2

Remote Insurance Utilization Review Jobs in Oklahoma

Management Analyst

Oklahoma City, OK · On-site +1

$35 - $40/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization, and program performance. Supervisory Responsibilities : No Job Classification ... Remote / Virtual Travel: Travel up to 50% Compensation: This pay band reflects Chloeta's good faith ...

  • Retirement

Our mission is to reinvent commercial insurance in the mobility space to offer our partners ... Participates in peer reviews to increase collaboration, ensure quality work and drive innovation

Commercial Senior Auto Claims Adjuster- Remote

Kansas, OK · Remote

$52K - $68K/yr

  • Retirement

Our mission is to reinvent commercial insurance in the mobility space to offer our partners ... Work from a diary system to review and resolve claims within state compliance guidelines, policy ...

Care Specialist LPN (52163)

Oklahoma City, OK · On-site +1

$24 - $32.50/hr

  • Medical

GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer ... Previous experience in managed care/utilization management preferred KNOWLEDGE, SKILLS AND ...

Showing results 21-40

Remote Insurance Utilization Review information

What is a remote insurance utilization review?

Remote insurance utilization review jobs involve evaluating medical records and treatment plans to determine whether healthcare services are medically necessary and covered by a patient’s insurance plan. Professionals in these roles, often nurses or other healthcare specialists, work from home and communicate with healthcare providers, insurance companies, and patients. Their main goal is to ensure that patients receive appropriate care while also helping insurance companies manage costs and comply with regulations.

What skills and qualifications are needed for a remote insurance utilization review specialist?

To thrive as a Remote Insurance Utilization Review Specialist, you need a strong understanding of medical terminology, clinical guidelines, and insurance policies—usually supported by a nursing or health-related degree and relevant licensure. Familiarity with electronic medical record (EMR) systems, insurance claims platforms, and utilization review software is essential. Strong analytical skills, attention to detail, and effective written communication are crucial soft skills for this role. These competencies ensure accurate case evaluations, compliance with regulations, and clear communication between healthcare providers and insurers.

How does a remote insurance utilization review professional collaborate with healthcare providers and insurance companies?

Remote insurance utilization review professionals regularly interact with healthcare providers to gather patient information, clarify treatment plans, and ensure that clinical documentation supports insurance requirements. They also communicate with insurance companies to advocate for patient care, provide necessary justifications, and resolve coverage issues. While the work is done remotely, collaboration typically occurs via secure email, phone calls, and virtual meetings, requiring strong communication and organizational skills to ensure timely and accurate exchange of information.

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

AspectRemote Insurance Utilization ReviewRemote Claims Reviewer
CredentialsTypically requires nursing or healthcare-related certifications, such as RN or licensed healthcare professionalUsually requires insurance or claims processing knowledge, sometimes with certifications like CPC or CPC-H
Work EnvironmentRemote, healthcare or insurance company settings, reviewing medical necessity and appropriateness of servicesRemote, insurance companies or third-party administrators, reviewing claims for accuracy and compliance
Industry UsageCommonly used in healthcare insurance to evaluate medical necessityUsed 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 Oklahoma?

The most popular types of Insurance Utilization Review jobs in Oklahoma are:

What are popular job titles related to Remote Insurance Utilization Review jobs in Oklahoma?

For Remote Insurance Utilization Review jobs in Oklahoma, the most frequently searched job titles are:

What cities in Oklahoma are hiring for Remote Insurance Utilization Review jobs?

Cities in Oklahoma with the most Remote Insurance Utilization Review job openings:

Senior Construction Project Scheduler (Data Center)

Interstates

Muskogee, OK • On-site, Remote

Full-time

Re-posted 2 days ago


Interstates rating

8.8

Company rating: 8.8 out of 10

Based on 19 frontline employees who took The Breakroom Quiz


Job description

Senior Construction Project Scheduler (Data Centers)

Interstates | Multiple Locations or Remote (Preference for Office Locations)

At Interstates, we know that project success starts long before boots hit the ground. It begins with a schedule-crafted with precision, grounded in real-world conditions, and built by someone who understands how to keep complex hyperscale data center projects moving safely and efficiently.

If that sounds like you, you're in the right place.

What You'll Do

Project Planning

  • Partner with estimating, project management, and operations leadership to break down complex hyperscale data center projects into clear tasks, milestones, and deliverables.
  • Support the creation and structure of work packages aligned with field workflows and execution strategies.
  • Provide scheduling guidance during project pursuit, planning, and execution phases.

Schedule Development

  • Build and maintain detailed schedules using Primavera P6 or Asta Powerproject.
  • Define activity sequencing, dependencies, and duration based on scope, drawings, and project leadership input.
  • Establish schedule baselines in partnership with project leadership.
  • Develop and oversee multiple project schedules simultaneously across large-scale data center programs.

Critical Path & Schedule Analysis

  • Identify, maintain, and communicate the critical path and near-critical paths.
  • Develop custom reports and schedule views that highlight risks and impacts.
  • Provide strategic schedule recommendations to project leadership and clients.

Resource Allocation

  • Coordinate labor, equipment, and material needs to optimize availability and utilization.
  • Identify constraints and recommend adjustments that keep work on track.

Progress Tracking & Reporting

  • Monitor schedule performance against the baseline and analyze variances.
  • Deliver updates, look-aheads, and recovery recommendations.
  • Support earned value analysis when applicable.
  • Present schedule status, forecasts, and recovery plans to senior leadership and client stakeholders.

Risk Management

  • Identify schedule risks including long-lead materials, design changes, subcontractor delays, weather impacts, and procurement impacts.
  • Build mitigation strategies and integrate contingency plans.
  • Work with project leadership to develop what-if scenario planning.

Leadership & Mentorship

  • Serve as the scheduling subject matter expert for assigned projects.
  • Mentor and provide guidance to Project Schedulers and project teams on scheduling best practices.
  • Support the continuous improvement of scheduling standards, templates, and processes across the organization.

Collaboration & Communication

  • Work closely with project managers, engineers, programmers, field leaders, subcontractors, and clients to maintain alignment.
  • Lead schedule review meetings and support timely issue resolution.
  • Collaborate directly with owners and trade partners to ensure schedule alignment across all phases of construction.

Software Utilization

  • Maintain advanced proficiency in Primavera P6, including resource loading, WBS structuring, baselining, and quality checks.
  • Ensure schedule quality meets company and industry standards.

What We're Looking For

  • Bachelor's degree in Construction Management, Engineering, or related field preferred.
  • 7+ years of construction scheduling experience, with at least 5 years utilizing Primavera P6.
  • Experience scheduling large industrial, mission critical, or hyperscale data center projects strongly preferred.
  • Experience reading and interpreting construction drawings and specifications.
  • Strong understanding of CPM scheduling principles and schedule recovery planning.
  • Industrial construction and/or MEP experience strongly preferred.
  • Excellent analytical, organizational, and communication skills.
  • Understanding of construction methods, industrial processes, and project execution.

Travel & Location

  • Travel up to 50%, depending on project needs.
  • May be based in Tulsa, OK | Omaha, NE | Sioux Center, IA | Sioux Falls, SD.
  • Remote considered with preference given to candidates near an Interstates office.

Ready to Build What's Next?

If this sounds like the right fit, apply today and discover firsthand why Interstates is an industry leader-in our work, our culture, and our commitment to people.


What Interstates employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom