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Remote Utilization Management Jobs in Indiana (NOW HIRING)

... utilization. You will drive collaboration with providers and community partners, manage the RFP ... This position is 100% remote and will support DCS offices in Northwest Indiana. Residency in the ...

The role is a remote position; location base will be reviewed as this position covers all regions ... Develop communication and territory management skills throughout the field sales team * Identify ...

... to ensure tool utilization and solution standardization with our Project Management Platform ... This position is remote, but candidates capable of a Chicago hybrid schedule (1-2 days per week ...

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Remote Utilization Management information

See Indiana salary details

$20

$40

$65

How much do remote utilization management jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for remote utilization management in Indiana is $40.23, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.20 per hour, depending on experience, location, and employer.

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 as a Remote Utilization Management Nurse, and why are they important?

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 Indiana? The most popular types of Utilization Management jobs in Indiana are:
What cities in Indiana are hiring for Remote Utilization Management jobs? Cities in Indiana with the most Remote Utilization Management job openings:
Infographic showing various Remote Utilization Management job openings in Indiana as of July 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 $83,687 per year, or $40.2 per hour.
IRxS Senior Vice President of Consulting Services (Pharmacy Benefits)

IRxS Senior Vice President of Consulting Services (Pharmacy Benefits)

Apex Benefits Group, Inc.

Indianapolis, IN • On-site, Remote

$200K/yr

Full-time

Posted 5 days ago


Job description

About Us

As a rapidly growing organization, Innovative Rx Strategies is distinguished by its commitment to advocating for clients both personally and financially while delivering measurable cost savings for employers and their employees.

Are you interested in joining a successfully growing organization that has been recognized for over a decade as a Best Place to Work, recipient of Healthiest Workplace awards, and The Platinum Bell Seal for Workplace Mental Health? If so, come join our Innovative Rx Strategies team of clinical experts!  

Our team serves employers, benefits brokers, TPAs, health care systems and health plans with deep understanding of the pharmacy benefits markets and health care industry trends. With expert knowledge we are committed to one mission — breaking down a complex industry to save our clients' money on their benefits programs and manage their cost trends.

Innovative Rx Strategies is an Apex Benefits Group, Inc. (ABG) company. ABG offers competitive benefits, flexible hybrid/remote work model, a collaborative team environment, and advanced training and development.

Job summary

The Sr. VP of Consulting Services (Pharmacy Benefits) is responsible for leading the firm’s consulting organization, ensuring exceptional client delivery, developing consulting talent, improving operational performance, and aligning consulting strategy with the company’s growth objectives. This role works with the President to oversee team leadership, service quality, resource planning, client relationship management, and consulting practice development.  

The starting salary for this position begins at $200,000. Final compensation will be determined based on experience, qualifications, internal equity, and market considerations.

Summary of essential job functions/responsibilities

  •  Oversee the overall performance, structure, and direction of the consulting team, including consultants, practice leaders, and delivery staff. Set clear expectations for performance, accountability, collaboration, and client service standards.
  • Develop and implement the consulting strategy in alignment with the company’s growth goals, service model, and market positioning. Translate executive priorities into practical plans, team initiatives, and measurable outcomes.
  • Ensure consulting engagements are delivered on time, on budget, and at a consistently high level of quality. Establish delivery standards, methodologies, and quality controls that improve client outcomes and protect the firm’s reputation.
  • Recruit, onboard, coach, mentor, and evaluate consultants and consulting leaders. Build a high-performing consulting culture focused on technical excellence, responsiveness, problem-solving, and professional growth.
  • Oversee staffing, workload balance, and resource allocation across the consulting team. Monitor utilization, productivity, and capacity to ensure the firm can scale effectively while maintaining service quality
  • Serve as a senior point of contact for key clients and strategic accounts. Support consultants in managing client relationships, addressing complex issues, and identifying opportunities to deepen trust and expand value.
  • Partner with executive leadership and business development to shape service offerings, support proposals, participate in finalist meetings, and help convert opportunities into long-term client relationships. The role is commonly tied to business growth and stronger customer relationships.
  • Evaluate market needs, client feedback, and industry trends to improve existing consulting services and develop new offerings. Ensure the consulting practice stays relevant, differentiated, and aligned with client demand.
  • Define and monitor key performance indicators for the consulting function, such as client satisfaction, retention, engagement quality, consultant performance, utilization, margin, and project outcomes. Use data to drive continuous improvement. The role is often linked to improving operational efficiency and aligning consulting efforts to company goals.
  • Collaborate with the President and other senior leaders on strategic priorities, cross-functional coordination, operational improvement, and organizational planning.
  • Step in on high-stakes client situations, consultant performance concerns, delivery breakdowns, or cross-team conflicts. Provide leadership, sound judgment, and decisive problem-solving when challenges escalate.
  • Act as a visible leader for the consulting practice through executive meetings, client presentations, industry events, and thought leadership. Help reinforce the firm’s expertise, credibility, and market presence. The role is often tied to strategic client engagement and growth-oriented leadership.

Minimum requirements

  • Pharmacy degree required; PharmD or Pharmacy Residency preferred
  • A minimum of 10–15+ years of professional experience, with a significant portion in pharmacy consulting or advisory roles
  •  minimum of 5–10+ years in leadership roles managing teams, projects, or business units
  • Proven track record leading complex client engagements and delivering measurable results
  • Excellent people skills; consulting or consultative experiences preferred
  • Possess personal qualities of integrity, credibility, and commitment
  • Strong project management skills
  • Proven ability to be collaborative with strong multi-tasking skills
  • Ability to work in a fast paced, multi-tasking environment, and produce accurate results while meeting established deadlines
  • Ability to work independently with limited supervision and demonstrate initiative
  • Excellent written and verbal communicator
  • Must be proficient in Word, Excel, PowerPoint 

Additional Information

Apex Benefits Group, Inc believes in equal opportunity employment and does not discriminate based on age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability, or any other legally protected status.

This is a remote position with travel requirements. Must be able to travel for meetings, training, conferences, and/or client visits approximately 15-20% of time annually, including occasional overnight stays.

This role is U.S.-based and operates primarily within Eastern Time Zone. We have a preference in states where we currently employ team members, including Indiana, Ohio, Illinois, Kentucky, Texas, North Carolina, Tennessee, and Pennsylvania.

Employment Type: FULL_TIME