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Remote Insurance Utilization Review Jobs in Rochester, NY

Life Insurance Coverage and Malpractice Insurance * W-2 Weekly Pay! Responsibilities: * Conducts ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Hospital Billing Operator

Rochester, NY · Remote

$18 - $23.25/hr

This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Review patient accounts, charge details, coding inputs, and supporting documentation for billing ...

This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... Review patient accounts, charge details, coding inputs, and supporting documentation for billing ...

Enjoy the flexibility of remote work and the freedom to set your own schedule. This is an ... In this role, you might: • Review and improve AI Assistant answers to questions about macro ...

Senior Accountant

Rochester, NY · On-site +1

$74K - $112K/yr

Analysis and review of operating company financial statements, both foreign and domestic ... For remote locations or positions open to multiple locations, the pay range may reflect several US ...

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Remote Insurance Utilization Review information

See Rochester, NY salary details

$21

$41

$68

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

As of Jul 7, 2026, the average hourly pay for remote insurance utilization review in Rochester, NY is $41.72, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 per hour, depending on experience, location, and employer.

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.

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 are remote insurance utilization review jobs?

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 are the key skills and qualifications needed to thrive as a Remote Insurance Utilization Review Specialist, and why are they important?

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.
What are the most commonly searched types of Insurance Utilization Review jobs in Rochester, NY? The most popular types of Insurance Utilization Review jobs in Rochester, NY are:
What job categories do people searching Remote Insurance Utilization Review jobs in Rochester, NY look for? The top searched job categories for Remote Insurance Utilization Review jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Remote Insurance Utilization Review jobs? Cities near Rochester, NY with the most Remote Insurance Utilization Review job openings:
Senior Manager, Image Science Engineer

Senior Manager, Image Science Engineer

L3Harris Technologies

South Lima, NY • On-site, Remote

$133K - $247K/yr

Full-time

Medical, Retirement, PTO

Posted 2 days ago


Job description

L3Harris is dedicated to recruiting and developing high-performing talent who are passionate about what they do. Our employees are unified in a shared dedication to our customers’ mission and quest for professional growth. L3Harris provides an inclusive, engaging environment designed to empower employees and promote work-life success. Fundamental to our culture is an unwavering focus on values, dedication to our communities, and commitment to excellence in everything we do.

L3Harris is the Trusted Disruptor in defense tech. With customers’ mission-critical needs always in mind, our employees deliver end-to-end technology solutions connecting the space, air, land, sea and cyber domains in the interest of national security.

Job Title: Senior Manager, Image Science Engineering

Job Code: 40203

Job Location: Rochester, NY

Job Schedule: 9/80 (Every other Friday Off)

Job Description:

Leads a team of 15–25 engineers and scientists in the development of advanced image science, remote sensing, and data exploitation solutions. Provides technical leadership, mentorship, and oversight across image science activities including image formation, sensor phenomenology, calibration, algorithm development, image quality analysis, testing, integration, and sustainment. Responsible for staffing, talent development, training, and overall team leadership to meet business and program objectives. Manages departmental priorities, operating needs, and budgets, and works cross-functionally with software, systems, operations, and other engineering teams to deliver high-quality technical solutions. Drives continuous improvement in engineering processes, system performance, and technical execution while ensuring alignment with company goals, schedules, and customer requirements.

Essential Functions:

  • Lead and support Image Science personnel across multiple programs and technical efforts.
  • Provide functional oversight for image science activities including analysis, calibration, image quality, and algorithm support.
  • Partner with program leaders to align staffing, priorities, and technical resources with business needs.
  • Conduct performance reviews, provide coaching, and support employee development and retention.
  • Support recruiting, hiring, onboarding, and workforce planning for the Image Science function.
  • Contribute to proposal efforts, including technical input, staffing plans, and basis of estimates.
  • Support technical reviews, risk assessments, and root cause/corrective action activities.
  • Mentor team members and encourage knowledge sharing and skill development.

Qualifications:

  • Bachelor’s degree in Engineering, Physics, Imaging Science, Remote Sensing, Applied Mathematics, or a related technical field and relevant experience, or an equivalent combination of education and experience
  • Experience in image science, remote sensing, electro-optical/infrared systems, sensor phenomenology, or related technical disciplines
  • Experience leading or managing technical teams, projects, or functional engineering groups
  • Knowledge of image science principles such as image quality analysis, calibration, validation, exploitation, or algorithm development
  • Ability to support multiple programs and balance staffing, technical priorities, and business needs
  • Experience working with cross-functional teams including systems, software, hardware, and program management
  • Strong communication, problem-solving, and organizational skills
  • Experience with performance management, coaching, mentoring, and employee development
  • Active Top Secret Clearance with SCI or SCI eligibility  

Preferred Additional Skills:

  • Prior functional management experience in an engineering or scientific organization
  • Experience supporting proposal, capture, and business development activities, including staffing plans and basis of estimates
  • Experience with EO/IR imaging systems, ISR systems, geospatial imagery, or sensor data exploitation
  • Familiarity with image formation, phenomenology, modeling and simulation, or calibration methodologies
  • Experience supporting root cause investigations and corrective action efforts for technical or program issues
  • Knowledge of engineering processes, technical reviews, and lifecycle development activities
  • Experience working in a defense, aerospace, or government-contractor environment

In compliance with pay transparency requirements, the salary range for this role in the state of New York is $133,000-$247,000. This is not a guarantee of compensation or salary, as final offer amount may vary based on factors including but not limited to experience and geographic location. L3Harris also offers a variety of benefits, including health and disability insurance, 401(k) match, flexible spending accounts, EAP, education assistance, parental leave, paid time off, and company-paid holidays. The specific programs and options available to an employee may vary depending on date of hire, schedule type, and the applicability of collective bargaining agreements.

The application window for this position will close on 9/24/2026.

#LI-ZB2

L3Harris Technologies is proud to be an Equal Opportunity Employer. L3Harris is committed to treating all employees and applicants for employment with respect and dignity and maintaining a workplace that is free from unlawful discrimination. All applicants will be considered for employment without regard to race, color, religion, age, national origin, ancestry, ethnicity, gender (including pregnancy, childbirth, breastfeeding or other related medical conditions), gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, characteristic or membership in any other group protected by federal, state or local laws. L3Harris maintains a drug-free workplace and performs pre-employment substance abuse testing and background checks, where permitted by law.

Please be aware many of our positions require the ability to obtain a security clearance. Security clearances may only be granted to U.S. citizens. In addition, applicants who accept a conditional offer of employment may be subject to government security investigation(s) and must meet eligibility requirements for access to classified information.

By submitting your resume for this position, you understand and agree that L3Harris Technologies may share your resume, as well as any other related personal information or documentation you provide, with its subsidiaries and affiliated companies for the purpose of considering you for other available positions.

L3Harris Technologies is an E-Verify Employer. Please click here for the E-Verify Poster in English or Spanish. For information regarding your Right To Work, please click here for English or Spanish.