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Remote Insurance Utilization Review Jobs in Rancho Cucamonga, CA

Ensign Services, Inc.

Managed Care Resource

Whittier, CA · On-site

$110K - $130K/yr

Assess resource utilization, cost management and negotiate effectively. * Monitor industry changes ... Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)

Ensign Services, Inc.

Managed Care Resource

Pomona, CA · On-site

$110K - $130K/yr

Assess resource utilization, cost management and negotiate effectively. * Monitor industry changes ... Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)

Orion Lending

Be Seen First

Mortgage Funder (remote)

Orange, CA · Remote

$31.25/hr

Specific Duties and Responsibilities · Review approved loans to determine conditions that must be met prior to closing, such as purchase of private mortgage insurance, flood insurance, verification ...

Veristat

Principal Medical Writer

Ontario, CA · On-site +1

... include: o Remote working o Flexible time off o Paid holidays o Medical insurance o Tuition ... Automated Decision Making: All applicants are reviewed by a member of the Veristat Talent ...

GFT.

Proposal Specialist

Chino Hills, CA · On-site +1

$75K - $90K/yr

This role follows a fully remote work model. Experience preparing proposals for capital public ... Reviews all work product, ensures completions of assignments, and adherence to internal best ...

Mesa Associates, Inc.

Senior Engineer

Pomona, CA · On-site +1

$140K - $175K/yr

Review designs and deliverables * Promotes Mesa culture Benefits: * Paid Time Off * Holiday Pay ... Life Insurance (Company Paid) * Disability Insurance (Company Paid) * 401(K) Retirement Savings ...

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All JobsInsurance Utilization Review JobsRemote Insurance Utilization Review JobsRemote Insurance Utilization Review Jobs in Rancho Cucamonga, CA

Remote Insurance Utilization Review information

See Rancho Cucamonga, CA salary details

$21

$43

$70

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

As of Sep 3, 2026, the average hourly pay for remote insurance utilization review in Rancho Cucamonga, CA is $43.21, according to ZipRecruiter salary data. Most workers in this role earn between $34.13 and $49.62 per hour, depending on experience, location, and employer.

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 Rancho Cucamonga, CA?

The most popular types of Insurance Utilization Review jobs in Rancho Cucamonga, CA are:

What are popular job titles related to Remote Insurance Utilization Review jobs in Rancho Cucamonga, CA?

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

What job categories do people searching Remote Insurance Utilization Review jobs in Rancho Cucamonga, CA look for?

The top searched job categories for Remote Insurance Utilization Review jobs in Rancho Cucamonga, CA are:

What cities near Rancho Cucamonga, CA are hiring for Remote Insurance Utilization Review jobs?

Cities near Rancho Cucamonga, CA with the most Remote Insurance Utilization Review job openings:

Remote Insurance Utilization Review jobs near you
Infographic showing various Remote Insurance Utilization Review job openings in Rancho Cucamonga, CA as of August 2026, with employment types broken down into 95% Full Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $89,874 per year, or $43.2 per hour.

Trade/Channel Marketing Manager (Remote)

Bradshaw Home

Rancho Cucamonga, CA • Remote

$80K - $90K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 9 days ago

Job description

As a Channel Manager, you will be responsible for translating product and brand strategies into effective channel and customer-specific business plans across assigned retail channels and accounts. Working cross-functionally with Sales, Product Development, Finance, and Operations, you will help drive profitable growth through strong commercialization, assortment planning, pricing, and promotional execution.

Responsibilities

Duties include but are not limited to:

  • Support achievement of budgeted sales and profitability targets across assigned channels and customer accounts.
  • Partner with Sales and Product teams to optimize product assortment and customer mix to drive sales and margin performance.
  • Support the commercialization of new products and programs, ensuring strong in-market execution.
  • Participate in line review planning and assortment strategy development to improve distribution and placement.
  • Assist in the development and execution of promotional strategies that drive volume while supporting margin goals.
  • Support customer pricing by product category based on margin requirements and competitive positioning.
  • Analyze POS, syndicated, and customer data to track performance, identify trends, and recommend actions.
  • Help identify opportunities to improve efficiency and reduce non-productive costs at the customer and channel level.
  • Manage day-to-day coordination of business activities with Sales, Product Development, Finance, and Operations.
  • Develop customer presentations and supporting analysis for sales meetings, line reviews, and business reviews.
  • Represent the company in customer interactions and internal meetings as needed.
  • Develop actionable recommendations to improve revenue, margin, and promotional effectiveness.

Required Skills & Experience

  • 35 years of experience in Channel Marketing, Trade Marketing, Sales Operations, or Commercial Planning, preferably in Consumer Packaged Goods.
  • Bachelor's degree in Business, Marketing, or a related field.
  • Experience working with syndicated data (e.g., IRI, Circana) and customer POS data.
  • Strong proficiency in Microsoft Excel for pricing, margin analysis, and data management.
  • Working knowledge of Microsoft PowerPoint for building customer presentations.
  • Strong analytical and problem-solving skills with attention to detail.
  • Good organizational and time-management skills with the ability to handle multiple priorities.
  • Comfortable working in a deadline-driven environment with evolving priorities.
  • Effective written and verbal communication skills.
  • Ability to collaborate cross-functionally in a fast-paced environment.

Expectations

  • Hybrid role from one of the following locations:
    • Rancho Cucamonga, CA
    • Portland, OR
    • Tampa, FL
  • In-office attendance required Tuesday, Wednesday, and Thursday; remote work optional Monday and Friday.

Pay and Benefits:

US$80,000.00 - US$90,000.00 Annually

Final compensation offered will be determined based on a number of job-related factors, including the candidate's skills, experience, and qualifications. Employees in this role are eligible to participate in the company's benefits program, which includes medical, dental, and vision insurance, 401(k) with company matching, accrued vacation, floating holidays, and designated company holidays.

Life at Bradshaw Home:

At Bradshaw Home, we're proud of our culture of collaboration, growth, and innovation. Recognized as a Great Place to Work, we believe in supporting our people just as much as we support our customers.

Want to see more of what it's like to be part of our team?

  • Explore our Great Place To Work profile
  • Learn more on The Muse

Bradshaw Home is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment based on race, color, religion, sex, national origin, age, disability, genetics, sexual orientation, gender identity, veteran status, or any other characteristic protected by applicable law.

#LI-Hybrid