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Remote Utilization Management Jobs in Raleigh, NC

AI Adoption Lead

Raleigh, NC · On-site +1

$143K - $190K/yr

Overview This is a remote role that may only be hired in the following locations: NC, NY The AI ... Drive awareness, engagement, and utilization of AI capabilities across business functions * Develop ...

AI Adoption Lead

Raleigh, NC · On-site +1

$143K - $190K/yr

Overview This is a remote role that may only be hired in the following locations: NC, NY The AI ... Drive awareness, engagement, and utilization of AI capabilities across business functions * Develop ...

Senior Cloud Database Operations Engineer

Raleigh, NC · On-site +1

$93K - $127K/yr

The ideal candidate has deep experience managing SQL Server, MySQL, PostgreSQL, MongoDB, and ... This position will be located at our office in Raleigh, NC, Austin, TX, or remote. Occasional ...

Senior Cloud Database Operations Engineer

Raleigh, NC · On-site +1

$93K - $127K/yr

The ideal candidate has deep experience managing SQL Server, MySQL, PostgreSQL, MongoDB, and ... This position will be located at our office in Raleigh, NC, Austin, TX, or remote. Occasional ...

Senior Cloud Database Operations Engineer

Raleigh, NC · On-site +1

$103K - $140K/yr

The ideal candidate has deep experience managing SQL Server, MySQL, PostgreSQL, MongoDB, and ... This position will be located at our office in Raleigh, NC, Austin, TX, or remote. Occasional ...

Engineering & Science Job Schedule: Full time Remote: No For our transformer service business ... You will support our customers in managing their transformer fleets throughout the asset lifecycle ...

Director, Laboratory CPT Coding

Durham, NC · On-site +1

$102K - $133K/yr

... remote workdays per week, supporting both collaboration and flexibility, with occasional onsite ... Compliance, Quality & Risk Management * Ensure compliance with CMS, AMA, OIG, commercial payer, and ...

Hybrid (remote or in-office) Friday Employment Type: Full-time At BHDP, we believe great design ... Meets BHDP quality expectations through project coordination, accurate incorporation of manager ...

... - 1 day remote Scope of Position The Proposal Writer is responsible for developing clear ... Utilization of Monday.com collaboration tool for project tracking and management * Support ...

Showing results 41-60

Remote Utilization Management information

See Raleigh, NC salary details

$20

$41

$67

How much do remote utilization management jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for remote utilization management in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 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 Raleigh, NC?

The most popular types of Utilization Management jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Remote Utilization Management jobs?

Cities near Raleigh, NC with the most Remote Utilization Management job openings:

Infographic showing various Remote Utilization Management job openings in Raleigh, NC as of August 2026, with employment types broken down into 96% Full Time, and 4% Contract. Highlights an 100% Remote job distribution, with an average salary of $85,491 per year, or $41.1 per hour.

AI Adoption Lead

First Citizens Bank

Raleigh, NC • On-site, Remote

$143K - $190K/yr

Full-time

Re-posted 5 days ago


First Citizens Bank rating

7.4

Company rating: 7.4 out of 10

Based on 106 frontline employees who took The Breakroom Quiz

107th of 171 rated banks


Job description

Overview

This is a remote role that may only be hired in the following locations: NC, NY

The AI Adoption Analyst accelerates the organization’s AI transformation by driving engagement, adoption, and measurable business impact across enterprise AI initiatives. This role partners with cross-functional stakeholders to design and execute adoption strategies, translating complex AI capabilities into clear, actionable value for the business.


Responsibilities

Adoption Strategy and Execution

  • Support the development and execution of enterprise AI adoption strategies aligned to business priorities
  • Partner with stakeholders to design and implement adoption plans for AI initiatives and deployments
  • Build and maintain strong partnerships with business leaders, AI practitioners, and other stakeholders to drive coordinated adoption efforts
  • Coordinate adoption activities across multiple AI initiatives to ensure consistent associate experiences, messaging and enablement approaches

Communications and Engagement

  • Drive awareness, engagement, and utilization of AI capabilities across business functions
  • Develop and execute enterprise AI communications and campaigns across multiple channels, tailored by audience
  • Translate complex technical AI concepts into clear, business-friendly messaging for diverse audiences

Learning and Enablement

  • Partner with learning teams to design and deliver AI-related training programs
  • Develop role-based enablement materials, including job aids, playbooks, guides, and learning resources

Adoption Insights and Measurement

  • Track and report on AI adoption, engagement, and learning metrics
  • Identify barriers to adoption and design targeted interventions to improve outcomes

Qualifications

Bachelor's Degree and 4 years of experience in Data management, information technology, financial services, enterprise risk management, or related disciplines with hands-on AI/advanced analytics delivery. OR High School Diploma or GED and 8 years of experience in Data management, information technology, financial services, enterprise risk management, or related disciplines with hands-on AI/advanced analytics delivery.

Preferred:

  • Advanced degree, certification, or equivalent experience in change management, organizational development, communications, learning, or a related field.
  • Knowledge of change management methodologies (e.g., Prosci ADKAR or similar frameworks).
  • Experience supporting organizational change, technology adoption, or employee engagement initiatives, ideally within a consulting or enterprise environment.
  • Demonstrated ability to translate complex technical concepts into business-friendly communications, training, and enablement materials.
  • Experience creating and delivering robust training programs.
  • Experience measuring adoption, engagement, and business outcomes associated with technology implementations.

If hired in NY, the base pay for this position is generally between $143,000 and $190,000. Actual starting base pay will be determined based on skills, experience, location, and other non-discriminatory factors permitted by law. For some roles, total compensation may also include variable incentives, bonuses, benefits, and/or other awards as outlined in the offer of employment.

#LI-XG1

Benefits are an integral part of total rewards and First Citizens Bank is committed to providing a competitive, thoughtfully designed and quality benefits program to meet the needs of our associates. More information can be found at https://jobs.firstcitizens.com/benefits.

Qualifications:

Bachelor's Degree and 4 years of experience in Data management, information technology, financial services, enterprise risk management, or related disciplines with hands-on AI/advanced analytics delivery. OR High School Diploma or GED and 8 years of experience in Data management, information technology, financial services, enterprise risk management, or related disciplines with hands-on AI/advanced analytics delivery.

Preferred:

  • Advanced degree, certification, or equivalent experience in change management, organizational development, communications, learning, or a related field.
  • Knowledge of change management methodologies (e.g., Prosci ADKAR or similar frameworks).
  • Experience supporting organizational change, technology adoption, or employee engagement initiatives, ideally within a consulting or enterprise environment.
  • Demonstrated ability to translate complex technical concepts into business-friendly communications, training, and enablement materials.
  • Experience creating and delivering robust training programs.
  • Experience measuring adoption, engagement, and business outcomes associated with technology implementations.

If hired in NY, the base pay for this position is generally between $143,000 and $190,000. Actual starting base pay will be determined based on skills, experience, location, and other non-discriminatory factors permitted by law. For some roles, total compensation may also include variable incentives, bonuses, benefits, and/or other awards as outlined in the offer of employment.

#LI-XG1

Benefits are an integral part of total rewards and First Citizens Bank is committed to providing a competitive, thoughtfully designed and quality benefits program to meet the needs of our associates. More information can be found at https://jobs.firstcitizens.com/benefits.

Education:UNAVAILABLEEmployment Type: FULL_TIME

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