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Remote Utilization Management Jobs in Cincinnati, OH

Clinical Data Coder

Cincinnati, OH · On-site +1

$18 - $22.75/hr

Work collaboratively with the Medical, Data Management, Safety and Biostatistics teams to meet needs of the study; and * Produce coding reports for team review and utilization *Stable schedule with ...

Remote Is this position eligible for bonus or commission - Bonus eligible based on company ... and executive management * Proven ability to manage revenue, utilization, and gross margin ...

Clinical Director

Cincinnati, OH · On-site +1

$76K - $104K/yr

Coordinate and collaborate with the contracted billing company and any internal utilization review ... Comfort working in a remote/field-hybrid role with independent time management Competencies

Although the position will be remote, there might be some occasional travel to ERP Suites ... This role partners closely with the AI Architect and Product Team to deploy, manage, secure, and ...

Although the position will be remote, there might be some occasional travel to ERP Suites ... Manage CI/CD pipeline performance and resolve deployment failures. * Execute provisioning ...

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Remote Utilization Management information

See Cincinnati, OH salary details

$20

$40

$66

How much do remote utilization management jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for remote utilization management in Cincinnati, OH is $40.57, according to ZipRecruiter salary data. Most workers in this role earn between $32.07 and $46.59 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 Cincinnati, OH?

The most popular types of Utilization Management jobs in Cincinnati, OH are:

What job categories do people searching Remote Utilization Management jobs in Cincinnati, OH look for?

The top searched job categories for Remote Utilization Management jobs in Cincinnati, OH are:

What cities near Cincinnati, OH are hiring for Remote Utilization Management jobs?

Cities near Cincinnati, OH with the most Remote Utilization Management job openings:

Infographic showing various Remote Utilization Management job openings in Cincinnati, OH as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution, with an average salary of $84,382 per year, or $40.6 per hour.

Operations Manager - Cincinnati, Ohio

A Hiring Group

Cincinnati, OH • On-site, Remote

Full-time

Re-posted 6 days ago


Job description

Job Title: Operations ManagerOverview

Fast-growing transportation company based in Cincinnati is seeking an experienced Operations Manager to lead daily logistics and dispatch activities within our trucking organization. The ideal candidate will oversee operational execution, remote dispatch teams, and broker relationships while driving efficiency and supporting company growth. This position is hybrid and based in Ohio.

Key Responsibilities
  • Manage daily trucking operations including dispatch scheduling, route planning, and load coordination
  • Lead and support a team of 12 remote dispatchers with proper workload distribution, performance monitoring, and adherence to procedures
  • Maintain and expand relationships with brokers, carriers, and logistics partners to ensure steady freight flow and optimized revenue
  • Utilize industry contacts to secure profitable loads and strengthen the company's market position
  • Monitor profitability, service levels, and delivery performance while identifying opportunities to reduce cost and increase operational margins
  • Track KPIs related to dispatcher productivity, asset utilization, on time performance, and customer service
  • Resolve operational issues related to delays, breakdowns, cancellations, or customer concerns in a timely manner
  • Improve operational workflows, documentation, and communication standards
  • Partner with finance and compliance for documentation accuracy, billing, claims, and regulatory requirements
  • Support recruitment, onboarding, and training of dispatch personnel
  • Assess and implement technology tools for dispatch, tracking, visibility, and broker relations
  • Prepare operational infrastructure for controlled scaling and future fleet expansion
Qualifications
  • Minimum 3 years of experience in transportation, trucking operations, logistics management, or dispatch leadership
  • Proven experience managing operations for a fleet of 200 or more trucks
  • Demonstrated ability to scale trucking or logistics operations, including team growth, process development, and capacity expansion
  • Strong network and relationships within the trucking and brokerage ecosystem
  • Experience managing remote or distributed operational teams is preferred
  • Strong negotiation, communication, and partner management skills
  • Ability to analyze performance data and drive continuous improvement
  • Familiarity with TMS platforms, ELD systems, and load boards
  • Bachelor's degree in business, supply chain, or a related field is preferred but not mandatory
Location and Work Model
  • Hybrid position based in Ohio
  • Occasional travel for strategic meetings, partner visits, or operational needs may be required
What We Offer
  • Competitive compensation and performance incentives
  • Opportunity to lead a growing operations team
  • Collaborative work environment with room for advancement
Employment Type: FULL_TIME