ZipRecruiter

Log In

2

Part Time Insurance Utilization Review Jobs (NOW HIRING)

Acadia Healthcare

Utilization Specialist

Riverdale, GA · On-site

Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...

previous page

Showing results 41-60

All JobsPart Time JobsHealthcare JobsNursing JobsNurse Case Manager JobsPart Time Insurance Utilization Review Jobs

Part Time Insurance Utilization Review information

See salary details

$21

$42

$68

How much do part time insurance utilization review jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for part time insurance utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is the difference between Part Time Insurance Utilization Review vs Part Time Claims Reviewer?

AspectPart Time Insurance Utilization ReviewPart Time Claims Reviewer
CredentialsTypically requires insurance or healthcare-related certificationsOften requires insurance or claims processing certifications
Work EnvironmentHealthcare settings, insurance companies, or third-party administratorsInsurance companies, claims processing centers, or third-party administrators
Job FocusEvaluating medical necessity and appropriateness of servicesReviewing and processing insurance claims for accuracy and coverage

Part Time Insurance Utilization Review and Part Time Claims Reviewer roles both involve insurance industry work, but focus on different aspects. Utilization review centers on assessing medical necessity, while claims reviewers handle processing and verifying claims. Understanding these differences helps job seekers find the right fit based on their skills and interests.

What cities are hiring for Part Time Insurance Utilization Review jobs?

Cities with the most Part Time Insurance Utilization Review job openings:

What are the most commonly searched types of Insurance Utilization Review jobs?

The most popular types of Insurance Utilization Review jobs are:

What states have the most Part Time Insurance Utilization Review jobs?

States with the most job openings for Part Time Insurance Utilization Review jobs include:

What are popular job titles related to Part Time Insurance Utilization Review jobs?

For Part Time Insurance Utilization Review jobs, the most frequently searched job titles are:

Part Time Insurance Utilization Review jobs near you

Physician Reviewer (Part -Time) - Utilization Management

New York, NY • Remote

Oscar Health
Insurance Services • 1 - 5K employees
Learn more about Oscar Healthexternal

$140 - $145/hr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement

Posted 9 days ago

Oscar Health rating

6.6

Company rating: 6.6 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management Team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines.

Hours: 8am - 5pm in your local time zone.  A minimum commitment of 20-25 hours per week is required. 

Call rotation - 16 weekend hours per month

You will report into the Associate Medical Director, Utilization Management.

Work Location: This is a remote position, open to candidates who reside in the United States. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $140-$145 per hour.  

Responsibilities:

  • Provide timely medical reviews that meet Oscar's stringent quality parameters.
  • Provide clinical determinations based on evidence-based criteria and Oscar internal guidelines and policies, while utilizing clinical acumen.
  • Clearly and accurately document all communication and decision-making in Oscar workflow tools, ensuring a member could easily reference and understand your decision (Flesch-Kincaid grade level).
  • Use correct templates for documenting decisions during case review.
  • Meet the appropriate turn-around times for clinical reviews.
  • Receive and review escalated reviews.
  • Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Board certification as an MD or DO
  • Licensed in one of these states: FL, NC, AZ OR possess an active Interstate Medical Licensure Compact (IMLC).
  • 6+ years of clinical practice

Bonus points:

  • Licensure in multiple Oscar states
  • 1+ years of utilization review experience in a managed care plan (health care industry)
  • BC in Cardiology, Radiation/Oncology, or Neurology
  • Experience with care management within the health insurance industry.
  • Willing and able to obtain additional state licensure as needed, with Oscar's support

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. 

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

What Oscar Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom