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Director Remote Utilization Review Jobs in Wisconsin

Tax Director

Brookfield, WI · Remote

$200K - $231K/yr

Tax Director - (US - Milwaukee,WI - Remote) What to expect when you join Sikich Team members at ... Conduct performance reviews and contribute to performance feedback for all levels of staff ...

Tax Director - (US - Milwaukee, WI - Remote ) What to expect when you join Sikich Team members at ... Conduct performance reviews and contribute to performance feedback for all levels of staff ...

Accountant - Remote

Milwaukee, WI · Remote

$20 - $30/hr

Remote Job Summary: You'll use your tax expertise to help train next-generation AI systems. The ... Direct experience reviewing or validating AI or technology-driven tax content. * Background in ...

Accountant - Remote

Kenosha, WI · Remote

$20 - $30/hr

Remote Job Summary: You'll use your tax expertise to help train next-generation AI systems. The ... Direct experience reviewing or validating AI or technology-driven tax content. * Background in ...

Accountant - Remote

Madison, WI · Remote

$20 - $30/hr

Remote Job Summary: You'll use your tax expertise to help train next-generation AI systems. The ... Direct experience reviewing or validating AI or technology-driven tax content. * Background in ...

The position reviews space requests, develops test fits and facility options, evaluates potential ... Hybrid remote work may be available after the successful completion of the initial training period.

Accountant - Remote

Green Bay, WI · Remote

$20 - $30/hr

Remote Job Summary: You'll use your tax expertise to help train next-generation AI systems. The ... Direct experience reviewing or validating AI or technology-driven tax content. * Background in ...

Remote micro1 is engaging Biostatisticians to contribute their clinical statistics expertise to a ... Scope of Work * Author and review evaluation tasks that require deriving, reproducing, or ...

Remote micro1 is engaging Biostatisticians to contribute their clinical statistics expertise to a ... Scope of Work * Author and review evaluation tasks that require deriving, reproducing, or ...

Remote micro1 is engaging Biostatisticians to contribute their clinical statistics expertise to a ... Scope of Work * Author and review evaluation tasks that require deriving, reproducing, or ...

Remote micro1 is engaging Biostatisticians to contribute their clinical statistics expertise to a ... Scope of Work * Author and review evaluation tasks that require deriving, reproducing, or ...

Senior Director - Talent Management

Wauwatosa, WI · Remote

$101K - $139K/yr

Remote - Monday to Friday. While this role primarily operates within Central or Eastern US Time ... Lead the global talent review and succession planning framework; evaluate pipeline strength, future ...

... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...

... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...

Showing results 41-60

Director Remote Utilization Review information

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

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

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

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

Infographic showing various Director Remote Utilization Review job openings in Wisconsin as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Program Manager III, Small Molecule

Thermo Fisher Scientific

Middleton, WI • On-site, Remote

Full-time

This job post has expired today. Applications are no longer accepted.


Thermo Fisher Scientific rating

7.8

Company rating: 7.8 out of 10

Based on 428 frontline employees who took The Breakroom Quiz

175th of 543 rated manufacturers


Job description

Work Schedule
First Shift (Days)
Environmental Conditions
Adherence to all Good Manufacturing Practices (GMP) Safety Standards, Office
Job Description
Program Manager III
Location: Remote, United States
Department: Small Molecule
This is a fully remote role supporting our GMP Lab in Middleton, Wisconsin. We welcome applicants from all locations within the US. Must be legally authorized to work in the United States without sponsorship. Must be able to pass a comprehensive background check, which includes a drug screening.
At Thermo Fisher Scientific, you'll discover meaningful work that makes a positive impact on a global scale. Join our colleagues in bringing our Mission to life - enabling our customers to make the world healthier, cleaner and safer. We provide our teams with the resources needed to achieve individual career goals while taking science a step beyond through research, development and delivery of life-changing therapies. With clinical trials conducted in 100+ countries and ongoing development of novel frameworks for clinical research through our PPD clinical research portfolio, our work spans laboratory, digital and decentralized clinical trial services. Your determination to deliver quality and accuracy will improve health outcomes that people and communities depend on - now and in the future.
Our PPD® Laboratory Services team has a direct impact on improving patient health through the expertise of scientists, industry thought-leaders and therapeutic experts. As the world leader in serving science, our laboratory professionals bring their commitment to accuracy and quality to deliver groundbreaking innovations
The Role
The Program Manager III is a client facing role responsible for managing the client relationship and on time delivery of program objectives. In this role, you would oversee the coordination and management of a program by monitoring program/project status, ensuring adherence to timelines and budgets, and aligning goals of projects to meet needs of the program.
You would act as the primary liaison between the client, business development, and the project team to facilitate the flow of information between all parties. Additionally, the Program Manager III works closely with laboratory management to ensure that the project deliverables meet customer expectations and financial commitments, negotiates and makes real-time decisions with the client, drives compliance to company and project management standards across departments for a cohesive customer experience, provides internal consulting on project management issues and identifies opportunities for process and efficiency improvement, and acts as chief liaison to the operational personnel of major clients and is responsible for large study programs.
Essential Functions:
  • Facilitates routine client facing meetings and attends internal meetings
  • Coordinates client visits in tandem with Business Development and Lab Operations management
  • Supports/Leads program governance model
  • Oversees complex stability launch coordination
  • Responsible for the FTE project management, including setup, monitoring and completion
  • Responsible for client project prioritization
  • Establishes project status trackers, distributes to project team, and reviews output to ensure project deliverables are met
  • Evaluates and escalates risks across projects, monitoring and soliciting feedback
  • Responsible for projections/forecasts for large FTE programs, adhering to client budgets and utilization targets, adjusting forecasts or project priority weekly as necessary; communicate routine FTE utilization and spend.
  • Manages contract process in tandem with Business Development, owns individual client project contract renewals, ensures appropriate review from relevant stakeholders; drives new opportunities from existing clients
  • Provides training and support to Program Manager I and Program Manger II, driving consistency with program management processes
  • Responsible for client relationship. Responds to client inquiries, leads client communications
  • Responsible for managing client expectations and execution of program deliverables in collaboration with Laboratory Operations management.
  • Acts as primary liaison between client management team and Laboratory Operations

Key Qualifications
Education and Experience
  • Bachelor's degree or equivalent and relevant formal academic / vocational qualification
  • Previous experience that provides the knowledge, skills, and abilities to perform the job (comparable to 7+ years) or equivalent combination of education, training, & experience.

Years of experience refers to typical years of related experience needed to gain the required knowledge, skills, and abilities necessary to perform the essential functions of the job. Years of experience are not to be used as the only determining factor in establishing the job class or making employment selection decisions.
Knowledge, Skills, Abilities
  • Strong science and/or business acumen
  • Strong verbal, written and presentation skills
  • Superior time management, planning, and organizational skills
  • Proven analytical skills
  • Demonstrated compliance with procedures and policies
  • Ability to perform multiple tasks effectively in a stressful environment
  • Extensive knowledge and experience in Project Management
  • Strong client relationship management skills
  • Ability to work effectively with multi-level teams
  • Ability to work in a fast-paced undefined environment
  • Strong negotiation skills
  • Demonstrated experience in FTE project management, including financial responsibilities such as forecasting FTE strongly preferred

Work Environment
Thermo Fisher Scientific values the health and wellbeing of our employees. We support and encourage individuals to create a healthy and balanced environment where they can thrive. Below is listed the working environment/requirements for this role:
  • Able to communicate, receive, and understand information and ideas with diverse groups of people in a comprehensible and reasonable manner.
  • Able to work upright and stationary for typical working hours.
  • Ability to use and learn standard office equipment and technology with proficiency.
  • Able to perform successfully under pressure while prioritizing and handling multiple projects or activities.
  • May require travel. (Recruiter will provide more details.)

Our Mission is to enable our customers to make the world healthier, cleaner and safer. Watch as our colleagues explain 5 reasons to work with us. As one team of 100,000+ colleagues, we share a common set of values - Integrity, Intensity, Innovation and Involvement - working together to accelerate research, solve complex scientific challenges, drive technological innovation and support patients in need. #StartYourStory with PPD, part of Thermo Fisher Scientific, where diverse experiences, backgrounds and perspectives are valued.
Apply today! http://jobs.thermofisher.com
Thermo Fisher Scientific is an EEO/Affirmative Action Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability or any other legally protected status.
Accessibility/Disability Access
Job Seekers with a Disability: Thermo Fisher Scientific offers accessibility service for job seekers requiring accommodations in the job application process. For example, this may include individuals requiring assistance because of hearing, vision, mobility, or cognitive impairments. If you are a job seeker with a disability, or assisting a person with a disability, and require accessibility assistance or an accommodation to apply for one of our jobs, please submit a request by telephone at 1-855-471-2255*. Please include your contact information and specific details about your required accommodation to support you during the job application process.
*This telephone line is reserved solely for job seekers with disabilities requiring accessibility assistance or an accommodation in the job application process. Messages left for other purposes, such as not being able to get into the career website, following up on an application, or other non-disability related technical issues will not receive a response.

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