... drug, utilization management, and third-party data. In this role you will work closely with ... Ability to peer review * Champions a culture of documentation and logging * Ability to own a ...
... drug, utilization management, and third-party data. In this role you will work closely with ... Ability to peer review * Champions a culture of documentation and logging * Ability to own a ...
... drug, utilization management, and third-party data. In this role you will work closely with ... Ability to peer review * Champions a culture of documentation and logging * Ability to own a ...
... drug, utilization management, and third-party data. In this role you will work closely with ... Ability to peer review * Champions a culture of documentation and logging * Ability to own a ...
Internship Remote Utilization Review information
See Raleigh, NC salary details
$10.75 - $12.38
2% of jobs
$12.38 - $14.02
4% of jobs
$15.66 is the 25th percentile. Wages below this are outliers.
$14.02 - $15.66
19% of jobs
$15.66 - $17.29
24% of jobs
The median wage is $17.39 / hr.
$17.29 - $18.93
17% of jobs
$19.91 is the 75th percentile. Wages above this are outliers.
$18.93 - $20.56
16% of jobs
$20.56 - $22.20
6% of jobs
$22.20 - $23.84
5% of jobs
$23.84 - $25.47
3% of jobs
$25.47 - $27.11
3% of jobs
$27.11 - $28.74
1% of jobs
$10
$18
$28
How much do internship remote utilization review jobs pay per hour?
As of Jun 13, 2026, the average hourly pay for internship remote utilization review in Raleigh, NC is $18.78, according to ZipRecruiter salary data. Most workers in this role earn between $15.67 and $20.34 per hour, depending on experience, location, and employer.
What are the main challenges interns face when working remotely in Utilization Review, and how can they overcome them?
Remote Utilization Review interns often encounter challenges in balancing independent work with effective communication, especially when collaborating with clinical teams or supervisors. Staying organized and proactively reaching out for guidance can help bridge gaps caused by remote settings. Utilizing available digital tools, attending virtual meetings, and participating in team chats fosters connection and learning. Setting a structured daily schedule and seeking regular feedback ensures that interns stay aligned with team goals and develop their review skills efficiently.
What is a Remote Utilization Review Internship?
A Remote Utilization Review Internship is a temporary position, often for students or recent graduates, that allows individuals to work remotely while learning about utilization review processes in healthcare. Interns assist in evaluating medical records, ensuring that healthcare services provided to patients are medically necessary and meet established guidelines. They work under the supervision of licensed professionals, gaining experience in medical documentation, insurance policies, and healthcare regulations. This role is ideal for those interested in healthcare administration, nursing, or case management.
What is the difference between Internship Remote Utilization Review vs Utilization Review Specialist?
| Aspect | Internship Remote Utilization Review | Utilization Review Specialist |
|---|---|---|
| Credentials | Typically pursuing or holding relevant certifications (e.g., CCM, RN) | Requires active certification and experience in utilization review |
| Work Environment | Remote, internship setting, often part-time or supervised | Full-time, remote or onsite, with more independent responsibilities |
| Industry Usage | Entry-level, training phase within healthcare and insurance sectors | Professional role with established responsibilities in healthcare management |
In summary, an Internship Remote Utilization Review is a training position for individuals gaining experience in utilization review, often with supervision and limited responsibilities. A Utilization Review Specialist is a fully qualified professional responsible for evaluating healthcare services, requiring certifications and more independence in their role.
What are the key skills and qualifications needed to thrive as a Remote Utilization Review Intern, and why are they important?
To thrive as a Remote Utilization Review Intern, you need a foundational understanding of healthcare processes, medical terminology, and insurance guidelines, often supported by a relevant degree or coursework in nursing, health administration, or a related field. Familiarity with electronic medical record (EMR) systems, utilization review software, and HIPAA compliance is typically required. Strong attention to detail, analytical thinking, and effective written communication are standout soft skills in this role. These abilities are crucial for accurately reviewing patient cases, ensuring regulatory compliance, and supporting efficient healthcare delivery from a remote setting.
What are the most commonly searched types of Remote Utilization Review jobs in Raleigh, NC? The most popular types of Remote Utilization Review jobs in Raleigh, NC are:
What are popular job titles related to Internship Remote Utilization Review jobs in Raleigh, NC? For Internship Remote Utilization Review jobs in Raleigh, NC, the most frequently searched job titles are:
- Remote Utilization Management
- Night Utilization Review Nurse
- Utilization Review Physician
- Evening Optum Health Utilization Review
- Overnight Utilization Review Nurse
- Full Time Appeals Nurse Remote
- Full Time Behavioral Health Utilization Review
- 3Rd Shift Behavioral Health Utilization Review
- Full Time Physician Advisor Utilization Review
- Remote Utilization Review Rn
What job categories do people searching Internship Remote Utilization Review jobs in Raleigh, NC look for? The top searched job categories for Internship Remote Utilization Review jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Internship Remote Utilization Review jobs? Cities near Raleigh, NC with the most Internship Remote Utilization Review job openings:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 6 days ago
Cigna Healthcare rating
8.4
Based on 216 frontline employees who took The Breakroom Quiz
33rd of 872 rated healthcare providers
Job description
Summary
Using your knowledge of statistics, healthcare, and ML / AI you will build models to help identify opportunities for our pricing and underwriting partners. You will perform feature engineering, model development, and model monitoring / maintenance using a broad range of medical, prescription drug, utilization management, and third-party data. In this role you will work closely with leadership, data scientists, business stakeholders and engineering partners to deliver robust well-documented deliverables that will enhance our competitive position in the marketplace.
Responsibilities
Contribute to the development of comprehensive analytics that facilitate best in class pricing and underwriting
Execute special projects that can improve Commercial Healthcare underwriting
Utilize data science and advanced analytics to create actionable insights and recommendations for business leaders to advance Cigna's strategic objectives
Regularly communicate work with business stakeholders and senior leadership
Stay up to date on latest analytic tools and techniques and strategize how to leverage these tools to modernize our pricing/UW organizations
Ensure solutions drive long term value while also ensuring they can integrate with current processes
Test & Learn Pilots: collaborate with business leaders to design, launch and measure robust pilots to test new solutions
Develop models that foster underwriting and actuarial advancement by aligning business problems to a potential solution like GLMs, Machine Learning, Clustering, LLMs or other advanced techniques
Qualifications:
5+ years direct Data Science experience in a healthcare related environment
Strong background in stats, ML and model development
Experience deploying ML/predictive models to prod/cloud env't
Strong skills with Python, SQL, Git, Keras and TensorFlow
Knowledge of common health care data e.g., claims, EHR, laboratory data
Experience with best programming practices and writes clean, documented, and well-structured code
Ability to peer review
Champions a culture of documentation and logging
Ability to own a project end-to-end e.g., scoping, ideation, dev, prod
Ability to independently deliver clear and well developed presentations for both technical and business audiences
Ability to create DS-specific project goals associated within high level project deliverables
Ability to articulate timeline changes, rationale, and goals to meet deadlines moving forward
Prefer MS or PhD in STEM related fields
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 131,200 - 218,600 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
What Cigna Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom