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Director Remote Utilization Review Jobs in Oregon

PRS Management, Inc.

Regional Sales Director

Medford, OR · Remote

$155K - $194K/yr

This is a remote role for candidates based in Oregon, Washington, California, Arizona, Texas, New ... Review sales forecasts, pipeline activity, conversion metrics, pricing, and inventory. * Create ...

Upstart

Senior Software Engineer, White Label Platform

OR · On-site +1

$122K - $161K/yr

Participate in code reviews, testing, and the deployment of high-quality code Minimum ... History of thriving in a variety of work environments: both collaborative and self-directed; remote ...

Upstart

Senior Software Engineer, Upstart Bank

OR · On-site +1

$122K - $161K/yr

Uphold a high engineering bar through strong implementation, code review, testing, and operational ... self-directed, remote, and in-person settings. Position location This role is available in the ...

Upstart

Senior Software Engineer, Upstart Bank

OR · On-site +1

$122K - $161K/yr

Uphold a high engineering bar through strong implementation, code review, testing, and operational ... self-directed, remote, and in-person settings. Position location This role is available in the ...

Clari + Salesloft

Enterprise Account Director

OR · On-site +1

United States, Remote This is a fully remote opportunity and can be worked from any location in the ... Executive Business Reviews (EBRs): Leading regular business reviews with key stakeholders to ...

Upstart

Senior Software Engineer, Pricing

OR · On-site +1

$122K - $161K/yr

... code reviews, and production monitoring. * Champion improvements in developer experience ... History of thriving in diverse work environments: both collaborative and self-directed; remote and ...

Upstart

Software Engineer, Upstart Bank

OR · On-site +1

Uphold a high engineering bar through thoughtful implementation, testing, code review, and ... Proven ability to thrive in collaborative, self-directed, remote, and in-person environments

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Showing results 41-60

All JobsUtilization Review JobsDirector Remote Utilization Review JobsDirector Remote Utilization Review Jobs in Oregon

Director Remote Utilization Review information

What is the difference between Director Remote Utilization Review vs Utilization Review Nurse?

AspectDirector Remote Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a nursing license, advanced degree, and management experienceRegistered Nurse (RN) license, relevant clinical experience
Work EnvironmentOversees teams remotely, strategic planning, policy developmentConducts patient reviews, collaborates with healthcare providers, often remote or onsite
Employer & Industry UsageHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare facilities

The main difference is that the Director Remote Utilization Review focuses on managing teams and policies remotely, while the Utilization Review Nurse performs clinical reviews directly related to patient care. The director has a broader strategic role, whereas the nurse role is more clinical and operational.

What is a director of remote utilization review?

A Director of Remote Utilization Review is a healthcare leader responsible for overseeing teams that assess the necessity, appropriateness, and efficiency of medical services, typically from a remote or virtual environment. This role ensures compliance with regulatory guidelines, optimizes resource use, and helps manage healthcare costs while maintaining quality patient care. Directors collaborate with physicians, nurses, and insurance providers to review clinical cases and develop utilization review strategies. They also monitor performance metrics and implement process improvements for remote teams.

How does a director of remote utilization review typically collaborate with clinical and administrative teams to ensure effective patient care management?

A Director of Remote Utilization Review plays a pivotal role in bridging clinical staff, case managers, and administrative teams to optimize patient care and resource utilization. This is often achieved through regular virtual meetings, data sharing, and cross-departmental strategy sessions to review utilization trends and address barriers to care. The director ensures that remote teams adhere to regulatory standards and organizational goals, fostering open communication to streamline workflows and resolve complex cases efficiently. Successful collaboration enhances patient outcomes, reduces unnecessary costs, and maintains compliance, all while supporting a positive remote team environment.

What are the key skills and qualifications needed to thrive as a director of remote utilization review, and why are they important?

To thrive as a Director of Remote Utilization Review, you need in-depth knowledge of healthcare regulations, utilization management processes, and a relevant clinical background, typically supported by an RN or other clinical licensure and experience in case management. Familiarity with utilization review software, electronic health records (EHR), and certifications such as CCM or UM are often required. Leadership, analytical thinking, and strong communication skills are vital for guiding teams and collaborating with stakeholders. These skills ensure effective oversight of remote teams, regulatory compliance, and optimal patient care outcomes.

What are the most commonly searched types of Remote Utilization Review jobs in Oregon?

The most popular types of Remote Utilization Review jobs in Oregon are:

What cities in Oregon are hiring for Director Remote Utilization Review jobs?

Cities in Oregon with the most Director Remote Utilization Review job openings:

Director Remote Utilization Review jobs near you
Infographic showing various Director Remote Utilization Review job openings in Oregon as of July 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, 1% Temporary, and 1% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

Director, Commercial Operations - West

Mineralys Therapeutics

OR • On-site, Remote

$160K - $185K/yr

Full-time

Posted 16 days ago

Job description

"Mineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities such as chronic kidney disease (CKD), obstructive sleep apnea (OSA) and other diseases driven by dysregulated aldosterone.  Its initial product candidate, lorundrostat, is a proprietary, orally administered, highly selective aldosterone synthase inhibitor.  Mineralys is headquartered in Radnor, Pennsylvania. For more information, please visit https://mineralystx.com. Follow Mineralys on LinkedIn, Twitter and Bluesky"

Mineralys is a fully remote company.

Director, Commercial Operations-East

This role will be responsible for commercial sales operations to support the development & launch of lorundrostat in hypertension. 

  • Role will act as the primary liaison of commercial operations to field colleagues
  • Guide field CRM implementation and maintenance with CRM implementation vendor based on input with cross functional field colleagues (Sales, Medical Affairs, Market Access)
  • Review incentive compensation & Rx allocation challenges
  • Manage field alignment including field roster, zip to terr, HCO/HCP targeting and alignment and DCRs with input from field colleagues and analytics vendor.
  • Roster management upkeep.
  • Coordinate/manage sample operations and logistics with sampling vendor and field colleagues.
  • Work with fleet vendor to coordinate fleet operations and logistics along with field leadership.
  • Help train field colleagues on subnational data sources, reporting tools, CRM, sampling & fleet logistics
  • Facilitating credentialing & state licensing of field colleagues
  • In addition to supporting field colleagues:
    • 1 director will be the point/lead for CRM implementation, training and administration
    • 1 director will be the point/lead for sampling logistics and fleet vendor management

Skills and Attributes

  1. Excellent interpersonal & communication skills required to work with and help train numerous cross functional colleagues
  2. Powerpoint presentation skills
  3. Reporting Tools
  4. Veeva suite of commercial platforms (i.e. Veeva CRM, OpenData/Network).
  5. Experience with incentive compensation reporting and challenges

Education and Experience

  • 8+ Years in Biotech / Pharmaceutical Industry
  • 3+ years experience in commercial operations or field training required
  • 3+ years field experience as a representative / 1L manager / medical science liaison is required
  • Experience managing multiple vendors (e.g CRM design, IC, sampling, fleet) and working relationships with relevant vendors is preferred
  • Experience working with many "internal customers" such as field teams is required
  • Demonstrated success in optimizing field force effectiveness by leveraging performance metrics and implementing deployment, alignment and targeting strategies.

Travel

  • This position requires up to 15% travel. Frequently travel is outside the local area and overnight.

US Salary Range: $160,000 - $185,000

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