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Remote Insurance Utilization Review Jobs in Rochester, NY

DataAnnotation

FP&A Manager - AI Trainer

Rochester, NY · Remote

$50 - $60/hr

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 ...

Apply Early

DataAnnotation

Treasury Analyst - AI Trainer

Rochester, NY · Remote

$50 - $60/hr

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 ...

Apply Early

InsCipher

Tax Associate

Geneseo, NY · Remote

$21 - $26/hr

Conduct compliance and quality review on documents, state legislation, codes and procedures ... insurance related experience * Intermediate skills in Excel or other spreadsheet software * Self ...

InsCipher

Tax Associate

Rochester, NY · Remote

$21 - $26/hr

Conduct compliance and quality review on documents, state legislation, codes and procedures ... insurance related experience * Intermediate skills in Excel or other spreadsheet software * Self ...

MasTec Industrial

Engineer, E&I

Rochester, NY · On-site +1

$140K - $180K/yr

This is a remote role and can be based anywhere in the United States. Must be able to travel up to ... Review RFP/RFQ/Contract packages for technical requirements * Prepare and maintain proposal ...

Maximus

Analyst - IT Service Management

Rochester, NY · Remote

This is a remote position. Essential Duties and Responsibilities: - Perform day-to-day operational ... for review by ITSM leadership. - Provide documentation and administrative support for Major ...

Maximus

Analyst - IT Service Management

Geneseo, NY · Remote

This is a remote position. Essential Duties and Responsibilities: - Perform day-to-day operational ... for review by ITSM leadership. - Provide documentation and administrative support for Major ...

Maximus

IT Project Manager

Geneseo, NY · Remote

$95K - $112K/yr

This is a remote position. Essential Duties and Responsibilities: * Serve as the point of contact ... Review all project deliverables to ensure quality and accuracy meet project, stakeholder, and ...

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All JobsInsurance Utilization Review JobsRemote Insurance Utilization Review JobsRemote Insurance Utilization Review Jobs in Rochester, NY

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:
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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
Corporate Finance Analyst - AI Trainer

Corporate Finance Analyst - AI Trainer

DataAnnotation

Rochester, NY • Remote

$50 - $60/hr

Contractor

Posted 22 days ago

Be an early applicant

Job description

About the job:

DataAnnotation is committed to creating high-quality AI. Enjoy the flexibility of remote work and the freedom to set your own schedule. This is an opportunity to work with us as an independent contractor.

We're currently expanding into an exciting new area – teaching AI Assistant models to be a more useful tool for finance professionals. We're seeking experienced finance professionals with advanced degrees (MBA+) and professional experience to use their expertise to help shape how AI understands financial principles and decision-making.

In this role, you might:

• Review and improve AI Assistant answers to questions about macro trends, corporate finance, and capital markets

• Leverage your education and work experience to check the reasoning and accuracy of an AI Assistant's work

• Push the models with complex, real-world scenarios and edge cases to see where their reasoning holds up – and where it doesn’t.

• Share clear, structured feedback to help make each new version of the AI smarter and more reliable.

To succeed in this position, you should have expert-level financial reasoning and formal training in a finance-related discipline. A Master’s or PhD (completed or in progress) is strongly preferred. Relevant backgrounds include Financial Accounting, Investment Banking, Corporate Development, Wealth Management, and Insurance Planning.

Advantages of contracting with us:

  • You'll be able to choose which projects you want to work on and when
  • You work on your own schedule, on your own computer, from the comfort of your own home
  • Projects are paid hourly starting at USD $50-$60 per hour, with bonus rates available on some projects

Responsibilities:

  • Give AI chatbots diverse and complex problems and evaluate their outputs
  • Evaluate the quality produced by AI models for correctness and performance

Qualifications:

  • Fluency in English (native or bilingual level)
  • Detail-oriented
  • Proficient in financial analysis, financial modeling, data analysis, and other reasoning exercises related to finance management
  • A current, in progress, or completed Master's and/or PhD is preferred but not required

Note:

Payment is made via PayPal. We will never ask for any money from you. PayPal will handle any currency conversions from USD. This is an independent contractor position.

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