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Remote Insurance Utilization Review Jobs in Rochester, NY

Deloitte

Epic Tapestry Specialist

Rochester, NY · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry ... Insurance, Telecom, Media and Energy & Resources. Our OTT team brings clients the knowledge of ...

Deloitte

Epic Tapestry Consultant

Rochester, NY · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry ... Insurance, Telecom, Media and Energy & Resources. Our OTT team brings clients the knowledge of ...

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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 Jun 11, 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 are popular job titles related to Remote Insurance Utilization Review jobs in Rochester, NY? For Remote Insurance Utilization Review jobs in Rochester, NY, the most frequently searched job titles 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:
Remote Insurance Utilization Review jobs near you

Remote Director of Accounting & Tax Services, CPA License (NGA1050405)

RES Consultant Group

Rochester, NY • On-site, Remote

Full-time

Medical, Retirement, PTO

Posted 26 days ago

Job description

Company Description
A growing, modern accounting and advisory firm is seeking a Director of Accounting & Tax Services to lead service delivery for a team of 8-10 professionals. The firm is dedicated to supporting Main Street businesses-the retailers, restaurants, and service providers that form the backbone of local communities. Thy are building a culture where professionals can grow and do meaningful work without the burnout and chaos often found in traditional public accounting.
Job Description
Key Responsibilities
  • Technical Oversight & Signing: Review and sign federal/state tax returns and monthly financial statements. Ensure technical accuracy and GAAP compliance across all client work.
  • Service Delivery Management: Oversee tax and accounting engagements for a diverse client portfolio, ensuring all monthly close and tax deadlines are met with consistency.
  • People Leadership: Directly supervise Managers, Seniors, and Staff. Provide coaching and performance management, and play a key role in hiring and capacity planning.
  • Operational Excellence: Monitor team utilization and realization. Identify workflow bottlenecks and implement process improvements to strengthen the firm's efficiency.
  • Risk & Advisory: Serve as the primary technical escalation point for the team, exercising independent professional judgment to manage risk and solve complex client issues.

Qualifications
  • Credentials: Active CPA license in good standing is required.
  • Experience: 10+ years of progressive experience in public accounting, including significant experience as a signing tax preparer.
  • Leadership: Proven track record of supervising, mentoring, and developing accounting and tax professionals.
  • Technical Breadth: Strong working knowledge of both tax compliance and GAAP financial reporting for small and midsize businesses.
  • Soft Skills: A calm, steady presence under pressure and the ability to communicate technical concepts clearly to non-financial business owners.

Additional Information
Compensation/Benefits
  • Total Rewards: Performance bonuses tied to delivery quality and service economics.
  • Health & Wellness: Employer-sponsored health insurance and paid time off (PTO).
  • Retirement: 401(k) plan with company match.
  • Professional Environment: A commitment to a sustainable workload and a culture of mutual support and shared responsibility.

If you feel you have the necessary qualifications, please forward a current copy of your resume and state your salary requirements.

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