... utilization review, clinical criteria configuration, and pharmacy system implementations, with ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
... utilization review, clinical criteria configuration, and pharmacy system implementations, with ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
... utilization review, clinical criteria configuration, and pharmacy system implementations, with ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
... utilization review, clinical criteria configuration, and pharmacy system implementations, with ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
You'll educate clinicians, drive adoption of Solventum solutions, expand therapy utilization, and ... Remote (Indianapolis, IN) Travel: Field-based role with up to 20% overnight travel anticipated (may ...
You'll educate clinicians, drive adoption of Solventum solutions, expand therapy utilization, and ... Remote (Indianapolis, IN) Travel: Field-based role with up to 20% overnight travel anticipated (may ...
Telehealth Call Center Clinician
Indianapolis, IN · Remote
$30 - $34/hr
Telehealth Call Center Clinician Remote Opportunity (Must be Licensed in Indiana) Shifts: 3 x 12 ... Collaborates with utilization review staff regarding authorizations and ongoing care needs.
Telehealth Call Center Clinician
Indianapolis, IN · Remote
$30 - $34/hr
Telehealth Call Center Clinician Remote Opportunity (Must be Licensed in Indiana) Shifts: 3 x 12 ... Collaborates with utilization review staff regarding authorizations and ongoing care needs.
Clinical Admissions Therapist (Indiana)
Indianapolis, IN · Remote
$60K - $70K/yr
Interface with Admissions, Verification of Benefits, Utilization Review, and Clinical teams in ... benefits. #li-remote Our Values * Connection: Care deeply & inspire hope. * Congruence: Stay ...
Quick apply
Clinical Admissions Therapist (Indiana)
Indianapolis, IN · Remote
$60K - $70K/yr
Interface with Admissions, Verification of Benefits, Utilization Review, and Clinical teams in ... benefits. #li-remote Our Values * Connection: Care deeply & inspire hope. * Congruence: Stay ...
Speech Language Pathologist (SLP) - Remote POS
Salem, IN · Remote
$50/hr
At E-Therapy, we are pioneers in the field of special education, dedicated to delivering top-tier ... Physical Requirements (Remote Work): While performing the duties of this job, the employee is ...
Speech Language Pathologist (SLP) - Remote POS
Salem, IN · Remote
$50/hr
At E-Therapy, we are pioneers in the field of special education, dedicated to delivering top-tier ... Physical Requirements (Remote Work): While performing the duties of this job, the employee is ...
Speech Language Pathologist (SLP) - Remote POS
Salem, IN · On-site +1
$50/hr
At E-Therapy, we are pioneers in the field of special education, dedicated to delivering top-tier ... Physical Requirements (Remote Work): While performing the duties of this job, the employee is ...
Speech Language Pathologist (SLP) - Remote POS
Salem, IN · On-site +1
$50/hr
At E-Therapy, we are pioneers in the field of special education, dedicated to delivering top-tier ... Physical Requirements (Remote Work): While performing the duties of this job, the employee is ...
Speech Language Pathologist (SLP) - Remote POS
Salem, IN · Remote
$50/hr
At E-Therapy, we are pioneers in the field of special education, dedicated to delivering top-tier ... Physical Requirements (Remote Work): While performing the duties of this job, the employee is ...
Speech Language Pathologist (SLP) - Remote POS
Salem, IN · Remote
$50/hr
At E-Therapy, we are pioneers in the field of special education, dedicated to delivering top-tier ... Physical Requirements (Remote Work): While performing the duties of this job, the employee is ...
Cobol/IDMS Developer (Remote)
Indianapolis, IN · On-site +1
$48 - $65/hr
Write and code logical and physical database descriptions and specify identifiers of database to ... Review project requests describing database users' needs to estimate time and cost required to ...
Cobol/IDMS Developer (Remote)
Indianapolis, IN · On-site +1
$48 - $65/hr
Write and code logical and physical database descriptions and specify identifiers of database to ... Review project requests describing database users' needs to estimate time and cost required to ...
Cobol/IDMS Developer (Remote)
Indianapolis, IN · Remote
$48 - $65/hr
Write and code logical and physical database descriptions and specify identifiers of database to ... Review project requests describing database users' needs to estimate time and cost required to ...
Cobol/IDMS Developer (Remote)
Indianapolis, IN · Remote
$48 - $65/hr
Write and code logical and physical database descriptions and specify identifiers of database to ... Review project requests describing database users' needs to estimate time and cost required to ...
Cobol/IDMS Developer (Remote)
Indianapolis, IN · Remote
$48 - $65/hr
Write and code logical and physical database descriptions and specify identifiers of database to ... Review project requests describing database users' needs to estimate time and cost required to ...
Cobol/IDMS Developer (Remote)
Indianapolis, IN · Remote
$48 - $65/hr
Write and code logical and physical database descriptions and specify identifiers of database to ... Review project requests describing database users' needs to estimate time and cost required to ...
Cobol/IDMS Developer (Remote)
Indianapolis, IN · Remote
$48 - $65/hr
Write and code logical and physical database descriptions and specify identifiers of database to ... Review project requests describing database user needs to estimate time and cost required to ...
Cobol/IDMS Developer (Remote)
Indianapolis, IN · Remote
$48 - $65/hr
Write and code logical and physical database descriptions and specify identifiers of database to ... Review project requests describing database user needs to estimate time and cost required to ...
Cobol/IDMS Developer (Remote)
Indianapolis, IN · On-site +1
$48 - $65/hr
Write and code logical and physical database descriptions and specify identifiers of database to ... Review project requests describing database user needs to estimate time and cost required to ...
Cobol/IDMS Developer (Remote)
Indianapolis, IN · On-site +1
$48 - $65/hr
Write and code logical and physical database descriptions and specify identifiers of database to ... Review project requests describing database user needs to estimate time and cost required to ...
Cobol/IDMS Developer (Remote)
Indianapolis, IN · Remote
$48 - $65/hr
Write and code logical and physical database descriptions and specify identifiers of database to ... Review project requests describing database user needs to estimate time and cost required to ...
Cobol/IDMS Developer (Remote)
Indianapolis, IN · Remote
$48 - $65/hr
Write and code logical and physical database descriptions and specify identifiers of database to ... Review project requests describing database user needs to estimate time and cost required to ...
... and therapy materials, continuing education, and networking opportunities to help them succeed ... An extensive virtual library of peer-reviewed studies and online assessments, including online ...
Quick apply
... and therapy materials, continuing education, and networking opportunities to help them succeed ... An extensive virtual library of peer-reviewed studies and online assessments, including online ...
NPTE Tutor
Indianapolis, IN · Remote
$18 - $40/hr
Adapts instruction using NPTE practice examinations, system-based review materials, and clinical case analysis to support DPT graduates preparing for the National Physical Therapy Examination for ...
NPTE Tutor
Indianapolis, IN · Remote
$18 - $40/hr
Adapts instruction using NPTE practice examinations, system-based review materials, and clinical case analysis to support DPT graduates preparing for the National Physical Therapy Examination for ...
NPTE Tutor
Fort Wayne, IN · Remote
$18 - $40/hr
Adapts instruction using NPTE practice examinations, system-based review materials, and clinical case analysis to support DPT graduates preparing for the National Physical Therapy Examination for ...
NPTE Tutor
Fort Wayne, IN · Remote
$18 - $40/hr
Adapts instruction using NPTE practice examinations, system-based review materials, and clinical case analysis to support DPT graduates preparing for the National Physical Therapy Examination for ...
NPTE Tutor
Valparaiso, IN · Remote
$18 - $40/hr
Adapts instruction using NPTE practice examinations, system-based review materials, and clinical case analysis to support DPT graduates preparing for the National Physical Therapy Examination for ...
NPTE Tutor
Valparaiso, IN · Remote
$18 - $40/hr
Adapts instruction using NPTE practice examinations, system-based review materials, and clinical case analysis to support DPT graduates preparing for the National Physical Therapy Examination for ...
NPTE Tutor
West Lafayette, IN · Remote
$18 - $40/hr
Adapts instruction using NPTE practice examinations, system-based review materials, and clinical case analysis to support DPT graduates preparing for the National Physical Therapy Examination for ...
NPTE Tutor
West Lafayette, IN · Remote
$18 - $40/hr
Adapts instruction using NPTE practice examinations, system-based review materials, and clinical case analysis to support DPT graduates preparing for the National Physical Therapy Examination for ...
NPTE Tutor
Bloomington, IN · Remote
$18 - $40/hr
Adapts instruction using NPTE practice examinations, system-based review materials, and clinical case analysis to support DPT graduates preparing for the National Physical Therapy Examination for ...
NPTE Tutor
Bloomington, IN · Remote
$18 - $40/hr
Adapts instruction using NPTE practice examinations, system-based review materials, and clinical case analysis to support DPT graduates preparing for the National Physical Therapy Examination for ...
Remote Physical Therapy Utilization Review information
See Indiana salary details
$20.36 - $24.48
2% of jobs
$24.48 - $28.59
9% of jobs
$31.41 is the 25th percentile. Wages below this are outliers.
$28.59 - $32.71
21% of jobs
The median wage is $36.04 / hr.
$32.71 - $36.83
23% of jobs
$36.83 - $40.94
13% of jobs
$44.15 is the 75th percentile. Wages above this are outliers.
$40.94 - $45.06
10% of jobs
$45.06 - $49.18
8% of jobs
$49.18 - $53.30
5% of jobs
$53.30 - $57.41
5% of jobs
$57.41 - $61.53
2% of jobs
$61.53 - $65.65
2% of jobs
$20
$40
$65
How much do remote physical therapy utilization review jobs pay per hour?
What is a remote physical therapy utilization review?
A Remote Physical Therapy Utilization Review job involves evaluating physical therapy treatment plans and medical records to ensure they meet insurance guidelines and medical necessity. Professionals in this role work remotely to review claims, provide recommendations, and collaborate with healthcare providers and insurance companies. The goal is to ensure appropriate care while preventing unnecessary treatments or costs. This position typically requires a background in physical therapy, strong analytical skills, and knowledge of insurance policies and medical guidelines.
What does a typical day look like for someone in a remote physical therapy utilization review role?
A typical day involves reviewing physical therapy documentation and treatment plans submitted by providers to determine if they meet established medical necessity criteria. You may spend most of your workday analyzing patient records, applying evidence-based guidelines, documenting your recommendations, and collaborating virtually with providers, insurance representatives, and your clinical review team. Frequent video meetings and written communications are common as you clarify treatment justifications or support appeals. The role is fast-paced and detail-oriented, requiring strong organizational skills to manage multiple case files and deadlines efficiently. While remote, you remain an integral part of a clinical decision-making team, contributing directly to patient care quality and cost-effective service delivery.
What are the key skills and qualifications needed to thrive in the remote physical therapy utilization review position?
To excel as a Remote Physical Therapy Utilization Review professional, you need a background in physical therapy (often with licensure), clinical knowledge, and experience in utilization management or case review. Familiarity with electronic health records (EHR), claims management systems, and industry tools such as InterQual or Milliman criteria is typically required. Strong analytical skills, attention to detail, effective written communication, and the ability to work independently are valuable soft skills for this position. These abilities are crucial for accurately evaluating medical necessity, facilitating reimbursement, and ensuring compliance with healthcare guidelines in a remote setting.
What are popular job titles related to Remote Physical Therapy Utilization Review jobs in Indiana?
For Remote Physical Therapy Utilization Review jobs in Indiana, the most frequently searched job titles are:
- Remote Appointment Setter
- Remote Independent Contractor Medical Transcriptionist
- Work From Home Paleo
- Work From Home High School Dropout
- Remote Health Promotion
- Remote Work From Home Pharmacy Billing Specialist
- Work From Home Renal Dialysis Technician
- Work From Home Hospital Admissions Representative
- Work From Home Book Reviewer
- Remote Make 20K Per Month
What job categories do people searching Remote Physical Therapy Utilization Review jobs in Indiana look for?
The top searched job categories for Remote Physical Therapy Utilization Review jobs in Indiana are:
What cities in Indiana are hiring for Remote Physical Therapy Utilization Review jobs?
Cities in Indiana with the most Remote Physical Therapy Utilization Review job openings:

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 12 days ago
Job description
Must be eligible to work in the United States. No sponsorships are available at this time.
Essential Duties:
Project Leadership and Delivery:
- Leads pharmacy clinical projects through initiation, planning, execution, monitoring, and closure
- Develops and maintains integrated project plans, schedules, milestones, dependencies, and deliverables
- Facilitates requirements gathering, design reviews, solution validation, testing, and implementation activities
- Coordinates cross-functional teams across clinical, operational, technical, and business workstreams
- Manages project budgets, scope, schedule, risks, issues, assumptions, and dependencies
- Supports implementation and enhancement of drug coverage administration, Preferred Drug List (PDL) management, prior authorization (PA) programs, electronic prior authorization (ePA), and drug utilization review (DUR)
- Ensures clinical program requirements are accurately translated into system and operational solutions
Stakeholder Engagement:
- Serves as primary point of contact for client, clinical, and internal project stakeholders
- Facilitates decision-making discussions and executive governance meetings
- Communicates project status, risks, issues, and mitigation strategies to leadership
- Builds collaborative relationships with pharmacy directors, clinical pharmacists, business analysts, product teams, and external vendors
Compliance and Regulatory Oversight:
- Ensures project deliverables comply with federal and state Medicaid requirements
- Supports readiness for audits, regulatory reviews, and contractual reporting obligations
- Coordinates implementation efforts involving the Centers for Medicare and Medicaid Services (CMS), Medicaid agencies, pharmacy benefit managers (PBMs), and healthcare partners as applicable
- Maintains traceability between business requirements, design decisions, testing results, and implemented solutions
Vendor and Partner Coordination:
- Coordinates activities with PBMs, pharmacy system vendors, clinical review organizations, and state stakeholders
- Manages integration and dependency tracking across external partners
- Facilitates issue resolution and escalation management to meet project objectives
Implementation and Transition:
- Leads implementation readiness reviews and go-live planning activities
- Coordinates training, deployment, cutover, and stabilization efforts
- Develops implementation plans, communication strategies, and transition-to-operations procedures
- Supports continuous improvement initiatives and lessons-learned activities
Requirements
Required Skills:
- Demonstrated success leading large-scale healthcare or pharmacy benefit management (PBM) implementations
- Experience managing multiple workstreams and vendors simultaneously
- Experience leading end-to-end lifecycle activities from project startup through post go-live support
- Experience with Preferred Drug List (PDL) administration
- Experience with prior authorization (PA) programs
- Experience with electronic prior authorization (ePA) and drug utilization review (DUR)
- Experience with clinical policy administration and utilization management initiatives
- Expert-level schedule performance management using Microsoft Project
- Deliverable management, including Medicaid deliverable oversight
- Risks, actions, issues, and decisions (RAID) management
- Project controls based on the Project Management Body of Knowledge (PMBOK)
- Cross-domain coordination across claims, provider, member, clinical, rebate, and portal functions
Education and Experience:
- Seven or more years of project management experience
- Seven or more years of experience supporting Pharmacy Benefit Management (PBM) Medicaid programs
- Project Management Professional (PMP) certification preferred, not required
Physical Requirements & Environmental Conditions: An employee must meet these physical demands to successfully perform the essential functions of this job. Employee is regularly required to talk or hear, sit, stand, and utilize technology tools such as a laptop computer for extended periods of time. Specific vision abilities include close vision and the ability to adjust focus. This position requires the ability to occasionally lift up to 20 lbs. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Briljent is a solutions-based company. Solutions come from creative ideas; ideas come from being creative with differences. Briljent believes diversity and inclusion are critical to the success of the company. Employment at Briljent is based on merit and professional qualifications. We do not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, national origin, disability, age, veteran status, marital status or any other basis protected by federal, state or local law, regulation or ordinance.
Benefits
- Health Care Plan (Medical, Dental & Vision)
- Retirement Plan (401k, IRA)
- Life Insurance (Basic, Voluntary & AD&D)
- Paid Time Off (Vacation, Sick & Public Holidays)
- Short Term & Long Term Disability
- Work From Home
- Wellness Resources
About Briljent
Sourced by ZipRecruiter
Industry
Business schools and computer and management training
Company size
51 - 200 Employees
Headquarters location
Fort Wayne, IN, US
Year founded
1998