Healthcare Support Representative -- Independent Contractor Location: Remote (US-Based) Make a ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
Healthcare Support Representative -- Independent Contractor Location: Remote (US-Based) Make a ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
Healthcare Support Representative -- Independent Contractor Location: Remote (US-Based) Make a ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
Healthcare Support Representative -- Independent Contractor Location: Remote (US-Based) Make a ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
Health and Safety Specialist
Durham, NC · On-site +1
$48K - $98K/yr
Remote Work: No Job Number: R0243514 Location: Durham,NC,US Share job via: Share Health and Safety ... Develop, review, and update health and safety programs. Complete and conduct annual, semi-annual ...
Health and Safety Specialist
Durham, NC · On-site +1
$48K - $98K/yr
Remote Work: No Job Number: R0243514 Location: Durham,NC,US Share job via: Share Health and Safety ... Develop, review, and update health and safety programs. Complete and conduct annual, semi-annual ...
Physician Consultant, Independent Contractor
Raleigh, NC · Remote
$200/hr
... Remote/Raleigh, NC Who We Are Constellation Quality Health is a non-profit health care quality ... Review clinical documentation for reasonable and necessary treatment modalities including ...
Physician Consultant, Independent Contractor
Raleigh, NC · Remote
$200/hr
... Remote/Raleigh, NC Who We Are Constellation Quality Health is a non-profit health care quality ... Review clinical documentation for reasonable and necessary treatment modalities including ...
This position is full-time remote. Selected candidate must reside in North Carolina and be willing ... Review, validate and interpret risk stratification data and population health groups and recommend ...
This position is full-time remote. Selected candidate must reside in North Carolina and be willing ... Review, validate and interpret risk stratification data and population health groups and recommend ...
Engagement Manager II, Service Delivery
Raleigh, NC · On-site +1
Experience monitoring utilization against forecast and reporting on overall financial health ... Own and lead Quarterly Business Reviews (QBRs), presenting value delivered and aligning future ...
Engagement Manager II, Service Delivery
Raleigh, NC · On-site +1
Experience monitoring utilization against forecast and reporting on overall financial health ... Own and lead Quarterly Business Reviews (QBRs), presenting value delivered and aligning future ...
Clinical Specialty Program Pharmacist - Remote
Durham, NC · Remote
$114K - $136K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... The work you do with our team will directly improve health outcomes by connecting people with the ...
Clinical Specialty Program Pharmacist - Remote
Durham, NC · Remote
$114K - $136K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... The work you do with our team will directly improve health outcomes by connecting people with the ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... The work you do with our team will directly improve health outcomes by connecting people with the ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... The work you do with our team will directly improve health outcomes by connecting people with the ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... The work you do with our team will directly improve health outcomes by connecting people with the ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... The work you do with our team will directly improve health outcomes by connecting people with the ...
Clinical Specialty Program Pharmacist - Remote
Durham, NC · On-site +1
$114K - $136K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... The work you do with our team will directly improve health outcomes by connecting people with the ...
Clinical Specialty Program Pharmacist - Remote
Durham, NC · On-site +1
$114K - $136K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... The work you do with our team will directly improve health outcomes by connecting people with the ...
Healthcare Design Engineer (Fully Remote)
NC · On-site +1
... review our current employment opportunities. For more information about Davenergy Solutions and ... Fully Remote We are seeking a full-time Professional Mechanical Engineer to join our dynamic and ...
Healthcare Design Engineer (Fully Remote)
NC · On-site +1
... review our current employment opportunities. For more information about Davenergy Solutions and ... Fully Remote We are seeking a full-time Professional Mechanical Engineer to join our dynamic and ...
NP or PA HouseCalls North Carolina Statewide Traveler
Raleigh, NC · Remote
$91K - $163K/yr
... Optum family of businesses, is creating something new in health care. We are uniting industry ... Past medical history review, medication reconciliation, vital signs, and physical exam * Evidence ...
NP or PA HouseCalls North Carolina Statewide Traveler
Raleigh, NC · Remote
$91K - $163K/yr
... Optum family of businesses, is creating something new in health care. We are uniting industry ... Past medical history review, medication reconciliation, vital signs, and physical exam * Evidence ...
Senior Cybersecurity Analyst
Raleigh, NC · Remote
$91K - $163K/yr
The work you do with our team will directly improve health outcomes by connecting people with the ... on the Optum Technology Cyber Defense team based in Raleigh, NC (or remote). In this senior role ...
Senior Cybersecurity Analyst
Raleigh, NC · Remote
$91K - $163K/yr
The work you do with our team will directly improve health outcomes by connecting people with the ... on the Optum Technology Cyber Defense team based in Raleigh, NC (or remote). In this senior role ...
Workflow Manager, Pharmacovigilance Operations (Specialist II, PSS) Remote based (US or Canada)
Durham, NC · Remote
... utilization of resources to support high-quality service delivery. The Workflow Manager provides ... The incumbent is expected to comply with the legal requirements of the Health and Safety at Work ...
Workflow Manager, Pharmacovigilance Operations (Specialist II, PSS) Remote based (US or Canada)
Durham, NC · Remote
... utilization of resources to support high-quality service delivery. The Workflow Manager provides ... The incumbent is expected to comply with the legal requirements of the Health and Safety at Work ...
Advancing the world of health is our Purpose, and it's no small feat. It takes the imagination and ... Develop, document, and drive the customer buying process through full utilization of a territory ...
Advancing the world of health is our Purpose, and it's no small feat. It takes the imagination and ... Develop, document, and drive the customer buying process through full utilization of a territory ...
Dental Consultant, Independent Contractor
Raleigh, NC · Remote
$125/hr
Dental Consultant, Independent Contractor Remote Who We Are Constellation Quality Health is a ... This position is responsible for conducting detailed reviews of clinical records to determine ...
Quick apply
Dental Consultant, Independent Contractor
Raleigh, NC · Remote
$125/hr
Dental Consultant, Independent Contractor Remote Who We Are Constellation Quality Health is a ... This position is responsible for conducting detailed reviews of clinical records to determine ...
Together, we're improving health and improving lives. Labcorp is seeking a remote Executive ... Optum, Datavant). * Expertise in scaling RWD product portfolios and developing strategic ...
Together, we're improving health and improving lives. Labcorp is seeking a remote Executive ... Optum, Datavant). * Expertise in scaling RWD product portfolios and developing strategic ...
This position is full-time remote. Selected candidate must reside in North Carolina and be willing ... Review, validate and interpret risk stratification data and population health groups and recommend ...
This position is full-time remote. Selected candidate must reside in North Carolina and be willing ... Review, validate and interpret risk stratification data and population health groups and recommend ...
Community Health Worker (CHW) Supervisor
Garner, NC · Remote
$19.50 - $25.50/hr
Completing the Semi-Annual User Access review and compliance * Abide by department guidelines ... service utilization * Prepare reports for leadership, and partners * Use data to inform ...
Quick apply
Community Health Worker (CHW) Supervisor
Garner, NC · Remote
$19.50 - $25.50/hr
Completing the Semi-Annual User Access review and compliance * Abide by department guidelines ... service utilization * Prepare reports for leadership, and partners * Use data to inform ...
Participate in program performance review presentations with clinical program managers, client ... Experience with health plan performance reporting and cost and utilization analysis. * Experience ...
Participate in program performance review presentations with clinical program managers, client ... Experience with health plan performance reporting and cost and utilization analysis. * Experience ...
Remote Optum Health Utilization Review information
See Raleigh, NC salary details
$20.80 - $25
2% of jobs
$25 - $29.21
9% of jobs
$32.09 is the 25th percentile. Wages below this are outliers.
$29.21 - $33.42
21% of jobs
The median wage is $36.82 / hr.
$33.42 - $37.62
23% of jobs
$37.62 - $41.83
13% of jobs
$45.10 is the 75th percentile. Wages above this are outliers.
$41.83 - $46.03
10% of jobs
$46.03 - $50.24
8% of jobs
$50.24 - $54.45
5% of jobs
$54.45 - $58.65
5% of jobs
$58.65 - $62.86
2% of jobs
$62.86 - $67.06
2% of jobs
$20
$41
$67
How much do remote optum health utilization review jobs pay per hour?
What is the difference between Remote Optum Health Utilization Review vs Remote UnitedHealth Group Utilization Review?
| Aspect | Remote Optum Health Utilization Review | Remote UnitedHealth Group Utilization Review |
|---|---|---|
| Certifications | Typically requires RN, LPN, or medical reviewer credentials | Similar certifications, often RN or licensed healthcare professionals |
| Work Environment | Remote, healthcare insurance setting | Remote, healthcare insurance setting |
| Employer & Industry | Optum, part of UnitedHealth Group, healthcare and insurance | UnitedHealth Group, healthcare and insurance |
| Job Responsibilities | Review medical necessity, authorizations, and claims | Review medical necessity, authorizations, and claims |
Both roles involve remote medical review within the healthcare insurance industry, focusing on medical necessity and claims. The main difference lies in the specific employer, with Optum being a subsidiary of UnitedHealth Group. The certifications, work environment, and job responsibilities are very similar, making them comparable roles for healthcare professionals seeking remote utilization review positions.
What are the most commonly searched types of Optum Health Utilization Review jobs in Raleigh, NC?
The most popular types of Optum Health Utilization Review jobs in Raleigh, NC are:

Contractor
Re-posted 25 days ago
Job description
Location: Remote (US-Based)
Make a difference—one call at a time, with the freedom to serve on your terms. Join a network of self-employed professionals supporting patients and/or providers, helping people get the care and answers they need while enjoying flexibility.
As an Independent Contractor, you will- Be your own boss.
- Choose when and to whom you provide support services.
- Set your own schedule.
- Provide a distraction-free home office.
- Provide your own home office equipment.
- Handle customer calls, assess needs, and solve problems.
- At least 1 year of phone-based healthcare patient or provider support experience.
- Computer skills, including navigating multiple systems and documenting call notes.
- Strong communication skills and the ability to connect with diverse individuals.
- Ability to sit for long periods.
- Patience and empathy.
- Ability to provide services pursuant to your contract independently.
- Experience in healthcare or related fields such as medical, social services, education, mental health services, or other relevant “people helping” fields.
- In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired.
- Comfortable with medical and health insurance terminology while refraining from offering medical advice.
- Submit invoices and receive payment for completed services pursuant to contract.
- Pay structures vary by client program; most programs pay for productive time and may include performance-based pay.
- Independent Contractors are responsible for their own taxes and expenses.
- Complete an application and pass a background check.
- Sign an Independent Contractor Agreement.
- Complete a W-9 form and set up direct deposit.
- Complete program-specific certifications.
The background check requires a non-refundable $25 processing fee paid directly to the background check vendor. View background requirements
Computer Requirements- Some clients may require additional security measures and equipment.
- Wired internet connection.
- Android or Apple phone.
- Provide your own equipment, including a Windows operating PC (Macs, Chromebooks, and tablets are not supported).
- Review basic technology requirements
- Choose your own schedule by self-scheduling 30-minute blocks.
- Client hours of operation will vary.
- Additional checks regarding OIG/SAM exclusion lists may be required by clients.
- Some clients and programs may have additional requirements and certifications.
- Ensure the clients you choose align with your availability and commitments.
Liveops is currently accepting applications in: AL, AK, AZ, DC, DE, FL, GA, IA, ID, IN, KS, KY, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NM, NV, OH, OK, PA, RI, SC, SD, TN, TX, VA, WV, WY.
About Liveops
Sourced by ZipRecruiter
Liveops, a virtual contact center, offers scalable, on-demand experiences through the VirtualFlex platform for both planned and unplanned CX needs. This tech-enabled, data-powered platform inspires and motivates brand-certified agents to deliver better experiences and attracts entrepreneurial US-based professionals with life experience that helps them connect with customers. We're a people-powered business, working tirelessly on behalf ofagents, clients, and employees to make life better.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Scottsdale , AZ, US
Year founded
2000