Job Title Senior Data Science Consultant, Insurance - Remote Requisition Number R7828 Senior Data ... Coach and mentor junior consultants and review modeling work for quality and rigor. * Support ...
Job Title Senior Data Science Consultant, Insurance - Remote Requisition Number R7828 Senior Data ... Coach and mentor junior consultants and review modeling work for quality and rigor. * Support ...
Telephonic Case Manager I - California RN License Required
Nottingham, MD · Remote
$63K - $95K/yr
Strong cost containment background, such as utilization review or managed care helpful ... Remote
Telephonic Case Manager I - California RN License Required
Nottingham, MD · Remote
$63K - $95K/yr
Strong cost containment background, such as utilization review or managed care helpful ... Remote
Telephonic Case Manager I - California RN License Required
Nottingham, MD · Remote
$63K - $95K/yr
Strong cost containment background, such as utilization review or managed care helpful ... Remote
Quick apply
Telephonic Case Manager I - California RN License Required
Nottingham, MD · Remote
$63K - $95K/yr
Strong cost containment background, such as utilization review or managed care helpful ... Remote
Own performance across one or more Insurance Follow-Up teams (or multiple clients). * Set daily ... Build and present performance reviews and executive-ready reporting; drive corrective action plans.
Own performance across one or more Insurance Follow-Up teams (or multiple clients). * Set daily ... Build and present performance reviews and executive-ready reporting; drive corrective action plans.
Own performance across one or more Insurance Follow-Up teams (or multiple clients). * Set daily ... Build and present performance reviews and executive-ready reporting; drive corrective action plans.
Own performance across one or more Insurance Follow-Up teams (or multiple clients). * Set daily ... Build and present performance reviews and executive-ready reporting; drive corrective action plans.
Full-Time Remote Licensed Marriage and Family Therapist (LMFT) - Potomac, Maryland
Potomac, MD · On-site +1
Regularly review and modify treatment plans to reflect clients' progress and evolving needs ... Maintain accurate, confidential records of therapy sessions, outcomes, and utilization of ...
Full-Time Remote Licensed Marriage and Family Therapist (LMFT) - Potomac, Maryland
Potomac, MD · On-site +1
Regularly review and modify treatment plans to reflect clients' progress and evolving needs ... Maintain accurate, confidential records of therapy sessions, outcomes, and utilization of ...
Subject Matter Expert II - ARMS (Contingent Upon Award)
Aberdeen Proving Ground, MD · On-site +1
$160K - $225K/yr
Remote (CONUS Travel Required) Salary: $160,000 - $225,000 Position Overview: Dalcom Engineering is ... Support technical and financial analyses related to facility utilization, industrial base capacity ...
Subject Matter Expert II - ARMS (Contingent Upon Award)
Aberdeen Proving Ground, MD · On-site +1
$160K - $225K/yr
Remote (CONUS Travel Required) Salary: $160,000 - $225,000 Position Overview: Dalcom Engineering is ... Support technical and financial analyses related to facility utilization, industrial base capacity ...
Licensed Clinical Social Worker - Remote Position at Terros Therapy Center
Waldorf, MD · Remote
$90K - $105K/yr
Our remote setup is designed to support effective communication and collaboration among team ... Engage and collaborate with insurance companies on pre-certification processes and utilization ...
Licensed Clinical Social Worker - Remote Position at Terros Therapy Center
Waldorf, MD · Remote
$90K - $105K/yr
Our remote setup is designed to support effective communication and collaboration among team ... Engage and collaborate with insurance companies on pre-certification processes and utilization ...
Insurance Sales Agent (Comparion)
Frederick, MD · On-site +1
Flexible work structure (hybrid office, field, and remote based on what your day requires ... Employees should review all role requirements and apply only for positions for which they are ...
Insurance Sales Agent (Comparion)
Frederick, MD · On-site +1
Flexible work structure (hybrid office, field, and remote based on what your day requires ... Employees should review all role requirements and apply only for positions for which they are ...
Insurance Sales Agent (Comparion)
Towson, MD · On-site +1
Flexible work structure (hybrid office, field, and remote based on what your day requires ... Employees should review all role requirements and apply only for positions for which they are ...
Insurance Sales Agent (Comparion)
Towson, MD · On-site +1
Flexible work structure (hybrid office, field, and remote based on what your day requires ... Employees should review all role requirements and apply only for positions for which they are ...
Director, Trade Client Relations
California, MD · On-site +1
$155K - $175K/yr
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
Director, Trade Client Relations
California, MD · On-site +1
$155K - $175K/yr
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
$155K - $175K/yr
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
$155K - $175K/yr
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
Director, Trade Client Relations
Baltimore, MD · On-site +1
$155K - $175K/yr
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
Director, Trade Client Relations
Baltimore, MD · On-site +1
$155K - $175K/yr
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
Director, Trade Client Relations
Gaithersburg, MD · Remote
$155K - $175K/yr
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
Director, Trade Client Relations
Gaithersburg, MD · Remote
$155K - $175K/yr
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
Senior Counsel - Insurance Regulatory Counsel (Life Insurance)
Baltimore, MD · On-site +1
$138K - $188K/yr
... remote candidates will be considered. Responsibilities: * Provide legal advice and support in the ... Prepare, review, and negotiate legal contracts, documents, and agreements, including marketing ...
Senior Counsel - Insurance Regulatory Counsel (Life Insurance)
Baltimore, MD · On-site +1
$138K - $188K/yr
... remote candidates will be considered. Responsibilities: * Provide legal advice and support in the ... Prepare, review, and negotiate legal contracts, documents, and agreements, including marketing ...
Experience: 3 years of clinically related experience working in Medical Review, Utilization Management, or other RN direct patient care or health insurance payor experience. Preferred Qualifications:
Experience: 3 years of clinically related experience working in Medical Review, Utilization Management, or other RN direct patient care or health insurance payor experience. Preferred Qualifications:
Despite the remote nature, you will remain closely connected with our team of professionals who are ... Engage with insurance companies to manage pre-certification and utilization focused on student care.
Despite the remote nature, you will remain closely connected with our team of professionals who are ... Engage with insurance companies to manage pre-certification and utilization focused on student care.
Interact with insurance companies to facilitate pre-certification and manage utilization, ensuring ... Familiarity with telehealth platforms and remote patient management can enhance your effectiveness ...
Interact with insurance companies to facilitate pre-certification and manage utilization, ensuring ... Familiarity with telehealth platforms and remote patient management can enhance your effectiveness ...
Remote Psychiatrist
Leonardtown, MD · Remote
$150 - $200/hr
... making rather than scheduling, insurance verification, or chasing records. Clinical ... Document within our behavioral health EMR to the standard required for payer review * Escalate ...
Quick apply
Remote Psychiatrist
Leonardtown, MD · Remote
$150 - $200/hr
... making rather than scheduling, insurance verification, or chasing records. Clinical ... Document within our behavioral health EMR to the standard required for payer review * Escalate ...
Remote Psychiatrist
Cheltenham, MD · Remote
$150 - $200/hr
... making rather than scheduling, insurance verification, or chasing records. Clinical ... Document within our behavioral health EMR to the standard required for payer review * Escalate ...
Quick apply
Remote Psychiatrist
Cheltenham, MD · Remote
$150 - $200/hr
... making rather than scheduling, insurance verification, or chasing records. Clinical ... Document within our behavioral health EMR to the standard required for payer review * Escalate ...
Remote Insurance Utilization Review information
What is a remote insurance utilization review?
What skills and qualifications are needed for a remote insurance utilization review specialist?
How does a remote insurance utilization review professional collaborate with healthcare providers and insurance companies?
What is the difference between Remote Insurance Utilization Review vs Remote Claims Reviewer?
| Aspect | Remote Insurance Utilization Review | Remote Claims Reviewer |
|---|---|---|
| Credentials | Typically requires nursing or healthcare-related certifications, such as RN or licensed healthcare professional | Usually requires insurance or claims processing knowledge, sometimes with certifications like CPC or CPC-H |
| Work Environment | Remote, healthcare or insurance company settings, reviewing medical necessity and appropriateness of services | Remote, insurance companies or third-party administrators, reviewing claims for accuracy and compliance |
| Industry Usage | Commonly used in healthcare insurance to evaluate medical necessity | Used across insurance sectors to process and validate claims |
Remote Insurance Utilization Review focuses on assessing the medical necessity of services, often requiring healthcare credentials. Remote Claims Reviewers handle claims processing and validation, emphasizing insurance knowledge. Both roles are remote and industry-specific but differ in their primary responsibilities and required qualifications.
What are the most commonly searched types of Insurance Utilization Review jobs in Maryland?
The most popular types of Insurance Utilization Review jobs in Maryland are:
What are popular job titles related to Remote Insurance Utilization Review jobs in Maryland?
For Remote Insurance Utilization Review jobs in Maryland, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Utilization Review jobs in Maryland look for?
The top searched job categories for Remote Insurance Utilization Review jobs in Maryland are:
- Case Manager Utilization Review Nurse
- Remote Registered Nurse F1 Opt Visa Sponsorship
- Remote Msn Nurse Educator
- Remote Utilization Review
- Remote New Grad Rn
- Remote Indian Health Service Physician
- Flexible Remote Biotech Nursing
- Seasonal Remote Utilization Review
- Remote Foreign Trained Dentist
- Series 7 And 63
What cities in Maryland are hiring for Remote Insurance Utilization Review jobs?
Cities in Maryland with the most Remote Insurance Utilization Review job openings:

Full-time
Retirement
Re-posted 7 days ago
Job description
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Job Title
Senior Data Science Consultant, Insurance - RemoteRequisition Number
R7828 Senior Data Science Consultant, Insurance - Remote (Open)Location
Arizona - Home TeleworkersAdditional Locations
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CSAA Insurance Group (CSAA IG), a AAA insurer, is one of the leading personal lines property and casualty insurance groups in the United States. Here, every employee shapes our mission. We build innovative, human-centered solutions that help AAA members prevent, prepare for, and recover from life's uncertainties. You will join a collaborative, inclusive culture where your strengths have room to grow and your ideas can drive real impact. Step into a role where you can contribute to our shared success through meaningful work.
We are actively hiring for a Senior Data Science Consultant, Insurance - Remote
Your Role:
This Data Scientist role offers the opportunity to help CSAA Insurance Group anticipate and prepare for the future of the insurance industry. In this highly strategic position, you will build and apply advanced simulation models to explore emerging trends and their potential impact over the next decade. Your work will help leaders evaluate scenarios, test assumptions, and make informed decisions about how CSAA can adapt, grow, and continue serving members in a rapidly changing marketplace.
This role is ideal for a seasoned data science professional with deep expertise in modeling, simulation, AI, data analysis, and programming, along with the ability to translate complex findings into clear business recommendations. You will work closely with senior leaders and cross-functional teams to design simulation frameworks, interpret results, communicate assumptions and limitations, and influence decisions that may shape CSAA's long-term strategy. Beyond delivering high-impact analytics, this person will help strengthen CSAA's internal simulation capabilities by mentoring others and advancing the broader data science community.
Your Work:
Lead the design, development, and validation of simulation models (discrete-event, agent-based, system dynamics, or hybrid).
Translate business or operational problems into robust simulation frameworks.
Conduct scenario analysis, what-if studies, optimization, and risk analysis.
Interpret simulation results and large datasets, delivering actionable insights to executive and technical audiences to support decision-making.
Guide business users on model assumptions, limitations, and best practices.
Coach and mentor junior consultants and review modeling work for quality and rigor.
Support problem understanding and solution design, including proposals and executive presentations.
Partner closely with data governance, model governance, and regulatory compliance teams.
Key partner to the business, advising and making actionable recommendations with significant impact.
Play key roles cross-functionally with data, IT, governance, legal, and business.
Take a leading role in shaping the culture of data science community in CSAA.
Required Experience, Education and Skills:
Bachelor's degree in STEM or bachelor's degree with an equivalent combination of relevant education.
Requires 10 years related professional experience with transferrable skills.
Experience in developing data pipelines for simulations and data science models.
Experience with fostering the culture of data scientist community.
Master-level tool knowledge (e.g., SQL, Python, AWS, DataRobot, AnyLogic, and other simulation tools).
Deep knowledge in AI, data mining, data evaluation, and proficiency in compiling an effective and comprehensive modeling dataset.
Strong communication skills to explain model insights to technical partners, business partners, and corporate leaders.
Master-level data science industry knowledge and knowledge of the insurance marketplace.
What would make us excited about you?
Master's degree
CPCU, ACAS or FCAS
Extensive knowledge of various insurance operations: pricing, product, claims, marketing, and underwriting
History of thought leadership in modeling, including publishing, speaking at conferences, or contributing to industry collaborations.
Considered a leader in the field of modeling with a history of publishing articles and books, contributing to research and speaking at conferences and webinars.
Actively shapes our company culture (e.g., supporting employee resource groups, mentoring employees, volunteering, joining cross-functional projects).
Champions our cultural norms (e.g., willing to have cameras when it matters: helping onboard new team members, building relationships, etc.).
Demonstrates a company ownership mindset, thinking beyond boundaries of their own area.
Travels as needed for role, including divisional / team meetings and other in-person meetings.
Fulfills business needs, which may include investing extra time, helping other teams, etc.
Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska.
Why Choose a Career at CSAA IG?
At CSAA IG, we are a mission-driven organization proudly committed to empowering our members, our employees, and our communities to thrive.
Recognition: We offer a total compensation package, annual bonus eligibility for most roles, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at https://careers.csaainsurance.aaa.com/us/en/benefits.
Career Growth: We believe in growth for everyone. Here at CSAA IG, leaders and mentors partner with employees to align interests, unlock development opportunities, and support longterm success.
Flexible Workplace: We embrace a remote-first culture through our Flexible Workplace. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including CSAA offices. Our flexible workplace empowers you to balance remote work with intentional inperson moments that deepen connection and collaboration.
Inclusion and Belonging: An inclusive and welcoming workplace is the cornerstone of our success. By fostering an environment where people feel valued and heard, we deepen our ability to understand and meet the unique needs of our members. This strengthens innovation and enhances our products and services, giving us a competitive edge in the market.
Sustainability: As climate change leads to more frequent and severe weather events, we are taking bold action to build more resilient communities and reduce our environmental impact. Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don't miss important updates from us.
CSAA is committed to providing reasonable accommodations to qualified applicants and employees with disabilities or other limitations. If you would like to request an accommodation to participate in the job application or interview process, please contact TalentAcquistion@csaa.com
If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education.
CSAA does not provide visa sponsorship for this role. Applicants must have authorization to work indefinitely in the US. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
CSAA Insurance Group is an equal opportunity employer.
#LI-JH1
Knowledge, Skills and Abilities
Required:
Master-level tool knowledge (e.g., SQL, Python, R, AWS, DataRobot, other systems)
Depth knowledge data mining, data evaluation and proficiency in compiling an effective and comprehensive modeling dataset
Create innovative ways to mine and use data, including semi-structured or unstructured data
Master-level statistical, ML, GenAI and LLM modeling skills through development, deployment, monitoring
Key partner with data governance, model governance and regulatory compliance
Deep understanding of responsible AI principles for GenAI, including governance, compliance, legal, and ethical considerations; ability to influence internal policy around GenAI
Key partner to the business, advising and making actionable recommendations with significant impact
Play important role cross-functional with data, IT, governance, legal and business
Take a leading role in shaping the culture of data science community in CSAA
Master-level data science industry knowledge and knowledge of the insurance marketplace
Strong communication skills to explain model insights to technical partners, business partners and corporate leaders
Considered a leader in the field of modeling with a history of publishing articles and books, contributing to research and speaking at conferences and webinars
Education
Required
Bachelor's degree in STEM or Bachelor's degree with an equivalent combination of relevant education
Preferred:
Master's degree
CPCU, ACAS or FCAS
Experience
Required:
Requires 10 years related professional experience with transferrable skills
7 years of post-bachelor experience developing statistical, ML, GenAI and LLM Models
Lead cross-functional MLOps projects in insurance or financial services
Experience with developing GenAI models with unstructured data
Experience with fostering the culture of data scientist community
Preferred
Extensive knowledge in various insurance operations: pricing, product, claims, marketing and underwriting
Experience shaping GenAI adoption across company
Track record of thought leadership in GenAI, including publishing, speaking at conferences, or contributing to industry collaborations
Familiarity with responsible AI frameworks and ability to influence internal processes and standards related to GenAI adoption