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Overnight Remote Utilization Review Jobs in Madison, WI

Senior IT Security Analyst

Madison, WI · On-site +1

$90K - $115K/yr

... utilization. * Have developed security awareness training programs to educate employees on ... Please review Remote Worker FAQs for additional information. Benefits * Remote and hybrid work ...

Benefit & Compensation Analyst (on site)

Madison, WI · Remote

$70K - $87K/yr

Madison, WI Full Time | Day | Monday-Friday | 8am-5pm (option for 1 Day/Week remote) Make a lasting ... This role analyzes market trends, internal data, employee feedback, and program utilization to ...

Licensing Manager

Janesville, WI · On-site +1

$160K - $200K/yr

Hybrid or remote work arrangement will be considered. While our headquarters is located in ... Interface with regulatory agencies in the planning of regulatory engagements, regulatory reviews ...

Licensing Engineer

Janesville, WI · On-site +1

$73K - $121K/yr

... support of the review of licensing actions by the U.S. Nuclear Regulatory Commission; the ... Hybrid or remote work arrangement will be considered. While our headquarters is located in ...

This position may be onsite or remote. Essential Duties Include, but are not limited to, the ... Consult with project sponsors and reviews project proposals to determine goals, time frame, funding ...

New

... Remote You will do this by: * Presenting sales & marketing programs to secure new and existing ... Reviewing and analyzing sales and marketing data to promote sales, determine customer needs and ...

... Remote You will do this by: * Presenting sales & marketing programs to secure new and existing ... Reviewing and analyzing sales and marketing data to promote sales, determine customer needs and ...

This position may be onsite or remote. Essential Duties Include, but are not limited to, the ... Consult with project sponsors and reviews project proposals to determine goals, time frame, funding ...

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Overnight Remote Utilization Review information

See Madison, WI salary details

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How much do overnight remote utilization review jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for overnight remote utilization review in Madison, WI is $42.60, according to ZipRecruiter salary data. Most workers in this role earn between $33.65 and $48.94 per hour, depending on experience, location, and employer.

What is an overnight remote utilization review?

An Overnight Remote Utilization Review position involves evaluating medical records and healthcare services during nighttime hours to ensure that treatments are medically necessary and meet established guidelines. Professionals in this role usually work from home, reviewing patient cases, authorizing or denying services, and collaborating with healthcare providers. This job is crucial for maintaining quality care while controlling healthcare costs, and it often requires clinical credentials such as RN, LPN, or other relevant certifications. Strong analytical, communication, and computer skills are important for success in this remote role.

What are the key skills and qualifications needed to thrive as an overnight remote utilization review?

To thrive as an Overnight Remote Utilization Review nurse, you need a current RN license, strong clinical judgment, and experience in acute care or case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines such as Medicare/Medicaid are typically required. Excellent critical thinking, attention to detail, and the ability to communicate clearly in written and verbal forms are vital soft skills for this role. These skills ensure accurate, timely case reviews and effective collaboration with healthcare providers while maintaining compliance with payer requirements.

What are the main challenges faced by overnight remote utilization review professionals, and how can they be addressed?

Overnight remote utilization review professionals often encounter challenges such as working independently during non-traditional hours, limited immediate access to colleagues or supervisors, and the need to make timely decisions with potentially less available support. To address these challenges, it is important to develop strong self-management skills, establish clear communication channels with team members, and utilize comprehensive digital resources and documentation. Employers typically provide thorough training and access to on-call support to help ensure that overnight staff can make confident, accurate determinations and maintain high-quality patient care standards.

What is the difference between Overnight Remote Utilization Review vs Daytime Remote Utilization Review?

AspectOvernight Remote Utilization ReviewDaytime Remote Utilization Review
Work HoursTypically overnight shifts, often 10 PM to 6 AMStandard daytime hours, usually 8 AM to 4 PM
CertificationsSame as utilization review roles, e.g., RN, CPC, or other healthcare credentialsSame as overnight roles, requiring similar certifications
Work EnvironmentRemote, focused on reviewing cases during night hoursRemote, reviewing cases during daytime hours
Employer & IndustryHealthcare insurance companies, third-party administratorsSame as overnight, within healthcare and insurance sectors

Overnight Remote Utilization Review involves reviewing cases during night hours, providing flexibility for healthcare providers and insurers. Daytime Remote Utilization Review occurs during regular business hours. Both roles require similar credentials and work environments but differ mainly in shift timing, catering to different operational needs.

What are the most commonly searched types of Remote Utilization Review jobs in Madison, WI?

The most popular types of Remote Utilization Review jobs in Madison, WI are:

What cities near Madison, WI are hiring for Overnight Remote Utilization Review jobs?

Cities near Madison, WI with the most Overnight Remote Utilization Review job openings:

Territory Manager, CardioMEMS - Western Region

Abbott

Madison, WI • Remote

Full-time

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


Abbott rating

7.8

Company rating: 7.8 out of 10

Based on 138 frontline employees who took The Breakroom Quiz

170th of 545 rated manufacturers


Job description

Territory Manager

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries.

In Abbott's Heart Failure (HF) business, we're developing solutions to diagnose, monitor and manage heart failure, allowing people to restore their health and get on with their lives.

We're looking for proven, top-performing Territory Managers in the San Francisco Bay Area, north Austin, TX, south Dallas/Fort Worth, TX, central Wisconsin, Little Rock, AR, North Dakota, South Dakota, and Tacoma, WA.

The Territory Manager (TM) is responsible for driving therapy adoption, opening new accounts, and growing revenue for CardioMEMS. This is a hunter-oriented commercial role focused on expanding access, building high-impact customer relationships, and integrating the therapy into clinical workflows across implanting centers and community hospitals.

What You'll Work On

  • Sales & Customer Engagement: Build and maintain strong relationships with physicians, HF clinics, administrators, and key stakeholders. Deliver clinical, technical, and strategic presentations to drive therapy understanding and adoption. Lead pricing discussions, contract negotiations, and value-based conversations. Plan and execute educational events focused on hemodynamics, GDMT, published data, biomarkers, patient selection, and local case studies. Provide day-of-procedure support and post-operative troubleshooting as needed. Meet or exceed sales targets and execute quarterly business plans. Collaborate closely with Marketing, Professional Education, and Commercial Excellence teams. Track territory performance, customer engagement, and pipeline activity.
  • Account Management & Program Development: Conduct quarterly business reviews with key accounts to assess performance and identify growth opportunities. Partner effectively with Clinical Account Representative to support priority accounts with a unified strategy. Develop long-term relationships with both new and existing customers. Submit timely and accurate sales reports, forecasts, and competitive insights.
  • Market Development & Competitive Strategy: Identify, qualify, and convert new business opportunities across implanting and community sites. Use market insights to understand customer needs, emerging trends, and competitive dynamics. Build and execute territory strategies to increase market share and drive sustainable adoption. Maintain strong knowledge of CardioMEMS, competitive products, and alternative therapies.
  • Technical & Procedural Support: Provide on-call technical, clinical, and engineering support for field questions and procedural needs. Offer procedural case coverage across the region, ensuring high-quality support for implanting teams. Support HF clinics with training, education, clinical data collection, and new product introductions.
  • Compliance & Cross-Functional Collaboration: Adhere to FDA regulations, company policies, quality standards, and operating procedures. Maintain accurate documentation of sales activities, customer interactions, and expenses. Work collaboratively with internal partners, customers, contractors, and vendors. Interact with patients, when necessary, in a professional, compliant manner.

Required Qualifications

  • Bachelor's degree in business, Marketing, Life Sciences, Engineering, or related field.
  • 3–5 years of direct healthcare sales experience; 2+ years in cardiology structural heart/heart failure preferred.
  • Track record of ≥100% to quota for 2 consecutive years
  • Demonstrated success opening 3–5+ net-new accounts/year or expanding underdeveloped accounts to sustained utilization.
  • Strong understanding of payor and insurance reimbursement landscape.
  • Recent launch experience (Preferred) (last 3–5 years) leading 2–3 program or therapy launches/year with proof of sustainability (e.g., active clinic users, adherence to workflows, utilization trends), including: Pre-launch planning, Stakeholder alignment and executive sponsorship, Training, education, and clinical workflow integration, Post launch support and long-term sustainability plans.
  • Experience driving program implementation and ongoing program maturity, such as: HF clinic onboarding, Remote monitoring workflow development, Utilization ramp and adoption metrics
  • Strong executive presence, clinical/technical presentations to audiences of 1–50 stakeholders.
  • Proven ability to influence cross-functional buying groups (value analysis committees, supply chain, service line leadership) Influencing multiple key stakeholders to drive growth.
  • Strong understanding of market dynamics
  • Strong commercial acumen with ability to produce data-driven territory strategies, forecasting models, and QBRs using CRM platforms (Salesforce preferred), analytics, and Excel.
  • Willingness to travel 60-70% within territory, including some overnight and early/late case support.

Preferred Qualifications

  • Cath Lab experience preferred
  • 2+ years in cardiology structural heart/heart failure preferred.
  • Experience at top MedTech organizations.
  • Experience operating in a competitive market with multiple industry players.
  • Familiarity with Cath lab/OR workflows.

The base pay for this position is $43,900.00 – $109,200.00. In specific locations, the pay range may vary from the range posted.


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