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Remote Medical Utilization Review Physician Jobs in Rochester, MN

Senior Specialist HIMS

Rochester, MN · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

Responsible for the comprehensive processing of all types of requests for medical information to ... This is a hybrid position that is primarily remote. Candidates must reside within 100 miles of a ...

Showing results 41-46

Remote Medical Utilization Review Physician information

See Rochester, MN salary details

$21

$42

$70

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

As of Aug 19, 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:

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.

Senior Delivery Manager - Enterprise Data & Analytics - Remote

Mayo Clinic

Rochester, MN • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement

Posted 18 days ago


Mayo Clinic rating

7.8

Company rating: 7.8 out of 10

Based on 699 frontline employees who took The Breakroom Quiz

127th of 888 rated healthcare providers


Job description

The Senior Delivery Manager is responsible for driving the timely and predictable delivery of Enterprise Data & Analytics initiatives on behalf of business owners and product, engineering, and data and analytics teams. This role ensures requirements are captured, validated, tracked, and delivered through strong execution discipline, operational governance, and release coordination.

The Senior Delivery Manager partners closely with product, platform, analytics, AI/ML, and informatics leaders to plan, sequence, and manage work across multiple teams. The role provides visibility into delivery health, manages dependencies across products and platforms, and ensures delivery risks, issues, and release readiness are actively managed in alignment with enterprise priorities.

Key responsibilities include:
Drive endtoend delivery execution for Enterprise Data & Analytics initiatives, ensuring work is delivered on time, within scope, and aligned to agreed priorities
Partner with product and technical leaders to plan and maintain delivery roadmaps, manage resource allocation and forecasting, and support financial and capacity management
Lead sprint and Agile delivery operations, including backlog readiness, scrum standards, throughput and flow metrics, and team health indicators
Coordinate programlevel and enterprise release management, including release calendars, dependency management, integrated release gates, and release readiness reviews
Manage crossteam and crossplatform dependencies, identifying risks and escalating issues that impact schedule, quality, or delivery commitments
Run delivery governance activities, including milestone reviews, risk and issue tracking, decision documentation, and evidence capture to support auditready execution
Establish and enforce quality and delivery controls, including definitions of done, validation requirements for highrisk deliverables, and golive readiness gates
Coordinate golive activities by producing and maintaining deployment plans, runbooks, implementation checklists, and release communications
Maintain delivery and release documentation, including dependency maps, release artifacts, and notification plans
Continuously improve delivery and release processes, tooling, and workflows (e.g., ADO/Jira hygiene, intaketobacklog flow, automation of checklists and evidence)
Communicate delivery status, risks, dependencies, and changes clearly to business owners, leadership, and stakeholders

Why Mayo Clinic

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.

Benefits Highlights
  • Medical: Multiple plan options.
  • Dental: Delta Dental or reimbursement account for flexible coverage.
  • Vision: Affordable plan with national network.
  • Pre-Tax Savings: HSA and FSAs for eligible expenses.
  • Retirement: Competitive retirement package to secure your future.
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. 

Equal Opportunity

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law".  Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.

Bachelor's degree and 5+ years' experience in digital product delivery management, scrum master, or another equivalent role. Understands and applies current digital technology design, build and operations capabilities and requirements leveraging Agile product methodologies. Able to effectively communicate/ translate a product vision, strategy and design amongst product, engineering/IT, UX/UI, Operations teams. Continuously seeks to understand new and emerging digital technologies and health care products and adapts work processes to reflect changes in design, build and delivery approaches. Understands and creatively problem-solves to remove obstacles to enable digital product delivery (on-time, within budget, and fulfilling documented requirements). Possesses technical knowledge and expertise working with engineering/IT teams. Ability to build and maintain strong working relationships at multiple levels of the organization. Effective (or Strong) communicator (written & verbal) with active listening skills. Ability to facilitate small group/team discussions. Professional and reflects Mayo Clinic values and beliefs. Strong planning & organizational skills. Proactive and able to navigate conflict and help find resolution. Problem solver with ability to maintain a keen attention to detail and manage multiple initiatives. Strong familiarity with Scrum - Certified Scrum Master (CSM), Advanced Certified Scrum Master (ACSM), PMI Agile Certified Practitioner, or Certified Scrum Professional (CSP) preferred. Experience in project management for life sciences, health payor, or regulated industries (e.g., commodities, banking, information managed systems for digital education, government and or non-profit) experience preferred. Advanced ScrumMaster or ScrumMaster certification required within 1 year.

The preferred candidate will possess experience in healthcare environment; delivery of data platform, analytics, or AI/ML initiatives; Agile certifications (PMI-ACP, SAFe, CSM) or PMP; experience with resource forecasting and capacity/financial management; familiarity with dependency management across platform and product teams.


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About Mayo Clinic

Sourced by ZipRecruiter

Mayo Clinic is the largest integrated, not-for-profit medical group practice in the world. We're building the future, one where the best possible care is available to everyone — and more people can heal at home. Our relentless research turns into earlier diagnoses and new cures. That's how we inspire hope in those who need it most. At Mayo Clinic, experts work together to solve the most challenging unmet needs of patients. Our history of innovation dates back almost 150 years, when brothers Will and Charlie Mayo pioneered an integrated, team-based approach to medicine. Today, that trailblazing spirit drives innovations like Mayo Clinic Platform — which powers new technologies to change how care is delivered to all.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Rochester, MN, US

Year founded

1919