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Remote Utilization Management Jobs in Chicago, IL

Capstone Search Group

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Small Group Employee Benefits Consultant - Remote (10269)

Chicago, IL · Remote

$85K - $100K/yr

Review current programs, evaluate claims and utilization data * Take proposals to market to help ... Ensure a smooth transition through the onboarding process to the account management team * Stay in ...

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Braze

Account Manager, Commercial

Chicago, IL · On-site +1

$68K - $94K/yr

WHAT WE'RE LOOKING FOR As part of the Braze Account Management Team, you will be the commercial ... Own the commercial relationship, empowering Braze utilization and value, resulting in achieving ...

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All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Chicago, IL

Remote Utilization Management information

See Chicago, IL salary details

$22

$43

$71

How much do remote utilization management jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for remote utilization management in Chicago, IL is $43.56, according to ZipRecruiter salary data. Most workers in this role earn between $34.42 and $50.00 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 are the most commonly searched types of Utilization Management jobs in Chicago, IL?

The most popular types of Utilization Management jobs in Chicago, IL are:

What are popular job titles related to Remote Utilization Management jobs in Chicago, IL?

For Remote Utilization Management jobs in Chicago, IL, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Management jobs in Chicago, IL look for?

The top searched job categories for Remote Utilization Management jobs in Chicago, IL are:

What cities near Chicago, IL are hiring for Remote Utilization Management jobs?

Cities near Chicago, IL with the most Remote Utilization Management job openings:

Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Chicago, IL as of August 2026, with employment types broken down into 92% Full Time, 4% Part Time, and 4% Contract. Highlights an 100% Remote job distribution, with an average salary of $90,598 per year, or $43.6 per hour.

Sr. Account Executive (Payment Integrity)

Shift Technology

Chicago, IL • Remote

$130K - $180K/yr

Full-time

Re-posted 3 days ago

Job description

Shift delivers AI agents that transform insurers' most critical work. By combining deep industry expertise and unmatched data resources, Shift provides proven results that have earned the trust of hundreds of the world's leading insurers. Our insurance-grade AI is accurate, explainable, and secure—empowering human experts to move with unmatched speed, total confidence, and a renewed focus on the people they serve.

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Our culture is built on innovation, trust, and a drive to transform the insurance industry through our SaaS platform. We come from more than 50 different countries and cultures and together we are creating the future of insurance.

Learn more at www.shift-technology.com

The Sales team is responsible for driving new business. We work closely with teams across the business to identify client pain points and highlight how our software is a solution to our client's problems. Discovery calls, relationship building and complex deals make our days diverse and exciting!

What you'll do...

This individual can be located anywhere in the US area

As part of our globally growing Healthcare Solutions sales team, you will be a key player in helping us scale our business and rolling out Shift Technology solutions to new clients. Your role in the Shift adventure will be to grow the Health Insurance business in the United States!

The Payment Integrity solution we provide is key to our customers and you will be managing C-level relationships within the country's Health insurance ecosystem.

  • Develop and implement strategic territory plan to ensure Shift exceeds its revenue objectives
  • Identifying new opportunities and the right customer stakeholders within Healthcare
  • Independently and collaboratively strategize for solving deal-level challenges;
  • Work on and submit proposals and contracts to customers.

What you bring...

  • Have at least 5 years of successful experience selling large, complex enterprise-grade SaaS solutions to Insurance Payers business units (Utilization Management, Provider Management, CFO, SIU)
  • Have a deep Health Plan knowledge
  • Have existing relationships within the Payer ecosystem
  • Drove SaaS selling of $500K and above across a multiyear contract
  • Worked with a partner ecosystem to deliver results and scale
  • Have an understanding of pipeline creation, and a keen ability of negotiation skills
  • Have excellent communication skills, including oral written, and non-verbal; you know how to make complex things feel simple;
  • Can tailor communication to the customer's needs with confidence, and can effectively deliver memorable presentations leveraging storytelling skills;
  • Are a strategic thinker to systematically solve problems and hypothesize possible pain points and implicit needs;
  • Are effective at networking and can identify the right customer stakeholders and build connections quickly to drive consensus for deals
  • Can manage multiple opportunities simultaneously
#LI-MG1
#LI-REMOTE

The range listed is for base compensation. Your actual base salary will vary based on factors including location and individual qualifications objectively assessed during the interview process.

In addition to base salary, your total rewards package will include additional components such as incentive pay and benefits. If you're interviewing for this role, speak with your Talent Acquisition Partner to learn more about the specific details for this position.

Base Salary Pay Range
$130,000—$180,000 USD

To support our permanent, full time employees at every stage of their careers and lives, we provide a competitive total rewards and benefits package. Here are the global benefits we'd like to highlight:

  • Flexible remote and hybrid working options
  • Competitive Salary and a variable component tied to personal and company performance
  • Multiple Learning and Development opportunities, including Focus Fridays, a half-day each month to focus on learning and personal growth
  • Generous PTO and paid holidays
  • Mental health benefits
  • 2 MAD Days per year (Make A Difference Days for paid volunteering)

Additional benefits may be offered by country, based on your eligibility - ask your recruiter for more information. Intern and Apprentice positions may receive some of these benefits - ask your recruiter for more details.

AI tools are used to help review applications for this role. Read our AI in Recruitment Notice for what the AI considers, how to request a human review, and our most recent bias audit.

At Shift we strive to be a diverse and inclusive workforce. We welcome applications from and hire people who will contribute to the diversity of our company, without regard to race, color, religion, marital status, age, national or ethnic origin, physical or mental disability, medical condition, pregnancy, genetic information, gender identity or expression, sexual orientation, or other non-merit criteria. Shift Technology is committed to providing reasonable accommodations for qualified individuals with disabilities in our application and employment process. Should you require accommodation, please email accommodation@shift-technology.com and we will work with you to meet your accessibility needs.

Please be aware of scammers and only trust correspondence that comes from emails ending in "shift-technology.com". We will never do initial outreach to you via Whatsapp/Text/SMS, never ask for banking information or personal identification numbers (ex. Social Security Number) as part of our recruitment process.

Shift Technology does not accept unsolicited CVs from recruiters or employment agencies in response to the Shift Technology Careers page or a Shift Technology social media post. Any unsolicited CVs, including those submitted directly to hiring managers, are deemed to be the property of Shift Technology.