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Remote Utilization Management Jobs in Chaska, MN

Allianz

Counsel | Remote

Minneapolis, MN · On-site +1

AZRA has specific expertise in run-off management of U.S. legacy insurance liabilities. It services ... Utilization of artificial intelligence tools and resources (e.g. generative Al). What you bring:

Optomec Inc

Support Manager

Saint Paul, MN · Remote

Produce and present operational reports and dashboards (SLA compliance, MTTR, FTF rate, utilization ... Remote customer communication and stakeholder management * Analytical reporting and continuous ...

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Remote Utilization Management information

See Chaska, MN salary details

$22

$45

$73

How much do remote utilization management jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for remote utilization management in Chaska, MN is $45.34, according to ZipRecruiter salary data. Most workers in this role earn between $35.82 and $52.07 per hour, depending on experience, location, and employer.

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 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.

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 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 cities near Chaska, MN are hiring for Remote Utilization Management jobs?

Cities near Chaska, MN with the most Remote Utilization Management job openings:

Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Chaska, MN as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $94,298 per year, or $45.3 per hour.

Senior Medical Director, Transplant Solutions - Remote

UnitedHealth Group

Minneapolis, MN • On-site, Remote

$292K - $438K/yr

Full-time

Retirement

Posted 7 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

191st of 898 rated healthcare providers

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Transplant Resource Solutions is seeking a board-certified Senior Medical Director with transplant expertise to provide clinical leadership, support business growth, strengthen client and provider relationships, and advance quality across transplant programs. This physician leader will partner with clinical experts, clients, providers, and internal stakeholders to guide clinical strategy, evaluate Centers of Excellence, and drive evidence-based improvements that enhance outcomes and program performance.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Provide clinical leadership and strategic guidance for transplant programs and initiatives
  • Lead expert panel discussions and support the development of clinical guidelines and Centers of Excellence (COE) standards
  • Serve as a transplant subject matter expert and educate internal teams, clients, and stakeholders on industry trends and best practices
  • Support new business opportunities, client renewals, and pricing strategy through clinical consultation
  • Lead clinical discussions, case reviews, and performance reviews with clients
  • Build relationships with client medical directors, physician leaders, and provider organizations
  • Participate in provider COE qualification and performance review activities
  • Analyze clinical and operational data to identify trends and improvement opportunities
  • Represent the organization at industry conferences and professional committees, including NMDP, UNOS, SRTR, and CIBMTR

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree
  • Current, unrestricted physician license
  • Board certification through an ABMS- or AOA-recognized specialty board
  • 5+ years of clinical experience in transplantation, including transplant patient care, transplant program leadership, transplant-related medical management, or utilization management
  • 5+ years of experience in a physician leadership role
  • Experience analyzing clinical and operational data to improve quality, outcomes, and performance
  • Knowledge of NCQA, URAC, CMS, and applicable state and federal regulatory requirements
  • Demonstrated ability to lead cross-functional teams, influence stakeholders, and drive strategic initiatives
  • Proven success leading process improvement, organizational change, and innovation initiatives

Preferred Qualifications:
  • Board certification, fellowship training, or clinical leadership experience in a transplant-related specialty such as Nephrology, Transplant Hepatology, Hematology/Oncology, Cardiology, Pulmonary Medicine, or Transplant Surgery
  • Experience working within large, matrixed healthcare organizations
  • Advanced proficiency with Microsoft Office applications, including Word, Excel, and PowerPoint
  • Proven expertise integrating clinical and financial data to drive quality, utilization, and cost improvement initiatives
  • Proven solid program and project management skills
  • Demonstrated success improving healthcare quality, operational performance, and patient outcomes
  • Proven significant clinical expertise in transplantation, including experience within solid organ transplantation and/or blood and marrow transplantation programs

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $292,300 - $438,500 annually based on full-time employment. We comply with all minimum wage laws as applicable."
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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