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Remote Medical Utilization Review Physician Jobs in Rochester, MN

BillionToOne

Oncology Account Executive

Rochester, MN · Remote

$244K - $314K/yr

Experience selling to medical providers * Experience selling medical diagnostics, medical or ... Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ...

micro1 AI

Director of Biostatistics

Rochester, MN · Remote

$60 - $100/hr

Remote micro1 is engaging Biostatisticians to contribute to a customer's advanced project in AI ... reviews, and observational study assessments. * Source, construct, and curate authentic datasets ...

micro1 AI

Biostatistician

Rochester, MN · Remote

$60 - $100/hr

Remote micro1 is engaging Biostatisticians to contribute to a customer's advanced project in AI ... reviews, and observational study assessments. * Source, construct, and curate authentic datasets ...

Community Health Service Inc.

Senior Accountant

Rochester, MN · Remote

$72K - $90K/yr

We currently operate four nurse-managed clinics, two mobile medical units, and two victim advocacy ... We are searching for a Full-time Remote Senior Accountant to join our Rochester, MN team. The ...

Mayo Clinic

Specialist-HIMS

Rochester, MN · On-site +1

$16.50 - $21.75/hr

This is a hybrid position that is primarily remote. Candidates must reside within 100 miles of a ... Medical: Multiple plan options. * Dental: Delta Dental or reimbursement account for flexible ...

CannonDesign

Construction Administrator

Rochester, MN · On-site +1

$88K - $110K/yr

Review and interpret construction documents and develop and issue sketches related to field ... We offer a full benefit package including medical, dental and vision coverage and flexible spending ...

CannonDesign

Construction Administrator

Rochester, MN · On-site +1

$88K - $110K/yr

Review and interpret construction documents and develop and issue sketches related to field ... We offer a full benefit package including medical, dental and vision coverage and flexible spending ...

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All JobsMedical Utilization Review Physician JobsRemote Medical Utilization Review Physician JobsRemote Medical Utilization Review Physician Jobs in Rochester, MN

Remote Medical Utilization Review Physician information

See Rochester, MN salary details

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How much do remote medical utilization review physician jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for remote medical utilization review physician in Rochester, MN is $42.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.94 and $49.38 per hour, depending on experience, location, and employer.

What does a remote medical utilization review physician do?

A Remote Medical Utilization Review Physician evaluates medical records and treatment plans to determine the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. Working remotely, they review clinical documentation, apply evidence-based guidelines, and make recommendations regarding approvals or denials of insurance claims. They also collaborate with healthcare providers, case managers, and insurance companies to ensure patients receive appropriate care while managing healthcare costs. This role is vital in maintaining high standards of patient care and compliance with regulations.

What are the key skills and qualifications needed to thrive as a remote medical utilization review physician?

To thrive as a Remote Medical Utilization Review Physician, you need a valid medical degree (MD or DO), active medical license, and thorough knowledge of clinical guidelines and insurance regulations. Familiarity with electronic medical record systems, utilization management software, and board certification in a relevant specialty are typically required. Excellent analytical thinking, attention to detail, and strong written and verbal communication skills help ensure objective and effective case reviews. These competencies are essential for accurately assessing medical necessity, ensuring compliance, and supporting quality patient care while managing healthcare costs.

What are some common challenges faced by remote medical utilization review physicians, and how can they be managed?

Remote Medical Utilization Review Physicians often encounter challenges such as navigating complex insurance policies, staying updated with evolving clinical guidelines, and communicating effectively with healthcare providers who may have differing opinions. Managing these challenges typically involves continuous education, leveraging decision-support tools, and developing strong written and verbal communication skills to explain decisions clearly. Additionally, working remotely requires efficient time management and the ability to maintain focus in a virtual environment, often supported by collaboration platforms and regular check-ins with the broader review team.

What is the difference between Remote Medical Utilization Review Physician vs Remote Medical Case Manager?

AspectRemote Medical Utilization Review PhysicianRemote Medical Case Manager
CredentialsMedical degree, medical license, certification in utilization reviewNursing or social work degree, case management certification
Work EnvironmentPerforming reviews, analyzing medical records remotelyCoordinating care, communicating with providers and patients remotely
Employer & IndustryInsurance companies, third-party administrators, healthcare organizationsInsurance companies, healthcare providers, case management firms

The Remote Medical Utilization Review Physician primarily evaluates medical necessity and approves or denies treatment requests, requiring medical licensure and certification. In contrast, the Remote Medical Case Manager focuses on coordinating patient care and facilitating communication between providers and patients, often with nursing or social work credentials. Both roles are remote, serve the healthcare and insurance industries, but differ in their core responsibilities and required qualifications.

What are popular job titles related to Remote Medical Utilization Review Physician jobs in Rochester, MN?

For Remote Medical Utilization Review Physician jobs in Rochester, MN, the most frequently searched job titles are:

What job categories do people searching Remote Medical Utilization Review Physician jobs in Rochester, MN look for?

The top searched job categories for Remote Medical Utilization Review Physician jobs in Rochester, MN are:

What cities near Rochester, MN are hiring for Remote Medical Utilization Review Physician jobs?

Cities near Rochester, MN with the most Remote Medical Utilization Review Physician job openings:

Remote Medical Utilization Review Physician jobs near you
Infographic showing various Remote Medical Utilization Review Physician job openings in Rochester, MN as of June 2026, with employment types broken down into 88% Full Time, 4% Part Time, and 8% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $89,397 per year, or $43 per hour.

Virtual Weight Management MD/DO (FULL-TIME) (Rochester, MN)

Enara Health

Rochester, MN • On-site, Remote

$95 - $135/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 9 days ago

Job description

Enara is a world renowned obesity and medical weight management start-up, based in Silicon Valley, pioneering the use of data, digital, and clinical treatments to provide personalized plans with measurable results. Enara was founded by people from Stanford, UCSF, Kaiser, ClassPass & Evernote. Our mission is to develop the first ever platform to scale obesity treatment. Our platform allows for the latest breakthroughs in nutrition, exercise, and obesity science to be optimized and delivered in a series of personalized and programmable experiences. Our solutions are disseminated through unified products and services we deploy for the healthcare ecosystem. We provide our services to small to medium sized medical groups. Our platform has served over 4,000 members and delivers 16%+ weight loss sustained over 3 years. We deliver life changing care to members via telehealth. We are backed by Offline.VC, Charge.VC, VSC, Continuum Ventures, as well as many prominent angels in Silicon ValleyOur innovative team consists of clinical, marketing, finance, and technology talent who work collaboratively to ensure creativity, success, and global growth. We are looking for similarly talented, passionate and motivated individuals to help us continue to build an exceptional company and deliver effective solutions to improve health and longevity by delivering high-quality medical weight management care.
Team Values
1. Empathy (First) - Every patient's journey is unique, and we approach each with compassion and understanding, always treating patients with dignity.
2. Empowerment (Through Partnership) - Patients are partners in their health journey. We strive to educate, motivate, and support them at every step.
3. Respect for Diversity - We embrace and honor the unique backgrounds, cultures, and identities of every individual, fostering an environment of inclusion and understanding.
4. Innovation (for Change) - We're committed to challenging the status quo in healthcare, advancing technology and protocols to create sustainable health outcomes.
5. Service - Heart of Service - With humility and purpose, we dedicate ourselves to serving others, putting compassion and commitment at the heart of everything we do.
Job Overview
  • FULL- TIME contractor position with opportunities for full-time employment
  • Must reside in the US or legally allowed to work in the United States (NPI required)
  • Telehealth - synchronous and asynchronous patient care via our app
  • Flexible schedule - define your own hours
  • Opportunity to lead; innovate
  • Manage a panel of 250 patients (will vary with FTE)
  • Collaborate with your multidisciplinary clinical team to produce exceptional patient outcomes - dietitians, exercise specialists, behavioral medicine
  • Create lasting and impactful relationships with your patients
  • Practice autonomy with administrative support
  • Practice with experienced ABOM certified physicians
  • Small established and entrepreneurial private practice specializing in evidence-based obesity and lifestyle medicine as part of a growing tech company

Minimum Qualifications
  • Current Physician's license and DEA license in Minnesota (Must be licensed in Minnesota)
  • Ability to work autonomously.
  • Able to work with a wide variety of patients.
  • Implement evidence-based treatment strategies
  • ABOM certification a plus
  • Experience with telemedicine and remote care a plus
  • Positive attitude, encouraging personality, passionate about achieving great patient outcomes
  • Team player

$95 - $135 an hour
In a contractor role: compensation based on patients seen and panel size managed.
In a salaried position: compensation based on FTE hours worked; includes health, dental, vision benefits and 401k as well as PTO, sick days, federal holidays.
*Note this position starts as a contractor role.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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