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Remote Utilization Management Jobs in Wisconsin (NOW HIRING)

Provider Contract Manager

Madison, WI · On-site +1

$85K - $110K/yr

Work Location We are open to remote work in the following approved states: Illinois, Iowa ... quality, utilization, and member satisfaction. * Educate providers on policies, tools, and ...

Remote ½ day Fridays * Onsite Health & Wellness Center * Employer 401K contribution in the top 1% ... Management * Support benefits budgeting, forecasting, and cost analysis * Analyze utilization and ...

Remote ½ day Fridays * Onsite Health & Wellness Center * Employer 401K contribution in the top 1% ... Management * Support benefits budgeting, forecasting, and cost analysis * Analyze utilization and ...

Remote ½ day Fridays * Onsite Health & Wellness Center * Employer 401K contribution in the top 1% ... Management * Support benefits budgeting, forecasting, and cost analysis * Analyze utilization and ...

$80K - $120K/yr

In this role, you will closely partner with Delivery (Project Management and Implementation ... Remote, based in mid-west/west territory **Travel: Up to 60% Qualifications/Experience: * 5+ years ...

$119K - $170K/yr

The Manager, APPs, Telehealth is a fully remote managerial role that requires exceptional virtual ... Analyzes patient data, health outcomes, and service utilization to identify trends, evaluate ...

... remote position , depending on experience. Key responsibilities include: * Manage and optimize ... Monitor utilization and provide actionable reporting and insights * Identify process improvements ...

... remote position , depending on experience. Key responsibilities include: * Manage and optimize ... Monitor utilization and provide actionable reporting and insights * Identify process improvements ...

... remote position , depending on experience. Key responsibilities include: * Manage and optimize ... Monitor utilization and provide actionable reporting and insights * Identify process improvements ...

... remote position , depending on experience. Key responsibilities include: * Manage and optimize ... Monitor utilization and provide actionable reporting and insights * Identify process improvements ...

... remote position , depending on experience. Key responsibilities include: * Manage and optimize ... Monitor utilization and provide actionable reporting and insights * Identify process improvements ...

... remote position , depending on experience. Key responsibilities include: * Manage and optimize ... Monitor utilization and provide actionable reporting and insights * Identify process improvements ...

... remote position , depending on experience. Key responsibilities include: * Manage and optimize ... Monitor utilization and provide actionable reporting and insights * Identify process improvements ...

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Remote Utilization Management information

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$21

$42

$69

How much do remote utilization management jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for remote utilization management in Wisconsin is $42.68, according to ZipRecruiter salary data. Most workers in this role earn between $33.75 and $48.99 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 Wisconsin? The most popular types of Utilization Management jobs in Wisconsin are:
What cities in Wisconsin are hiring for Remote Utilization Management jobs? Cities in Wisconsin with the most Remote Utilization Management job openings:
Infographic showing various Remote Utilization Management job openings in Wisconsin as of June 2026, with employment types broken down into 84% Full Time, 15% Part Time, and 1% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $88,769 per year, or $42.7 per hour.
Tier 1 Technical Support Representative (REMOTE WISCONSIN)

Tier 1 Technical Support Representative (REMOTE WISCONSIN)

Aureon

La Crosse, WI • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago


Aureon rating

4.5

Company rating: 4.5 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

200th of 204 rated it services


Job description

Job Responsibilities:

  • Inbound Telephone Support – perform telephone support as scheduled. Ensure that customer questions are answered completely in a professional, caring and responsive manner, commitments to perform research and follow-up are completed, open issues are resolved and each contact -- including information and resolution achieved -- is logged in the appropriate ticketing system.
  • E-mail & Chat Support – perform as scheduled. Answer and complete all assigned messages or contacts; ensure that all customer questions and issues are addressed in the reply. Properly enter customer information and resolution in the appropriate ticketing system.
  • Skill improvement – continually strive to improve the cognitive and customer service skills necessary to perform the job. This includes proficiency with supported products, demonstrated problem solving ability and excellent verbal and written communication skills. Ability to read, review and understand support resources provided by the contact center and its clients. Attend all training classes and complete any exercises assigned.
  • Assist and educate customers with inquiries related to both software and hardware, account management, installation, and best practices
  • Focus on quality and customer satisfaction
  • Clear and thorough documentation of customer interactions required
  • Support inquiries include questions related to – Hardware, Software, Wireless communications, OTAP (Over-the-Air-Programming), Account management (billing), Upgrades, Online orders and Industry events
  • Willing to fiercely advocate on behalf of and represent the Voice of the Customer
  • Research and prepare detailed escalations to second level support
  • Review, manage and follow up on open issues as needed
  • Project work that includes long and short-term initiatives

What can Aureon offer you?

  • Opportunities for professional growth, development, and advancement within the organization
  • 100% remote working employment model
  • Shift differential pay applied to evening and weekend shifts
  • Comprehensive training on hardware and software applications for qualified applicants
  • Knowledge and experience relating to basic computer applications
  • Competitive compensation and full benefits package for full-time employees
  • Health, Dental, Vision, and Life Insurance Plans, 401K, and PTO

Required Education:

  • High school or equivalent

Required Skills:

  • Excellent interpersonal skills to establish and maintain effective relationships with customers, employees, superiors and business contacts in a professional and courteous manner
  • Excellent written and oral communication skills, including strong listening skills
  • Intermediate to advanced computer skills with emphasis on Internet knowledge
  • 1-2 years experience troubleshooting hardware and/or software, either remotely or onsite
  • Experience working in a customer Support Center
  • Experience working with Mobile Communications
  • Experience working with Transportation
  • Accounting or accounts receivable experience is a huge plus
  • Must exhibit dependability, adaptability and flexibility
  • Ability to diagnose and troubleshoot issues
  • Basic math skills
  • Creative thinking and reasoning ability

WORKING CONDITIONS AND PHYSICAL REQUIREMENTS:

  • Primarily indoor work primarily in office environment
  • Frequent utilization of manual dexterity and visualizing of computer screen
  • No unusual physical requirements

Remote, Technical Support Representative, Contact Center, TSR, Technical Customer Support Representative, Inbound, Help Desk