 / annual
medical-directorutilization-managementhealthcare-administrationhealth-plan-operationsclinical-managementmedical-director-utilization-management
Director, Quality Improvement5d ago
Centene Corporation·Macao·USD 118,400 - 219,000 / annual
quality-improvementhealthcare-quality-managementhealth-plan-operationsquality-assurancehealth-equitydirector-of-quality-improvement
Care Coordinator - Clinical Appeals RN6d ago
Premera Blue Cross·United States·USD 80,200 - 125,600 / annual
care-coordinationclinical-appeals-rnutilization-managementhealthcare-nursinghealth-plan-operationsclinical-appeals-coordinator
Health Plan Member Services Analyst7d ago
BrightSpring Health Services·United States·USD 45,000 - 55,000 / annual
member-services-analysthealthcare-member-serviceshealth-plan-operationsmedicare-advantagehealth-plan-analysthealth-plan-data-analyst
Adult Behavioral Health Member Liasion - Remote7d ago
Blue Cross Blue Shield of Arizona·United States
member-liaisonbehavioral-healthhealthcare-operationshealth-plan-operationspeer-support-servicesbehavioral-health-liaison
Health Plan Operations Partner7d ago
Evio·United States·USD 120,000 - 140,000 / annual
health-plan-operationscustomer-successstrategic-partnershipshealthcare-operationshealth-plan-operations-consultingoperations-partner
Medical Director II, Utilization Management10d ago
Devoted Health·United States·USD 280,000 - 345,000 / annual
medical-directorutilization-managementhealthcare-administrationhealth-plan-operationsclinical-managementutilization-management-director
Remote-Manager, Case Management SNP (California RN License Required)19d ago
Alignment Health·United States·USD 113,332 - 169,999 / annual
case-managementhealth-plan-operationsmedicare-advantage-snpclinical-managementpopulation-health-managementremote-rn-case-manager
Implementation Manager, Geisinger Health Plan (East Coast Resident / EST)20d ago
Geisinger·United States
implementation-managerproject-managementhealthcare-project-managementhealth-plan-operationsproject-implementationhealthcare-implementation-manager
Assistant General Counsel for Health Plan Operations29d ago
Devoted Health·United States·USD 175,000 - 225,000 / annual
healthcare-lawhealth-plan-operationsregulatory-compliancein-house-legal-counselmedicare-advantage-complianceassistant-general-counsel
Sr. Analyst, Health Plan Performance Operations2026-07-27
Aledade·United States·USD 66,000 - 79,000 / annual
strategic-payer-partnershipspayer-solutionshealthcare-analyticshealth-plan-operationsbusiness-intelligencesenior-population-health-analyst
Senior Manager, Medical Loss Ratio2026-07-19
Centene Corporation·Morocco,Oman·USD 107,700 - 199,300 / annual
healthcare-compliancefinancial-reportingregulatory-affairshealth-plan-operationsrisk-managementmlr-reporting
Payer Integration Manager2026-07-14
Spring Health·United States·USD 80,000 - 92,000 / annual
operationshealth-plan-operationspayer-integrationhealthcare-operationsrevenue-cycle-managementpayer-contracting-manager