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Remote Optum Utilization Review Jobs in Michigan

Reviews, prioritizes, and aligns customer needs and Splunk portfolio strategy to drive significant ... utilization. * Partners with other account executive resources to provide insights to Rev Ops ...

Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...

CAD Supervisor

Grand Rapids, MI · Remote

$101K - $151K/yr

Optimize team utilization by balancing workloads to drive efficiency and meet project demands ... Demonstrated ability to lead effectively with minimal supervision across remote, office, and ...

This is a remote position. Responsibilities * Design, develop, test, and deploy full-stack features ... Participate in technical design discussions, code reviews, testing, documentation, and deployment ...

This is a remote position. Responsibilities * Design, develop, test, and deploy full-stack features ... Participate in technical design discussions, code reviews, testing, documentation, and deployment ...

This is a remote position. Responsibilities * Design, develop, test, and deploy full-stack features ... Participate in technical design discussions, code reviews, testing, documentation, and deployment ...

Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...

CAD Supervisor

Grand Rapids, MI · Remote

$101K - $151K/yr

Optimize team utilization by balancing workloads to drive efficiency and meet project demands ... Demonstrated ability to lead effectively with minimal supervision across remote, office, and ...

Review patient-specific information in cases where the site has specifically requested assistance ... General office demands - Remote, Work from Home. * One to two home office days per week. * Must be ...

Showing results 41-60

Remote Optum Utilization Review information

What is the difference between Remote Optum Utilization Review vs Remote UnitedHealthcare Utilization Review?

AspectRemote Optum Utilization ReviewRemote UnitedHealthcare Utilization Review
CredentialsLicenses in relevant states, certifications like CCM or CRC often preferredLicenses in relevant states, certifications like CCM or CRC often preferred
Work EnvironmentRemote, home-based with flexible hoursRemote, home-based with flexible hours
Employer & IndustryOptum, healthcare services and utilization managementUnitedHealthcare, health insurance and utilization review

Both roles involve reviewing healthcare claims and authorizations remotely, requiring similar credentials and work environments. The main difference lies in the employer and specific healthcare focus: Optum specializes in healthcare services and utilization management, while UnitedHealthcare focuses on health insurance and claims review. Candidates often compare these roles to determine the best fit based on employer and industry specialization.

How does a Remote Optum Utilization Review nurse typically collaborate with multidisciplinary teams while working from home?

As a Remote Optum Utilization Review nurse, collaboration with multidisciplinary teams is primarily conducted through secure digital platforms, including video calls, emails, and electronic health record systems. You’ll regularly communicate with physicians, social workers, case managers, and other healthcare providers to review patient cases, coordinate care plans, and ensure compliance with clinical guidelines. Despite working remotely, maintaining clear and timely communication is essential for effective patient advocacy and decision-making. Team meetings and case discussions are scheduled virtually, fostering a supportive environment and ensuring you stay connected to the broader healthcare team.

What is a Remote Optum Utilization Review?

A Remote Optum Utilization Review position involves working for Optum, a healthcare services company, to evaluate medical records and determine the necessity and appropriateness of healthcare services. Employees in this role review clinical documentation to ensure that treatments meet established guidelines and help to manage healthcare costs while ensuring patient care is not compromised. The position is remote, meaning you can work from home or another location outside of a traditional office. Utilization review professionals often interact with healthcare providers, insurance companies, and patients, using their clinical expertise to make informed decisions.

What are the key skills and qualifications needed to thrive as a Remote Optum Utilization Review nurse?

To thrive as a Remote Optum Utilization Review Nurse, you need a current RN license, strong clinical judgment, knowledge of utilization management, and experience in case review or discharge planning. Proficiency with medical review software, electronic health records, and familiarity with UM guidelines such as InterQual or Milliman is typically required. Exceptional communication, attention to detail, and critical thinking are vital soft skills for effective collaboration and decision-making in a remote environment. These skills ensure accurate assessments, regulatory compliance, and optimal patient outcomes while maintaining efficiency in a virtual workflow.
What are the most commonly searched types of Optum Utilization Review jobs in Michigan? The most popular types of Optum Utilization Review jobs in Michigan are:
What are popular job titles related to Remote Optum Utilization Review jobs in Michigan? For Remote Optum Utilization Review jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Remote Optum Utilization Review jobs in Michigan look for? The top searched job categories for Remote Optum Utilization Review jobs in Michigan are:
What cities in Michigan are hiring for Remote Optum Utilization Review jobs? Cities in Michigan with the most Remote Optum Utilization Review job openings:

Account Executive - Splunk (Remote)

Cisco

Ann Arbor, MI • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago


Cisco Systems rating

8.0

Company rating: 8.0 out of 10

Based on 42 frontline employees who took The Breakroom Quiz

57th of 156 rated electronics manufacturers


Job description

The application window is expected to close on: 08/21/2026

Job posting may be removed earlier if the position is filled or if a sufficient number of applications are received.

This role can be performed from any location in the Midwest.

Splunk, a Cisco company, is building a safer and more resilient digital world with an end-to-end full stack platform made for a hybrid, multi-cloud world. Leading enterprises use our unified security and observability platform to keep their digital systems secure and reliable. Our customers love our technology, but it's our caring employees that make Splunk stand out as an amazing career destination. No matter where in the world or what level of the organization, we approach our work with kindness. So bring your work experience, problem-solving skills and talent, of course, but also bring your joy, your passion and all the things that make you, you. Come help organizations be their best, while you reach new heights with a team that has your back.

Your Impact:

We are seeking a hardworking, driven, sales professional to drive revenue growth calling on large enterprise accounts. Account Executive's are individual contributors who play a vital role in driving a significant share of revenue for Splunk. We provide our reps with an environment in which they can make valuable contributions from day one while also building opportunities for learning and growth. The work you'll do will directly impact the experience of our customers.

What You'll Do:

  • Orchestrates multi-faceted, highly complex deal cycles, often involving multiple stakeholders with significant incremental revenue growth.
  • Typically prospects new deals with C-suite, buyers, executives at all levels.
  • Cultivates expert knowledge of the security, observability and cloud/SaaS market knowledge, advising customers on lifecycle adoption and alignment with customer strategic initiatives.
  • Anticipates evolving customer needs, leveraging specialized knowledge of customer business models, industry trends, and value drivers.
  • Applies competitor and customer insights to build effective account strategy and relationship map.
  • Identifies and interprets shifts in the security and observability competitive landscape (including competitor insights) to provide strategic recommendations to internal and external stakeholders.
  • Leads executive-level engagements by championing innovative, customer-first strategies that drive business transformation and long-term value realization
  • Expertly navigates commercial, legal, and technical requirements and risks to realize business value.
  • Leads negotiations with a consultative approach by balancing competitive pricing, service levels, and contractual commitments to secure customer-first agreements.
  • Reviews, prioritizes, and aligns customer needs and Splunk portfolio strategy to drive significant incremental annual contract value.
  • Leads Splunk account planning and leverages innovative channels to identify new consumption options within Splunk while mitigating risk.
  • Demonstrates deep technical comprehension of technical solutions and their long-term value/ROI in customer context.
  • Integrates CRM data with business intelligence tools to develop scalable operational frameworks for sales process optimization and tool utilization.
  • Partners with other account executive resources to provide insights to Rev Ops, finance, legal, and procurement teams for cross-functional workflow enhancement.
  • Champions GTM-wide collaboration that influences Splunk and customer organizations.


Minimum Qualifications:

  • Bachelors + 8 years of related experience, or Masters + 6 years of related experience, or PhD + 3 years of related experience.

Preferred Qualifications:

  • Previous experience applying partners, channels, and alliances to sell more efficiently and overachieve your quota.
  • Relevant software experience in any of the following: IT systems, enterprise or infrastructure management, application development and management, DevOps, security, business applications, and/or analytics. Subscription, SaaS, or Cloud software experience is preferred.
  • Consistent track record of new business development and overachieving sales targets with prospects and customers in the defined territory.
  • Strong executive presence and polish, and excellent listening skills.
  • Experience with target account selling, solution selling, and/or consultative sales techniques; knowledge of Force Management, MEDDPICC, and Challenger methodologies is a plus.
Why Cisco?

At Cisco, we're revolutionizing how data and infrastructure connect and protect organizations in the AI era - and beyond. We've been innovating fearlessly for 40 years to create solutions that power how humans and technology work together across the physical and digital worlds. These solutions provide customers with unparalleled security, visibility, and insights across the entire digital footprint.

Fueled by the depth and breadth of our technology, we experiment and create meaningful solutions. Add to that our worldwide network of doers and experts, and you'll see that the opportunities to grow and build are limitless. We work as a team, collaborating with empathy to make really big things happen on a global scale. Because our solutions are everywhere, our impact is everywhere.

We are Cisco, and our power starts with you.

Message to applicants applying to work in the U.S. and/or Canada:The starting salary range posted for this position is $259,900.00 to $351,700.00 and reflects the projected salary range for new hires in this position in U.S. and/or Canada locations, not including incentive compensation*, equity, or benefits.

Individual pay is determined by the candidate's hiring location, market conditions, job-related skillset, experience, qualifications, education, certifications, and/or training. The full salary range for certain locations is listed below. For locations not listed below, the recruiter can share more details about compensation for the role in your location during the hiring process.

U.S. employees are offered benefits, subject to Cisco's plan eligibility rules, which include medical, dental and vision insurance, a 401(k) plan with a Cisco matching contribution, paid parental leave, short and long-term disability coverage, and basic life insurance. Please see the Cisco careers site to discover more benefits and perks. Employees may be eligible to receive grants of Cisco restricted stock units, which vest following continued employment with Cisco for defined periods of time.

U.S. employees are eligible for paid time away as described below, subject to Cisco's policies:

  • 10 paid holidays per full calendar year, plus 1 floating holiday for non-exempt employees

  • 1 paid day off for employee's birthday, paid year-end holiday shutdown, and 4 paid days off for personal wellness determined by Cisco

  • Non-exempt employees** receive 16 days of paid vacation time per full calendar year, accrued at rate of 4.92 hours per pay period for full-time employees

  • Exempt employees participate in Cisco's flexible vacation time off program, which has no defined limit on how much vacation time eligible employees may use (subject to availability and some business limitations)

  • 80 hours of sick time off provided on hire date and each January 1st thereafter, and up to 80 hours ofunused sick timecarried forwardfrom one calendar yearto the next

  • Additional paid time away may be requested to deal with critical or emergency issues for family members

  • Optional 10 paid days per full calendar year to volunteer

For non-sales roles, employees are also eligible to earn annual bonuses subject to Cisco's policies.

Employees on sales plans earn performance-based incentive pay on top of their base salary, which is split between quota and non-quota components, subject to the applicable Cisco plan. For quota-based incentive pay, Cisco typically pays as follows:

  • .75% of incentive target for each 1% of revenue attainment up to 50% of quota;

  • 1.5% of incentive target for each 1% of attainment between 50% and 75%;

  • 1% of incentive target for each 1% of attainment between 75% and 100%; and

  • Once performance exceeds 100% attainment, incentive rates are at or above 1% for each 1% of attainment with no cap on incentive compensation.

For non-quota-based sales performance elements such as strategic sales objectives, Cisco may pay 0% up to 125% of target. Cisco sales plans do not have a minimum threshold of performance for sales incentive compensation to be paid.

The applicable full salary ranges for this position, by specific state, are listed below:

New York City Metro Area:

$292,000.00 - $440,900.00

Non-Metro New York state & Washington state:

$269,300.00 - $411,100.00

* For quota-based sales roles on Cisco's sales plan, the ranges provided in this posting include base pay and sales target incentive compensation combined.

** Employees in Illinois, whether exempt or non-exempt, will participate in a unique time off program to meet local requirements.


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About Cisco Systems

Sourced by ZipRecruiter

Cisco Systems, a global tech titan based in San Jose, CA, US, operates in the information technology and services industry. Founded in 1984, the company was derived from a project between two computer scientists from Stanford University. They aimed to connect different networks of computer systems at the university, resulting in the first multi-protocol router, and subsequently, the birth of Cisco. As an industry-leading manufacturer of networking hardware and telecommunications equipment, Cisco's product and services range includes routers, switches, firewall devices, and telecommunication technology. The company's mission, "to shape the future of the Internet by creating unprecedented value and opportunity for our customers, employees, investors, and ecosystem partners," is a testament to its pursuit of technology-forward innovation and customer satisfaction.

Industry

Computer and computer peripheral equipment and software wholesalers

Company size

10,000+ Employees

Headquarters location

San Jose, CA, US

Year founded

1984

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