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Remote Optum Utilization Review Jobs in Oregon (NOW HIRING)

Abbott

Distribution Field Manager - West

Portland, OR · Remote

$86K - $173K/yr

... utilization in current accounts. Understands and assesses customer's business issues and objectives ... This is a remote sales opportunity and will cover the West Region (AZ/NV/CA/ID/OR/WA) estimated 70 ...

Abbott

Distribution Field Manager - West

Portland, OR · Remote

$86K - $173K/yr

... utilization in current accounts. Understands and assesses customer's business issues and objectives ... This is a remote sales opportunity and will cover the West Region (AZ/NV/CA/ID/OR/WA) estimated 70 ...

AMSURG

Manager, Supply Chain

Manager, Supply Chain Remote Company Overview: AMSURG is an independent leader in ambulatory ... Produce monthly vendor utilization reports for each corporate contract by center * Perform various ...

Upstart

DevOps Engineer, Cloud Platform

OR · On-site +1

$52.75 - $72.25/hr

Contribute to cost efficiency initiatives by optimizing resource utilization across Kubernetes and ... Remote Travel requirements As a digital first company, the majority of your work can be ...

USM

Facets systems analyst-----Need GC and USC

OR · On-site +1

Optum is developing a solution for State Medicaid Market for their MMIS systems. The product is ... Reviews the tasks performed by other Facets configuration developers; Provide guidance to other ...

Industrial Electric Manufacturing

Supply Planning Manager

OR · On-site +1

$129K - $166K/yr

Lead the supply review process within the monthly S&OP cycle, presenting supply constraints, risks ... Develop and monitor key supply planning KPIs including schedule attainment, capacity utilization ...

Lendz Financial

Underwriter (Post-Close/QC)

OR · On-site +1

This is a fully remote position , within a collaborative, high-accountability environment that ... Review executed loan documents for compliance with company, investor, agency, and regulatory ...

HealthJoy

Principal Actuary

OR · On-site +1

$220K - $270K/yr

This role is preferred in Tampa, FL, with hybrid flexibility, but remote is an option for the right ... Partner with our data science team on models that forecast medical cost and utilization for self ...

Upstart

Funding & Liquidity Manager

OR · On-site +1

... reviews, pledging, substitutions, borrowing tests, and readiness under normal and stressed ... Remote Travel requirements As a digital first company, the majority of your work can be ...

AMSURG

Project Mgr, Strategic Initiatives

Work Schedule: Remote ESSENTIAL RESPONSIBILITIES: * Maintain comprehensive awareness of the ... Track and manage project timelines, deliverables, and resource utilization to ensure projects are ...

GHX

Implementation Consultant III - eCommerce

OR · On-site +1

$74K - $98K/yr

... utilization. Presenting product functionality, creating documentation for project objectives ... As such an ideal candidate should be comfortable working in Excel and Access and be able to review ...

Mineralys Therapeutics

National Sales Director

OR · On-site +1

$260K - $285K/yr

... remote company. National Sales Director The National Sales Director (NSD) will serve as a senior ... Conduct regular field coaching, business reviews, and talent assessments * Build leadership bench ...

SOSi

Senior Data Scientist

OR · On-site +1

The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance ... Full remote flexibility. Working at SOSi All interested individuals will receive consideration and ...

SOSi

Data Scientist

OR · On-site +1

The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance ... Full remote flexibility. Working at SOSi All interested individuals will receive consideration and ...

Donorbox

Enterprise Customer Success Manager

OR · On-site +1

... reviews - a reflection of the care our team puts into building products that nonprofits trust. The ... Advocate for and optimize our product to increase client revenue and utilization. * Provide ...

Global Career Website

Salesforce Senior Consultant

OR · On-site +1

$125K - $153K/yr

... platform utilization. Your role involves a blend of high-level thought leadership and hands-on ... Dependent on location, we offer remote, in-office, or hybrid working modes; flexible hours; work ...

Cresta

Strategic Solutions Engineering Director

OR · On-site +1

$225K - $245K/yr

Run weekly SE pipeline reviews to ensure technical qualification, surface systemic blockers, and ... Manage SE team capacity and utilization, coordinate cross-regional support, and drive recruiting ...

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All JobsOptum Utilization Review JobsRemote Optum Utilization Review JobsRemote Optum Utilization Review Jobs in Oregon

Remote Optum Utilization Review information

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.

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 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.

What are the most commonly searched types of Optum Utilization Review jobs in Oregon?

The most popular types of Optum Utilization Review jobs in Oregon are:

What are popular job titles related to Remote Optum Utilization Review jobs in Oregon?

For Remote Optum Utilization Review jobs in Oregon, the most frequently searched job titles are:

What job categories do people searching Remote Optum Utilization Review jobs in Oregon look for?

The top searched job categories for Remote Optum Utilization Review jobs in Oregon are:

What cities in Oregon are hiring for Remote Optum Utilization Review jobs?

Cities in Oregon with the most Remote Optum Utilization Review job openings:

Remote Optum Utilization Review jobs near you

Clinical Account Executive Rare Disease - Oregon, Idaho, Wyoming & Montana

Ambry Genetics

OR • On-site, Remote

$120K - $140K/yr

Full-time

Re-posted 4 days ago

Job description

Compensation:

$120,000 - $140,000 per year. You are eligible for a Sales Incentive Plan with the target of $80,000 annually; terms and conditions apply.

Rare Disease Account Executive - OR, ID, WY & MT territory: Must reside in the territory

As a successful Account Executive, you will increase laboratory sales revenue through market penetration and promotion of Ambry's portfolio of genetic diagnostic testing services. You will advocate the clinical and financial benefits of our products to all levels and call points in the hospital, specialty clinic, and physician's office including MD's, nurses, genetic counselors, and laboratory staff. The successful Account Executive will need a level of sophistication to handle customer relationships with industry thought leaders, manage the dynamics between lab, doctor, & genetic counselors, and be able to drive highly complex sales to closure.

Essential Functions:

  • Manage a sales territory

  • Live in the designated territory

  • Manage and grow business in existing Ambry accounts

  • Expand menu utilization in existing accounts

  • Sell genetic diagnostic testing services to new customers

  • Negotiate and manage contracts

  • Introduce new testing products

  • Develop demand for and adoption of new assays

  • Develop and implement customer-specific action plans

  • Develop and deliver presentations

  • Host and assist with trade shows

  • Manage customer data in the company database

  • Achieve sales goals

  • Other duties as assigned

Qualifications:

  • 3+ years of industry experience selling laboratory services to clinicians and hospitals or medical device sales

  • Bachelor's Degree and/or combined years of experience required

  • Skilled in Microsoft Word, Excel, PowerPoint applications

  • Skilled using a CRM applications such as com or Microsoft CRM

  • Strong track record of sales success selling a broad portfolio of laboratory testing to different medical specialties

  • Ability to sell technically complex products

  • Expertise with demand creation in a large geography

  • Strengths in networking and relationship development

  • Strong oral and written communications skills

  • Some formal sales training experience such as SPIN Selling or PSS

  • Strong time and territory management skills

  • Possess and maintain a current, valid driver license unless agreed upon otherwise

Preferred:

  • Bachelor's Degree is highly preferred

  • Experience with customer base within territory

#LI-AC1 #LI-REMOTE

PRIVACY NOTICES

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Equal Opportunity Employer


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