2

Remote Hca Utilization Review Jobs in Minnesota (NOW HIRING)

AVP, Construction

Saint Paul, MN · On-site +1

$150K - $190K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Solicits and reviews new and renewal account information required to evaluate a risk. * Identifies ...

Staff Accountant

Minneapolis, MN · On-site +1

$75K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Review and record organizational credit card transactions in Sage Intacct. * Maintain AP subledger ... Monitor grant spending, funding utilization, and reporting deadlines. * Provide fiscal support for ...

Account Executive - Splunk (Remote)

Saint Paul, MN · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Reviews, prioritizes, and aligns customer needs and Splunk portfolio strategy to drive significant ... utilization. * Partners with other account executive resources to provide insights to Rev Ops ...

Account Executive - Splunk (Remote)

Minneapolis, MN · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Reviews, prioritizes, and aligns customer needs and Splunk portfolio strategy to drive significant ... utilization. * Partners with other account executive resources to provide insights to Rev Ops ...

Senior Superintendent II

Minneapolis, MN · Remote

$164K - $246K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Review construction documents for completeness and constructability * Create, review and update ... Develop and implement site utilization plan and establish crew sizes * Select formwork systems and ...

Lead AI ML Engineer - Remote

Eden Prairie, MN · Remote

$104K - $137K/yr

  • Retirement

We are redefining how clinical teams work by embedding AI directly into Utilization Management (UM ... Write clean, testable, and well documented code; lead by example in code reviews and technical ...

Lead AI/ML Engineer - Remote

Eden Prairie, MN · Remote

$104K - $137K/yr

  • Retirement

We are redefining how clinical teams work by embedding AI directly into Utilization Management (UM ... Write clean, testable, and well documented code; lead by example in code reviews and technical ...

Lead AI ML Engineer - Remote

Eden Prairie, MN · On-site +1

$104K - $137K/yr

  • Retirement

We are redefining how clinical teams work by embedding AI directly into Utilization Management (UM ... Write clean, testable, and well documented code; lead by example in code reviews and technical ...

Lead AI/ML Engineer - Remote

Eden Prairie, MN · On-site +1

$104K - $137K/yr

  • Retirement

We are redefining how clinical teams work by embedding AI directly into Utilization Management (UM ... Write clean, testable, and well documented code; lead by example in code reviews and technical ...

Showing results 41-60

Remote Hca Utilization Review information

What is the difference between Remote Hca Utilization Review vs Remote Hca Case Manager?

AspectRemote Hca Utilization ReviewRemote Hca Case Manager
CredentialsTypically requires healthcare-related certifications, such as RN or licensed healthcare professionalOften requires RN, social work, or case management certifications
Work EnvironmentPrimarily reviewing medical necessity and insurance coverage remotelyManaging patient cases, coordinating care, and discharge planning remotely
Employer & Industry UsageUsed by health insurance companies, healthcare providers, and utilization review organizationsEmployed by hospitals, insurance companies, and healthcare organizations

Remote Hca Utilization Review focuses on assessing medical necessity and insurance coverage, while Remote Hca Case Managers handle patient care coordination and discharge planning. Both roles require healthcare credentials and are integral to healthcare management, but they differ in daily responsibilities and focus areas.

What cities in Minnesota are hiring for Remote Hca Utilization Review jobs?

Cities in Minnesota with the most Remote Hca Utilization Review job openings:

Infographic showing various Remote Hca Utilization Review job openings in Minnesota as of July 2026, with employment types broken down into 91% Full Time, and 9% Contract. Highlights an 100% Remote job distribution.

AVP, Construction

Archgroup

Saint Paul, MN • On-site, Remote

$150K - $190K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 28 days ago


Job description

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility.

Position Summary:

The Assistant Vice President within Arch Construction is responsible for the technical underwriting and account management of large account construction casualty (loss sensitive) programs. The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis.

Responsibilities and Accountabilities:

Technical Underwriting

  • Solicits and reviews new and renewal account information required to evaluate a risk.

  • Identifies all potential exposures and hazards in relation to coverage requested and individual risk characteristics.

  • Assesses insurance and related financial risk and structures appropriate loss sensitive program to effectively protect against frequency, severity, catastrophic and credit risk

  • Underwrites prices and prepares proposals based on objective and subject risk characteristics, input of internal resource team, existing product set and regulatory filings.

  • Prepares final quotation/proposal and presents to producer and/or prospective insured.

  • Coordinates all administrative duties related to existing and prospective accounts.

Account Management

  • Quarterbacks all post bind activities including policy production, compliance issues, audits and adjustments, legal agreements, receipt of collateral, legal agreement execution, TPA coordination and any other related items.

  • Together with internal team members, takes responsibility to deliver promised service to customers.

  • Responsible for the renewal and retention management and manages the renewal process to achieve targeted retention and price change goals.

Sales and Marketing

  • Develops and maintains relationships with producers and insured's to achieve overall productions and profitability goals.

  • Meets with producers and insured's to discuss individual account issues, uncover critical customer needs and financial buying characteristics.

  • Develops a strategic plan for positioning and selling Arch at both the producer and the insured level.

  • Engages and introduces other team members or management team as appropriate.

  • Develops and maintains relationships with producers to generate a flow of qualified submissions.

Administrative

  • Responsible for all underwriting and policy file documentation

  • Completes ad hoc projects as assigned by management personnel

Required Skills and Abilities:

  • Understanding and knowledge of the intent, scope and purpose of the Workers Compensation, General Liability, Automobile coverage forms and endorsements with the ability to tailor to the sold program design.

  • Possess a thorough understanding of all loss sensitive programs including products, pricing, expensing, actuarial loss projecting techniques, retention and aggregate setting, limit profiles, ALAE, and effective utilization of facultative reinsurance.

  • Understanding and knowledge of exposure identification and analysis

  • Posses a cross functional generalist knowledge of other disciplines including claims, risk control, audit, premium accounting, finance and legal.

  • Knowledge of regulatory and compliance issues

  • Have the ability to influence without authority and be willing to work in a collaborative and team environment.

  • Highly proficient in Microsoft Excel, Work, Outlook, and PowerPoint

Desired Skills and Abilities:

  • 10 plus years of underwriting experience and/or 10 plus years experience in the construction industry.

  • Established broker relationships within the Central Region would be ideal.

Education and Experience:

  • Bachelor's degree or equivalent training required.

  • CPCU or other similar designation a plus.

#LI-Hybrid

#LI-Remote

#LI-JD1

For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.

$150,000 - $190,000/year

  • Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.

  • Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.

Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you.If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.

14400 Arch Insurance Group Inc.