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Remote Utilization Management Jobs in Naperville, IL

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 ...

Jorie AI

EPIC SME

Oak Brook, IL · Remote

... Management, providing practice and financial management services to the healthcare industry ... Our work environment: Remote opportunities Growth advancement opportunities Flexible work ...

Jorie AI

EPIC SME

Oak Brook, IL · Remote

... Management, providing practice and financial management services to the healthcare industry ... Our work environment: Remote opportunities Growth advancement opportunities Flexible work ...

Jorie AI

EPIC SME

Oak Brook, IL · Remote

... Management, providing practice and financial management services to the healthcare industry ... Our work environment: Remote opportunities Growth advancement opportunities Flexible work ...

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Remote Utilization Management information

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$42

$68

How much do remote utilization management jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for remote utilization management in Naperville, IL is $42.22, according to ZipRecruiter salary data. Most workers in this role earn between $33.37 and $48.46 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 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.

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 Naperville, IL? The most popular types of Utilization Management jobs in Naperville, IL are:
What are popular job titles related to Remote Utilization Management jobs in Naperville, IL? For Remote Utilization Management jobs in Naperville, IL, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Naperville, IL look for? The top searched job categories for Remote Utilization Management jobs in Naperville, IL are:
What cities near Naperville, IL are hiring for Remote Utilization Management jobs? Cities near Naperville, IL with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Naperville, IL as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $87,815 per year, or $42.2 per hour.

Manager of Client Success (Remote)

RxSaveCard Inc

Chicago, IL • Remote

Full-time

Retirement

Re-posted 16 days ago

Job description

About RxSaveCard

RxSaveCard was founded in 2024 with a mission to reduce pharmacy costs for employers and their employees. Our innovative model is unique in the market, and we are building a modern, card-based approach to prescription benefits that simplifies a complicated system. Our innovative model is unique in the market, backed by financial partners at Distributed Ventures and Rock Health.

Position Overview

As our first Manager of Client Success, you will be the primary day-to-day contact for our employer clients and their broker and consultant partners. You will join our team, responsible for accounts aasigned to you, where you will own the ongoing success, retention, and growth of our employer clients and their broker and consultant partners. This role is focused on ensuring clients achieve measurable value from RxSaveCard and continue to expand their engagement over time.

Key Responsibilities

  • Own a portfolio of employer clients and be accountable for retention and growth outcomes.
  • Lead client implementations to drive high adoption rates among employers and their employees.
  • Conduct an orderly launch process to ensure long-term success for the client and RxSaveCard.
  • Conduct monthly/quarterly business reviews for employer clients and their broker and consultant partners.
  • Turn client reporting data into clear insights and recommendations that demonstrate value and drive decision-making and account growth.
  • Consult with clients on best practices to optimize RxSaveCard's service.
  • Provide timely responses (at a minimum, same day) to resolve day-to-day issues and answer questions for clients, brokers, and consultants.
  • Work with other team members on various aspects of marketing, product, and technology to improve employer and member experience.
  • Develop and execute account strategies aligned to client goals and organizational priorities.
  • Identify risks early and proactively take action to address them.
  • Drive retention and expansion through proactive engagement and value demonstration.
Qualifications
  • 3+ years of customer-facing account management experience, including a track record of responsibility for expanding accounts (measured in revenue, utilization, retention, etc)
  • Excellent project management and organizational skills to coordinate the employer launch process
  • Strong communication and presentation skills to build trust and respect with employer clients
  • Technical proficiency to be self-sufficient: pc/mac, browser, MS-Office, etc.
  • Analytical skills to understand data and develop reporting using Excel and other tools
  • Ability to operate cross-functionally and collaborate with product, operations, and engineering teams
  • Strong desire to grow with the company and accept advancement opportunities, especially the ability to mentor and lead teams

Role Focus

  • This role is focused on client relationship ownership, retention, and growth. Implementation execution, data operations, and reporting generation are supported by other roles to enable Client Success Managers to remain focused on strategy and outcomes.
Nice to Have
  • Prior startup or growth-stage experience is a strong plus
  • Prior experience within pharmacy benefit consulting, HR employee benefits, or the PBM industry
The Right Culture Fit for This Role
  • Mission-minded to help people and bring solutions to a very challenging and broken industry
  • Scrappy and resilient to thrive in an early-stage company and rise to the challenge of doing new and scary things
  • Intelligence, curiosity, and drive to anticipate problems and turn them into business opportunities
  • Hardworking and responsible to be a trusted member of our growing team
  • Mindful and balanced to avoid burnout
  • Kindness and camaraderie to add to the culture at RxSaveCard
Why RxSaveCard?
  • Opportunity to join an innovative company at a critical growth stage
  • Competitive salary and benefits package, including insurance and 401k with match
  • Remote or hybrid Chicago work flexibility
  • Collaborative and dynamic team environment
  • The chance to make a meaningful impact on healthcare costs for millions of employees.
How to Apply

If you're excited about making prescription drugs more affordable and want to be an early employee at a start-up company, we'd love to hear from you!