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Full Time Optum Utilization Review Jobs in Raleigh, NC

Walmart

Area Manager - Warehouse - Full Time

Chapel Hill, NC · On-site

$80K - $120K/yr

... asset utilization and preparing reviewing andor analyzing business reports Respect the Individual ... full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high ...

Walmart

Area Manager - Warehouse - Full Time

Carrboro, NC · On-site

$80K - $120K/yr

... asset utilization and preparing reviewing andor analyzing business reports Respect the Individual ... full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high ...

Walmart

Area Manager - Warehouse - Full Time

Morrisville, NC · On-site

$80K - $120K/yr

... asset utilization and preparing reviewing andor analyzing business reports Respect the Individual ... full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high ...

Walmart

Area Manager - Warehouse - Full Time

Durham, NC · On-site

$80K - $120K/yr

... asset utilization and preparing reviewing andor analyzing business reports Respect the Individual ... full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high ...

Transitions LifeCare

On-Call RN, Full-Time

Raleigh, NC · On-site

... appropriate utilization of contract services. * Actively participates in the orientation and ... For further information, please review the Know Your Rights notice from the Department of Labor.

UnitedHealth Group

Director of Pharmacy

Raleigh, NC

$112K - $193K/yr

Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting ... Reviews and interprets physician orders, check for drug interactions, allergies, and ...

UnitedHealth Group

Director of Pharmacy

Raleigh, NC · On-site

$112K - $193K/yr

Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting ... Reviews and interprets physician orders, check for drug interactions, allergies, and ...

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All JobsOptum Utilization Review JobsFull Time Optum Utilization Review JobsFull Time Optum Utilization Review Jobs in Raleigh, NC

Full Time Optum Utilization Review information

See Raleigh, NC salary details

$20

$41

$67

How much do full time optum utilization review jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for full time optum utilization review in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 per hour, depending on experience, location, and employer.

What are some common challenges faced by full time Optum utilization review, and how can they be managed?

Full Time Optum Utilization Review nurses often encounter challenges such as managing high caseloads, staying updated with frequently changing insurance and regulatory guidelines, and effectively communicating with both healthcare providers and patients. Time management and strong organizational skills are crucial for balancing documentation with timely case reviews. Collaborating closely with multidisciplinary teams and utilizing technology tools provided by Optum can help streamline workflows and ensure compliance with policies, ultimately leading to more effective patient care coordination.

What are the key skills and qualifications needed to thrive as a full time Optum utilization review?

To thrive as a Full Time Optum Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and a solid understanding of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and platforms like InterQual or MCG is typically required. Excellent communication, critical thinking, and attention to detail are vital soft skills for effectively coordinating care and collaborating with providers. These abilities ensure efficient, compliant care management, cost containment, and optimal patient outcomes within the healthcare system.

What is a full time Optum utilization review?

A Full Time Optum Utilization Review position involves working for Optum, a healthcare services company, to review patient medical records and determine the medical necessity and appropriateness of healthcare services. Utilization Review professionals collaborate with healthcare providers, insurers, and patients to ensure that care provided is efficient, cost-effective, and aligns with established guidelines. The role typically requires knowledge of clinical standards, strong communication skills, and the ability to interpret medical documentation. Full-time positions often come with benefits and require standard weekly work hours.

What is the difference between Full Time Optum Utilization Review vs Full Time Medical Reviewer?

AspectFull Time Optum Utilization ReviewFull Time Medical Reviewer
CertificationsTypically requires medical licenses and utilization review certificationsRequires medical licenses, often with additional certifications in utilization review
Work EnvironmentInsurance companies, healthcare organizations, remote or office-basedHospitals, clinics, insurance companies, often in clinical settings
Employer & Industry UsagePrimarily in health insurance and managed careIn healthcare facilities and insurance sectors

Full Time Optum Utilization Review professionals focus on evaluating medical necessity for insurance claims, often working remotely or in insurance settings. Full Time Medical Reviewers also assess medical necessity but may work directly within clinical environments. Both roles require medical credentials and involve reviewing patient records, but their work settings and employer types differ slightly.

What are the most commonly searched types of Optum Utilization Review jobs in Raleigh, NC? The most popular types of Optum Utilization Review jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Full Time Optum Utilization Review jobs? Cities near Raleigh, NC with the most Full Time Optum Utilization Review job openings:
Full Time Optum Utilization Review jobs near you

Transportation Construction Manager (Full-Time)

MBP

Raleigh, NC • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Job description

Overview
EXPERIENCE QUALIFICATION:
Extensive transportation construction experience including functional leadership of project or task teams for a construction manager, contractor, owner, developer or designer. Evidence of progressive career development and demonstrated expertise in leading transportation projects.
Responsibilities
MAIN DUTIES:
Focused on providing technical work product of a high quality to the client including items such as on-site representation, documentation, cost control and time management. Responsible for managing a project's technical effort for the client including leadership of project team and coordinating work with the various project entities to meet deadlines and budgets.
  • Coordinate and track multiple project activities on multiple projects concurrently and determine staffing requirements for projects to ensure adequate coverage.
  • Act as overall liaison between the Owner and General Contractors on NCDOT transportation or Locally Administered transportation construction projects (LAP), including job site construction inspection.
  • Has the knowledge and ability to work within the NCDOT SharePlus site.
  • Plan, organize, coordinate, direct, and manage multi-disciplinary work efforts. Oversee validation of products and materials ordered for projects to verify their conformance to specifications.
  • Monitor and assess construction performance and record construction activities to ensure compliance with construction documentation requirements.
  • Inspects work in progress, to assure that methods, materials, and equipment conform to approved standards.
  • Maintain project documentation through review of Construction Inspectors' daily status reports; chart progress of contract schedules via regularly scheduled meetings; review, ensure utilization of shop drawing submittals; process and ensure incorporation of RFI's; review contractor change orders and make recommendations for changes; incorporate change orders into project record.
  • Facilitate regularly scheduled construction meetings.
  • Assist in training and providing technical expertise and guidance to Construction Inspectors.
  • Review punch list submitted by others and verify that items on the punch list have been completed and corrected prior to recommending substantial completion to the Owner.
  • Maintains a perspective overview regarding federal, state, and local laws regulating construction procedures, safety practices and working conditions.
  • Work closely with the Branch Safety Officer to facilitate the highest level of safety in and around the work site.
  • Investigates complaints from landowners arising out of conflicts between construction and right-of-way agreements.
  • Provides customer services and good etiquette to the traveling public, adjacent property owners, and other project stakeholders.
  • Performs various administrative duties to include but not limited to: daily timesheet, monthly expense report, and monthly mileage report.

ADDITIONAL DUTIES:
  • Business development including leadership in short list presentation efforts.
  • Personnel management including: performance reviews, coaching, disciplinary issues, review/approval of timesheets, requests for time off, review and approve mileage and expense reports.
  • Maintain certifications and re-certifications.
  • Actively participate in company activities, including but not limited to branch and company meetings.

Qualifications
EDUCATION/KNOWLEDGE:
B.S. in engineering or construction management with five years of experience in managing transportation projects and the ability to obtain a PE license. Professional registration, other specific industry-related certification, or advanced specialized technical knowledge. Detailed knowledge of transportation construction methods, principles of construction management, and/or and project controls. Knowledge and demonstrated experience in project management techniques including budgeting, leadership, training, and business development.
Or
High school, some technical school with 20+ years of experience. NCDOT Level IV or V experience is required. Knowledge of transportation construction practices, principles of construction management and project controls, with working knowledge in areas including scheduling, cost estimating, documentation, contract administration, and construction techniques preferred. Knowledge of personnel and project management techniques including: budgeting, leadership, training and business development. Must possess OSHA 10-hour or OSHA 30-hour certification or obtain within 3 months of hire.
PE license and Certified Construction Manager (CCM) designation are preferred but not required.
SKILLS AND ABILITIES:
  • General knowledge of MBP's diverse services with demonstrated expertise in one or more service areas or market sectors.
  • Ability to provide leadership and training to other team members and manage project teams.
  • Ability to provide direct client contact and client care.
  • Able to communicate clearly and professionally with others including contractors, owners, and subconsultants regarding work assignments.

GUIDANCE/RESPONSIBILITY:
Able to work independently and determine solutions with limited guidance. Provides training and leadership to Construction Inspectors and other team members. Receives overall guidance on emphasis and approach from Regional Transportation Managers, Project Managers, Senior Project Managers, and/or Branch Management.
SUPERVISORY:
Generally performs in supervisory role leading project teams and self-performs technical tasks.
What We Offer:
We're focused on providing the tools and support you need to succeed, both personally and professionally. MBP offers a comprehensive benefits package including 100% employer-paid medical, dental, vision, life, and disability insurance (for individual employees), a 401(k) profit-sharing plan, a health savings account with company contributions, competitive compensation with opportunities for semi-annual bonuses, and generous paid time off. We also provide unique perks like tuition assistance, student loan repayment, annual gym reimbursement, pet insurance, and paid volunteer time. Additional benefits include mental health resources, company-wide wellness activities, and training and development to support your professional growth. MBP also covers the costs associated with obtaining and maintaining certifications and licenses, such as your VDOT, NICET, DOT, CCM, and OSHA 10-hour or OSHA 30-hour certifications.
Status: Full-time
The base salary range for this position is $95,000.00 to $125,000.00. Actual compensation will be determined based on work location, qualifications, experience, job-related skills, and relevant education or training.
Applicants must be authorized to work in the U.S. without sponsorship.
MBP is an equal opportunity employer and does not discriminate on the basis of any legally protected status or characteristic; protected veterans and individuals with disabilities are encouraged to apply.

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