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Remote Utilization Management Jobs in Lancaster, PA

Care Advocate - Care Delivery

Lancaster, PA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization and has been published in peer-reviewed literature. Today, Wider Circle offers its ... Our mission is to integrate Case Management, Care Navigation, and Benefits Enrollment into a single ...

Remote Utilization Management information

See Lancaster, PA salary details

$20

$41

$67

How much do remote utilization management jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for remote utilization management in Lancaster, PA is $41.09, according to ZipRecruiter salary data. Most workers in this role earn between $32.45 and $47.21 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 popular job titles related to Remote Utilization Management jobs in Lancaster, PA?

For Remote Utilization Management jobs in Lancaster, PA, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Management jobs in Lancaster, PA look for?

The top searched job categories for Remote Utilization Management jobs in Lancaster, PA are:

What cities near Lancaster, PA are hiring for Remote Utilization Management jobs?

Cities near Lancaster, PA with the most Remote Utilization Management job openings:

Infographic showing various Remote Utilization Management job openings in Lancaster, PA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $85,470 per year, or $41.1 per hour.

Treasury Management Revenue and Billing Manager

Fulton Bank

Lancaster, PA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago


Fulton Bank rating

7.9

Company rating: 7.9 out of 10

Based on 30 frontline employees who took The Breakroom Quiz

79th of 171 rated banks


Job description

Value Proposition

Our values define us and our culture inspires us to change lives for the better. Our employees are the heart and soul of our company, and every success we experience begins with them. Together we are committed to making a positive impact in our local communities. We champion a culture of continuous learning, work-life integration, and inclusion. We promote a digitally enabled work environment to continuously enhance the experience of our employees and customers.

Overview

This is a full-time career opportunity that can be remote or hybrid.

This role is responsible for leading the strategy, governance, execution, and optimization of Treasury Management fee revenue and client billing processes. The role ensures accurate and timely billing, drives revenue capture, oversees pricing implementation, identifies opportunities to reduce revenue leakage, and provides analytical insights that support growth, profitability, and client satisfaction. The manager leads a team responsible for billing operations, fee maintenance, revenue reporting, pricing administration, and revenue integrity, while partnering closely with Treasury Sales, Product Management, Commercial Banking, Finance, Operations, and Technology teams to support business objectives and enhance client outcomes.

Responsibilities
  • Revenue Management Develop and execute Treasury Management revenue optimization strategies that enhance fee income and profitability. Monitor fee revenue performance and implement initiatives to improve revenue realization and recover lost revenue opportunities. Analyze client utilization, profitability, and pricing trends to recommend revenue enhancement strategies. Partner with Treasury Sales Officers and Relationship Managers on pricing execution and client profitability initiatives. Support annual pricing reviews and fee schedule updates.
  • Billing Operations Lead all Treasury Management billing processes, including monthly billing cycles, exception management, and billing adjustments. Ensure billing accuracy, timeliness, and adherence to established policies and procedures. Oversee fee maintenance, account analysis systems, earnings credit rate administration, and billing platform management. Develop and maintain billing procedures, process documentation, and operational standards. Resolve complex client billing inquiries and escalations.
  • Pricing Governance Administer Treasury Management pricing structures, exception processes, and fee schedules. Ensure pricing approvals comply with governance standards and delegated authority requirements. Maintain pricing integrity across systems and client portfolios. Support pricing committees through reporting, analysis, and recommendations. Partner with Product and Finance teams to assess pricing effectiveness and support pricing strategy decisions.
  • Revenue Analytics & Reporting Produce executive reporting and dashboards that provide insight into revenue trends, billing performance, pricing effectiveness, and profitability. Develop and monitor KPIs related to revenue capture, operational efficiency, and pricing performance. Support budgeting, forecasting, and strategic planning activities through data-driven analysis. Deliver actionable insights and recommendations to senior leadership.
  • Risk Management & Controls Establish and maintain operational controls that safeguard revenue integrity and support accurate billing. Identify control gaps and lead remediation efforts to mitigate operational and financial risk. Ensure compliance with internal policies, audit requirements, and regulatory expectations. Partner with Risk, Audit, Compliance, and Finance teams on examinations, reviews, and control assessments.
  • Leadership & Team Development Lead, coach, and develop a high-performing Revenue Management & Billing team. Establish performance goals, productivity standards, and service-level expectations. Foster a culture of accountability, continuous improvement, operational excellence, and client focus. Build strong cross-functional partnerships across Commercial Banking and support areas.
QualificationsEducation

Bachelor's Degree or the equivalent experience. Specialty: finance, accounting, business administration or related. (Required)

Experience

7 or more years treasury management, commercial banking, revenue management, pricing, billing operations, finance, or related discipline. (Required)

3 or more years leadership experience managing teams and operational processes. (Required)

Certifications

CTP (Certified Treasury Professional) certification. (Preferred)

Knowledge, Skills, and Abilities
  • Treasury Management billing and account analysis systems expertise. (Required)
  • Strong financial analysis and data interpretation capabilities. (Required)
  • Knowledge of commercial banking profitability drivers. (Required)
  • Advanced Excel and reporting/dashboard tools. (Required)
  • Excellent communication and presentation skills. (Required)
  • Ability to influence stakeholders across multiple business lines. (Required)
  • Strong project management and process improvement skills. (Required)
 Other Duties as Assigned by Manager

This role may perform other job duties as assigned by the manager. Each employee of the Organization, regardless of position, is accountable for reading, understanding and acting on the contents of all Company-assigned and/or job related Compliance Programs, regulations and policies and procedures, as well as ensure that all Compliance Training assignments are completed by established due dates. This includes but is not limited to, understanding and identifying compliance risks impacting their department(s), ensuring compliance with applicable laws or regulations, and escalating compliance risks to the appropriate level of management.

Pay Transparency

To provide greater transparency to candidates, we share base salary ranges on all job postings regardless of state. We set standard salary ranges for our roles based on the position, function, and responsibilities, as benchmarked against similarly sized companies in our industry. Specific compensation offered will be determined based on a combination of factors including the candidate's knowledge, skills, depth of work experience, and relevant licenses/credentials. The salary range may vary based on geographic location.

The salary range for this position is $81,200.00 - $135,300.00 annually.

Additional Compensation Components

This job is eligible to participate in a short-term incentive compensation plan subject to individual and company performance.

Benefits

Additionally, as part of our Total Rewards program, Fulton Bank offers a comprehensive benefits package to those who qualify. This includes medical plans with prescription drug coverage; flexible spending account or health savings account depending on the medical plan chosen; dental and vision insurance; life insurance; 401(k) program with employer match and Employee Stock Purchase Plan; paid time off programs including holiday pay and paid volunteer time; disability insurance coverage and maternity and parental leave; adoption assistance; educational assistance and a robust wellness program with financial incentives. To learn more about your potential eligibility for these programs, please visit Benefits & Wellness | Fulton Bank.

EEO StatementFulton Bank ("Fulton") is an equal opportunity employer and is committed to providing equal employment opportunity for all qualified persons. Fulton will recruit, hire, train and promote persons in all job titles, and ensure that all other personnel actions are administered, without regard to race, color, religion, creed, sexual orientation, national origin, citizenship, gender, gender identity, age, genetic information, marital status, disability, covered veteran status, or any other legally protected status.Sponsorship Statement

As a condition of employment, individuals must be authorized to work in the United States without sponsorship for a work visa by Fulton Bank currently or in the future.

Employment Type: OTHER

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About Fulton Bank

Sourced by ZipRecruiter

Fulton Bank, headquartered in Lancaster, PA, US, falls under the financial services industry and operates as a subsidiary of Fulton Financial Corporation. Known for its rich history, the company was founded in 1882 and has since established itself as one of the most trusted community banks in the Mid-Atlantic region. Fulton Bank offers a comprehensive range of financial services, including retail and business banking, wealth management, and investment solutions. The company’s official website is fultonbank.com.

Industry

Commercial banking

Company size

1,001 - 5,000 Employees

Headquarters location

Lancaster, PA, US

Year founded

1882

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