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Remote Utilization Management Jobs in Connecticut

Review and assess ongoing budget utilization and revenue recognition with Operations Managers to ensure projects are meeting financial targets * Manage internal CAT operations meetings and other ...

... a CRM * Responsible for personal productivity and utilization * Work directly with Associate ... remote-first company, you'll have the ability to work from anywhere in the US, with the option to ...

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Remote Utilization Management information

How does a remote utilization management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

What are the key skills and qualifications needed to thrive in remote utilization management?

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

What is the difference between Remote Utilization Management vs Remote Case Management?

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

What are the most commonly searched types of Utilization Management jobs in Connecticut? The most popular types of Utilization Management jobs in Connecticut are:
What cities in Connecticut are hiring for Remote Utilization Management jobs? Cities in Connecticut with the most Remote Utilization Management job openings:
Infographic showing various Remote Utilization Management job openings in Connecticut as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Associate Director, Operations - Clinical Assessment Technologies (CAT) - US/Canada - Remote

Worldwide Clinical Trials

Remote

Full-time

This job post has expired today. Applications are no longer accepted.


Job description

Who we are

We’re a global, midsize CRO that pushes boundaries, innovates and invents because the path to a cure for the world’s most persistent diseases is not paved by those who play it safe. It is built by those who take pioneering, creative approaches and implement them with quality and excellence.

We are Worldwide Clinical Trials, and we are a global team of over 3,500+ experts, bright thinkers, dreamers and doers and, together, we are changing the way the world experiences CROs – in the best possible way.

Our mission is to work with passion and purpose every day to improve lives and we are looking for others who value this same pursuit.

Why Worldwide

We believe everyone plays an important role in making a world of difference for patients and their caregivers. From our hands-on, accessible leaders, to our cohesive and supportive teams, we are committed to enabling professionals from all backgrounds and experiences to succeed. We prioritize cultivating a diverse and inclusive environment that continues to promote collaboration and creativity. We are proud to be a workplace where people thrive by being themselves and are inspired to do their best work every day. Join us!

What the Business Development Operations Department does at WorldwideBusiness 

Development Operations is a team of highly experienced Business Development professionals who drive significant bookings targets and support Worldwide’s strategic position in a competitive market through a culture of collaboration and innovation.  

This tenured team supports a strong portfolio of existing business as well as being responsible for the continued significant growth of Worldwide’s future pipeline and sponsors. The team is accountable for overall sales performance, the profitable achievement of sales goals, and for aligning sales objectives with the Worldwide’s therapeutic and commercial strategies. 
 

What you will do 

  • Identify operational needs for upcoming projects, track and review current assignments for CAT Operations staff 

  • Resource CAT study projects as Resource Manager 

  • Engage as Subject Matter Expert (SME) for CAT Operations activities 

  • Provide operational oversight for designated CAT study projects 

  • Engage in and coordinate resourcing activities for all CAT awarded projects 

  • Identify training and skills gaps among staff; coordinate and assist with learning opportunities to enhance operations staff knowledge and skills of industry related regulations, processes, materials, and guidelines 

  • Actively identify and engage in process improvement activities 

  • Participate in QMD reviews and new QMD development 

  • Author, collaborate, and review QMD documents and guidance documents 

  • Coordinate and manage CAT Operations team meetings 

  • Active engagement and oversight of study risk assessments, as they relate to operational activities 

  • Work with department leaders to ensure alignment among CAT operational and clinical services 

  • Lead and/or contribute to departmental initiatives that aim to implement polices, methods, techniques to contribute to existing service areas and department growth 

  • Accountable for oversight of CAT study deliverables from Launch process to study close out 

  • Assist and collaborate with Operations staff, Project Management, Contracts on vendor and study budget development, scope of work revisions, tracking and compliance 

  • Assist in vendor management related concerns, including involvement with escalations, Vendor Management and Quality Assurance meetings 

  • Review and assess ongoing budget utilization and revenue recognition with Operations Managers to ensure projects are meeting financial targets 

  • Manage internal CAT operations meetings and other trial-specific meetings, as appropriate 

  • Significant contributor to multiple strategic departmental, sponsor-related and cross-functional initiatives 

  • Participate in business development activities including; but not limited to proposals input, capabilities, and bid defense meetings 

  • Apply thorough knowledge of industry regulations and guidelines to ensure operational compliance during clinical trial conduct 

What you will bring to the role 

  • Exceptional organizational skills, detail- and service-oriented, with excellent management / supervision skills 

  • Excellent understanding of best business practices with respect to clinical trial operations and rater reliability processes 

  • Knowledge and capabilities of our technology vendors and their abilities (skill)Excels in planning, managing, monitoring, and critiquing skills 

  • Excellent at meeting timelines consistently and being able to effectively work under pressure 

  • Continuously open to constructive, developmental feedback 

  • Exceptional interpersonal skills in a fast-paced, deadline oriented, and changing environment 

  • Excellent ability to proactively identify and escalate potential project issues to appropriate CAT and WCT staff 

  • Basic knowledge of statistics and finance practices 

Your experience 

  • Must have a minimum of a bachelor’s degree, preferably with an Master’s degree (life sciences, MBA and/or PMP certification). 

  • Strong leadership, management and interpersonal skills 

  • Strong planning and organizational skills 

  • At least 7+ years clinical trial experience with at least 4 years’ experience in global clinical trials 

  • Preferred at least 5+ years of experience managing team members or project management experience 

  • Hands on experience in day-to-day management of all aspects of global clinical trials required 

  • Prior experience in psychiatry / CNS therapeutic areas is a plus 

  • The ideal candidate possesses knowledge and appreciation of all stages of clinical drug development. Effective leadership skills and a proven ability to build and foster high performance team productivity and cohesiveness is required. This position requires strong knowledge of monitoring practices, demonstrated knowledge / competence in the application of CFRs, GCPs and ICH guidelines 

At Worldwide Clinical Trials, we are committed to fostering an inclusive and equitable workplace by providing transparent compensation.
The salary range for this position is annually (For hourly paid positions, the stated salary range reflects hourly rates):


United States of America - $112,000.00 - $223,000.00


The salary range provided is intended to give candidates an understanding of potential earnings. Compensation will fall within the provided range, and it not a guarantee of exact salary. The final salary will be determined based on relevant experience, performance, education, and internal equity. In addition to base salary, we offer a competitive benefits package depending on location. We ensure pay equity and transparency and comply with all applicable labor laws. Salary information will be discussed during the interview process, and we encourage candidates to inquire about compensation at any stage.

We love knowing that someone is going to have a better life because of the work we do. 

To view our other roles, check out our careers page at Discover a world of difference at Worldwide! For more information on Worldwide, visit www.Worldwide.com or connect with us on LinkedIn.