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Remote Utilization Management Jobs in Michigan (NOW HIRING)

Deloitte

Epic Tapestry Sr Analyst

Grand Rapids, MI · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to ...

Deloitte

Epic Tapestry Sr Analyst

Detroit, MI · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to ...

Deloitte

Epic Tapestry Sr Analyst

Midland, MI · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to ...

DataAnnotation

Clinical Pharmacist

Lansing, MI · Remote

$50/hr

... Utilization Management. Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible schedule Projects are paid hourly starting at $50+ per hour Bonuses ...

DataAnnotation

Health Plan Liaison

Lansing, MI · Remote

$50/hr

... Utilization Management. Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible schedule Projects are paid hourly starting at $50+ per hour Bonuses ...

DataAnnotation

Community Health Worker

Lansing, MI · Remote

$50/hr

... Utilization Management. Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible schedule Projects are paid hourly starting at $50+ per hour Bonuses ...

Clarivate

Director & Product Management

Ann Arbor, MI · Remote

$156K - $195K/yr

... placement, utilization management, and lives data-into clear, actionable intelligence for our ... This is a remote role The expected base salary for this position is $156,000 - $195,000 USD per ...

AppCast

Interface Analyst

Detroit, MI · Remote

$60 - $65/hr

Remote (with a chance to be onsite for a few days around the Go-Live date) Job Type: Contract to ... Epic Tapestry Management Utilization and Enrollment Minimum Exp: 3 years of recent experience in ...

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$18

$36

$60

How much do remote utilization management jobs pay per hour?

As of May 28, 2026, the average hourly pay for remote utilization management in Michigan is $36.85, according to ZipRecruiter salary data. Most workers in this role earn between $29.13 and $42.31 per hour, depending on experience, location, and employer.

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.

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 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 Michigan? The most popular types of Utilization Management jobs in Michigan are:
What are popular job titles related to Remote Utilization Management jobs in Michigan? For Remote Utilization Management jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Michigan look for? The top searched job categories for Remote Utilization Management jobs in Michigan are:
What cities in Michigan are hiring for Remote Utilization Management jobs? Cities in Michigan with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Michigan as of May 2026, with employment types broken down into 2% As Needed, 39% Full Time, 47% Part Time, 2% Temporary, and 10% Contract. Highlights an 89% Physical, and 11% Remote job distribution, with an average salary of $76,654 per year, or $36.9 per hour.
Epic/Tapestry Utilization Mgmt. Interface Analyst (Remote) - Health Alliance Plan

Epic/Tapestry Utilization Mgmt. Interface Analyst (Remote) - Health Alliance Plan

Henry Ford Health System

Southfield, MI • On-site, Remote

Full-time

Posted 5 days ago

Henry Ford Health rating

7.1

Company rating: 7.1 out of 10

Based on 540 frontline employees who took The Breakroom Quiz

369th of 864 rated healthcare providers

Job description

GENERAL SUMMARY:
Working under the general supervision of the Specialist or Senior Interface Analyst, Project Manager or the Director: develops, tests, implements, and supports clinical and administrative data interfaces between Epic and ancillary systems, both internal and external. The Interface Analyst is part of a team that is accountable for production support (including 24X7 on-call duties) as well as new projects to improve and maintain integration between Epic and other systems.
The ideal candidate will have experience using technical analytical skills to seek out, research and evaluate a variety of solutions to provide clients with high quality, efficient workflows that promote efficiency and enterprise-wide standardization.
The ideal candidate will also understand design and development principles as they relate to interfaces and may include but are not limited to data flow diagrams, data element dictionaries, file mappings, field layouts and command level operations. He or she will be certified in Epic Bridges and Cloverleaf, and also have minimally have 6-9 months experience with both products.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
  • Perform the configuration (in both Epic Bridges and Cloverleaf Interface Engine) of new interfaces and enhancements to existing interfaces for Epic applications and their corresponding ancillary systems.
  • Troubleshoot technical problems and conducts analyses for efficient program/application solutions (in both Epic Bridges and Cloverleaf Interface Engine) which support client business processes, functional and technical requirements.
  • Provide input for integration solutions and architecture.
  • Participate in solutions and planning with other IT teams. Collaborate with Application Analysts, IT and Operational areas to identify and resolve workflow impacts.
  • Participate in relevant workflow/dataflow sessions and identification of resulting requirements changes with business sponsors.
  • Provide occasional training of end users for Bridges end user tools.
  • Collaborate with work teams, departments, system leadership, clinicians, staff, other IT groups, and technology vendors to define needs and facilitate solutions.
  • Support resolution of low-to-medium complexity Epic and circle of support integration issues and critical support/enhancements issues in the HFHS HELIOS (Epic) systems.
  • Performs maintenance (routine requests), incidents, and testing activities.
  • Works closely with Ancillary Departments, HELIOS Application Analysts, Operations, Epic, technology vendors, and other IT groups to triage, diagnosis and resolve all interface production support issues to the satisfaction of our customers.

EDUCATION/EXPERIENCE REQUIRED:
  • Associates Degree or two (2) years college in Information systems/processing/clinical/ engineering with emphasis on analysis/design/process.
  • Two (2) years of related application maintenance/development of system integration will be considered in lieu of degree/college requirement (in addition to below experience requirement).
  • Five (5) years of applicable work experience required; three (3) years applicable experience in a healthcare setting preferred.
  • Expertise with healthcare industry standard messaging formats (e.g., HL7, XML, ANSI x12).
  • Experience/exposure to the System Development Life Cycle (SDLC).
  • Current Certification on Epic Bridges (May hire into position without certification, but must attain certification within the first 6 months of hire to continue employment).
  • Certification on Cloverleaf interface engine (version 20.1 or higher) (May hire into position without certification, but must attain certification within the first 6 months of hire to continue employment).
  • Experience in major system implementations and/or system maintenance activities.
  • Excellent communication and interpersonal skills.

DEPARTMENT SPECIFIC EXPERIENCE PREFERRED:
  • EPIC Tapestry Utilization Management and/or Case Management.
  • EPIC Tapestry Appeals and Grievances.
  • EPIC Tapestry Membership/Eligibility and Enrollment Administration.
  • EPIC Tapestry Provider Management and/or Provider/Vendor Contracts.
  • EPIC Tapestry Core.
  • EPIC Business Intelligence Developer (BID).
  • Experience with Medicare line of business/regulations.
  • EPIC Provider/Payer 'shared instance' experience (working for an integrated health plan).
  • SQL and/or PL/SQL experience.

What Henry Ford Health employees say

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About Henry Ford Health

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Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Detroit, MI, US

Year founded

1915

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