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Remote Utilization Management Jobs in Providence, RI

Jj

Senior Analyst Pricing

Raynham, MA · On-site +1

Raynham, Massachusetts, United States of America, Remote (US) About Orthopaedics Fueled by ... This may include analog assessments, volume and geographic considerations, utilization management ...

Johnson & Johnson

Senior Analyst Pricing

Raynham, MA · On-site +1

Raynham, Massachusetts, United States of America, Remote (US) About Orthopaedics Fueled by ... This may include analog assessments, volume and geographic considerations, utilization management ...

UNFI

Compensation Program Manager

Providence, RI · On-site +1

**Remote** Job Overview: The Compensation Program Manager partners with HR, Finance, and business ... utilization, pay-for-performance results, and compensation program effectiveness. * Manage ...

Harris

(Remote) Application Consultant

Carolina, RI · Remote

Work with colleagues and managers to implement and proactively manage superior utility CIS ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...

Cayenta

(Remote) Application Consultant

Carolina, RI · Remote

Work with colleagues and managers to implement and proactively manage superior utility CIS ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...

ABB

Data Center COE Project Management Leader

RI · Remote

$119K - $190K/yr

Remote in the US This role is contributing to the ELSE Data Center Services Center of Excellence in ... utilization, margin, satisfaction), and alignment with sales on planning, bids, estimating, and ...

Ourhrconnect

Managed Care Coordinator I

Carolina, RI · Remote

$19.25 - $26/hr

... fully remote. What You'll Do: * Performs medical or behavioral review/authorization process ... Work experience in healthcare program management, utilization review, or clinical experience in ...

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All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Providence, RI

Remote Utilization Management information

See Providence, RI salary details

$21

$42

$69

How much do remote utilization management jobs pay per hour?

As of Aug 5, 2026, the average hourly pay for remote utilization management in Providence, RI is $42.71, according to ZipRecruiter salary data. Most workers in this role earn between $33.75 and $49.04 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 Providence, RI? The most popular types of Utilization Management jobs in Providence, RI are:
What are popular job titles related to Remote Utilization Management jobs in Providence, RI? For Remote Utilization Management jobs in Providence, RI, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Providence, RI look for? The top searched job categories for Remote Utilization Management jobs in Providence, RI are:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Providence, RI as of July 2026, with employment types broken down into 82% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $88,846 per year, or $42.7 per hour.

Project Manager - Remote / Telecommute

CYNET SYSTEMS

Providence, RI • Remote

$45/hr

Contractor

Posted 28 days ago

Job description

Job Overview:

Requirement/Must Have:

  • Project Management.
  • PMP Certified.
  • Healthcare Payer.
  • Waterfall.
  • Hybrid.
  • Agile.

Responsibilities:

  • Manage large, complex business and technology programs in a Waterfall environment.
  • Manage multiple projects concurrently with interdependencies.
  • Own the end-to-end project lifecycle from initiation through closure.
  • Work with stakeholders and multiple vendors to manage risk and expectations.

Qualification And Education:

  • 1+ years of experience in the Healthcare Payer industry (claims, enrollment, provider management, utilization management, care management, regulatory programs, etc.).
  • Experience working in regulated healthcare environments with compliance-driven timelines.

Founded in 2010 and headquartered in the Washington, DC metro area, Cynet Systems Inc. is a leading staffing and recruiting powerhouse. Proudly recognized as a nationally and locally certified diversity firm, Cynet delivers agile, scalable talent solutions across industries. With an active footprint in all 50 U.S. states and Canada, we support thousands of consultants through our expansive, high-performing recruitment engine operating across North America and Asia—ensuring speed, quality, and consistency in every hire.
Cynet Systems logo

About Cynet Systems

Sourced by ZipRecruiter

Cynet Systems Inc is a staffing and recruiting corporation nestled in Ashburn, VA, USA. Established in 2010, the company operates within the Information Technology and Services sector, specializing in providing effective workforce solutions to different business needs, including IT consulting, direct hire, and contract staffing services. Through the years, Cynet Systems has built an impressive portfolio, going beyond borders and expanding its operations internationally in Canada and India. Rooted in its core values of teamwork, leadership, and commitment, Cynet Systems helps businesses unlock their full potential by providing versatile and competent professionals that perfectly align with their needs. Fueled by their unwavering mission to deliver top-tier talent to businesses worldwide, Cynet Systems garnered various recognitions including SIA's fastest-growing staffing firms and Best Place to Work in Virginia for 2019.

Industry

It services

Company size

501 - 1,000 Employees

Headquarters location

Sterling, VA, US

Year founded

2010

Social media

Twitter

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