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Remote Supervisor Utilization Management Jobs in Philadelphia, PA

This position will be remote within the designated market with occasional in-home patient treatment ... medical utilization management, and risk adjustment. * Current state medical license without ...

Sales Manager Remote

Philadelphia, PA · Remote

$80K - $120K/yr

Proven experience in sales leadership, team management, or a comparable supervisory role; experience in remote team management is preferred. * Demonstrated ability to coach and develop sales ...

Psychiatrist Supervisor

Newtown, PA · On-site +1

$200 - $300/hr

... remote setting. Job Summary The Psychiatrist Supervisor will help clinicians evaluate cases ... Offer guidance on risk management and documentation. * Support clinician development through ...

Network Utilization: Leverage your existing contacts to open doors with major brands and rights ... Pipeline Management: Architect, track, and forecast a robust corporate partner pipeline.

... emergency department utilization while enhancing quality metrics (HEDIS/STAR) and member ... between remote case management and mobile healthcare delivery, ensuring high-quality, patient ...

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Remote Supervisor Utilization Management information

See Philadelphia, PA salary details

$39.4K

$91.8K

$169K

How much do remote supervisor utilization management jobs pay per year?

As of Aug 26, 2026, the average yearly pay for remote supervisor utilization management in Philadelphia, PA is $91,838.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,000.00 and $110,500.00 per year, depending on experience, location, and employer.

What is the difference between Remote Supervisor Utilization Management vs Remote Utilization Review Nurse?

AspectRemote Supervisor Utilization ManagementRemote Utilization Review Nurse
CredentialsRN, often with management or supervisor certificationsRN, with clinical review certifications
Work EnvironmentSupervises teams, manages utilization processes remotelyPerforms clinical reviews, assesses patient necessity remotely
Employer & Industry UsageHealth insurance companies, managed care organizationsInsurance companies, third-party administrators
Primary FocusOverseeing utilization management operationsConducting clinical utilization reviews

Remote Supervisor Utilization Management roles focus on overseeing utilization management teams and processes, ensuring compliance and efficiency. In contrast, Remote Utilization Review Nurses primarily perform clinical assessments to determine the necessity of services. Both roles require RN credentials but differ in responsibilities and scope within the utilization management field.

What are popular job titles related to Remote Supervisor Utilization Management jobs in Philadelphia, PA?

For Remote Supervisor Utilization Management jobs in Philadelphia, PA, the most frequently searched job titles are:

What job categories do people searching Remote Supervisor Utilization Management jobs in Philadelphia, PA look for?

The top searched job categories for Remote Supervisor Utilization Management jobs in Philadelphia, PA are:

What cities near Philadelphia, PA are hiring for Remote Supervisor Utilization Management jobs?

Cities near Philadelphia, PA with the most Remote Supervisor Utilization Management job openings:

Infographic showing various Remote Supervisor Utilization Management job openings in Philadelphia, PA as of August 2026, with employment types broken down into 95% Full Time, and 5% Part Time. Highlights an 100% Remote job distribution, with an average salary of $91,838 per year, or $44.2 per hour.

Medical Director (MD) - remote (PA/NJ/DE)

Independence Blue Cross

Philadelphia, PA • On-site, Remote

Full-time

Re-posted 13 days ago


Independence Blue Cross rating

8.8

Company rating: 8.8 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

56th of 312 rated insurance


Job description

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve.
Schedule: 5 days (Mon-Fri, 8:30-5p), ** on-call requirement: Saturday and Sunday full workday, approx. every 12 weeks, depending on number of MDR's.
The Medical Director serves as a physician leader responsible for promoting the delivery of safe and effective medical care in the most cost-effective way for the health plans offered by Independence Blue Cross and subsidiaries. There are multiple elements of discrete work that may fall under the role including:
Utilization Management
The physician directly supports Utilization Management and Care Management and other business activities where involvement of a physician is determined to be in the best interest of Independence. The Medical Director will be responsible for rendering coverage and payment determinations based on the terms and conditions of the health plans for which Independence serves as claims administrator, and on the terms and conditions of contracts executed between Independence and networks of participating health care providers.
The Medical Director will exercise sound decision making based on clinical guidelines for best practices, a strong knowledge of clinical medicine, the practical realities of the delivery of health care in the state of Pennsylvania, and a thorough understanding of the principles of population health, quality management, patient safety and health insurance. The Medical Director will be expected to effectively collaborate with professional staff, senior leadership, management and associates and with external partners to promote the delivery of cost-effective health care across all lines of business.
Required Qualifications and Experience:
  • We require a Medical Doctor or Doctor of Osteopathy degree from a medical school or osteopathic medical school recognized by the American Association of Medical Colleges (AAMC), the American Osteopathic Association (AOA), or the World Health Organization (WHO).
  • Has an unrestricted and unencumbered Pennsylvania license to practice clinical medicine or osteopathic medicine.
  • Current Board Certification by ABMS or AOBMS - family medicine, internal medicine or pediatrics board certification preferred
  • Ability to successfully complete Independence Blue Cross credentialing process

Fully Remote:
This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence's physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

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