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Remote Utilization Management Jobs in Rensselaer, NY

Broker/Senior Broke, Commercial Insurance

Albany, NY · On-site +1

$97K - $115K/yr

To support hybrid/remote work, candidates must have access to a reliable, confidential, and ... utilization of its concepts * Lead and support the all portfolio management objectives under the ...

Complete case management assessments and develop care plans * Collaborate with the care team to ... Remote / NY Pay Rate: $33.65- $38.46/hr About aptihealth aptihealth, inc. is a behavioral health ...

Complete case management assessments and develop care plans * Collaborate with the care team to ... Remote / NY Pay Rate: $33.65- $38.46/hr About aptihealth aptihealth, inc. is a behavioral health ...

Remote Utilization Management information

See Rensselaer, NY salary details

$21

$41

$68

How much do remote utilization management jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for remote utilization management in Rensselaer, NY is $41.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $48.22 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 as a Remote Utilization Management Nurse, and why are they important?

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 popular job titles related to Remote Utilization Management jobs in Rensselaer, NY? For Remote Utilization Management jobs in Rensselaer, NY, the most frequently searched job titles are:
What cities near Rensselaer, NY are hiring for Remote Utilization Management jobs? Cities near Rensselaer, NY with the most Remote Utilization Management job openings:
Infographic showing various Remote Utilization Management job openings in Rensselaer, NY as of July 2026, with employment types broken down into 80% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $87,317 per year, or $42 per hour.
Clinical Account Executive Midwest

Clinical Account Executive Midwest

Genova Diagnostics

Schenectady, NY • On-site, Remote

Full-time

Posted 4 days ago


Genova Diagnostics rating

6.1

Company rating: 6.1 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

108th of 120 rated laboratories


Job description

Company Overview
Genova Diagnostics is a specialty clinical laboratory focused on advanced diagnostic testing that supports personalized and functional medicine approaches. We provide a broad menu of testing and educational resources that help clinicians evaluate gastrointestinal, nutritional, metabolic, endocrine, and immunologic function in patients with chronic and complex health concerns. Genova combines clinically relevant testing, consultative support, and provider education to help practices improve patient care and expand use of data-driven diagnostic solutions.
Position Summary
The Clinical Account Executive is responsible for retaining, supporting, and growing an assigned book of business through a hybrid engagement model that combines in-person field activity with remote account management. This role focuses on strengthening existing relationships, increasing test utilization, and expanding adoption of Genova solutions within current accounts through consistent service, education, and consultative account development. Engagement strategy will vary based on account size, strategic value, growth potential, and client needs, with larger or high-opportunity accounts receiving more in-person coverage and smaller or stable accounts managed efficiently through virtual touch points.
Essential Duties and Responsibilities
  • Manage and grow an assigned portfolio of accounts through a balanced mix of on-site visits, video meetings, phone outreach, and email follow-up tailored to account needs.
  • Educate providers and staff on Genova Diagnostics testing, clinical applications, specimen requirements, ordering workflows, and available support resources.
  • Upsell existing accounts by expanding use of the broader Genova menu, increasing frequency of ordering, and identifying additional providers, programs, or patient segments within each practice that would benefit from Genova solutions.
  • Build and maintain strong relationships with key stakeholders, including physicians, advanced practice providers, nutritionists, health coaches, office managers, and front-desk or laboratory staff.
  • Act as the primary liaison between clients and internal teams, including customer service, operations, billing, and medical education, to resolve issues quickly and effectively.
  • Deliver onboarding and training for new accounts, new providers, and new staff using both in-person and remote formats.
  • Conduct regular business reviews with priority accounts to assess utilization trends, identify barriers, and recommend actions to improve retention and organic growth.
  • Segment accounts by size, opportunity, and service needs, then execute an engagement cadence that aligns resources to the highest-value opportunities.
  • Provide relevant educational materials, webinar invitations, interpretation resources, and product updates that support account development and deeper clinical adoption.
  • Maintain accurate CRM activity, account plans, pipeline visibility, and follow-up actions for all assigned accounts.
  • Meet or exceed retention, revenue, utilization, and upsell goals on a monthly, quarterly, and annual basis.
  • Represent Genova Diagnostics professionally at local meetings, educational programs, conferences, and other customer-facing events as needed.

Success Profile
The successful candidate will protect the base business while expanding account value over time. Success in this role requires strong relationship management, disciplined follow-through, consultative selling skills, and the ability to flex seamlessly between face-to-face and virtual engagement models. The ideal candidate can identify account-specific growth opportunities, tailor education to the clinical focus of the practice, and convert service interactions into long-term loyalty and incremental revenue growth.
Required Qualifications
  • Bachelor's degree in business, life sciences, healthcare, or a related field.
  • Three or more years of outside sales, territory management, or account management experience.
  • Demonstrated success managing and growing a book of business with measurable retention and upsell performance.
  • Strong written and verbal communication skills, including virtual presentation and remote relationship-building capabilities.
  • Excellent organizational, planning, and time management skills.
  • Proficiency in Microsoft Office, Excel, CRM systems, and virtual meeting platforms.
  • Valid driver's license and the ability to travel within the territory as needed.

Preferred Qualifications
  • Experience in clinical diagnostics, laboratory services, medical devices, pharmaceuticals, or healthcare services.
  • Familiarity with functional medicine, integrative medicine, specialty diagnostics, or wellness-oriented provider practices.
  • Experience supporting customers through both field-based and remote selling or account management models.
  • Ability to interpret utilization trends and translate account data into practical growth plans.

Work Model and Territory Approach
This is a hybrid commercial role that combines field-based and remote account coverage. Strategic, larger, or high-growth accounts should receive regular in-person visits supported by virtual follow-up, while smaller, geographically distant, or maintenance accounts may be managed primarily through scheduled remote interactions. Territory planning should prioritize customer need, revenue opportunity, growth potential, and service complexity to ensure efficient use of time and strong account coverage.
Core Performance Expectations
  • Retain and grow assigned revenue across the current book of business.
  • Increase utilization of priority tests, panels, and solutions across existing accounts.
  • Expand wallet share by introducing additional Genova offerings into current practices.
  • Maintain high customer satisfaction through responsive service and proactive communication.
  • Execute a disciplined account-contact strategy that balances in-person and remote activity for maximum efficiency and impact.

Key Competencies
  • Account retention and organic growth
  • Consultative selling and solution positioning
  • Hybrid territory management
  • Customer service and issue resolution
  • Clinical and operational education
  • Relationship building across multiple stakeholders
  • Data-driven planning and prioritization
  • Communication, responsiveness, and follow-through

Physical Demands
While performing the duties of this role, the employee is regularly required to sit, operate a motor vehicle for travel to customers, prospects, and teammates, use hands to handle materials, reach with hands and arms, and communicate effectively. The employee is occasionally required to stand and walk and must occasionally lift or move up to 10 pounds. Specific vision abilities required include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus.
Work Environment
The work environment characteristics of this role are representative of those encountered while performing the essential functions of the job, and reasonable accommodations may be made to enable individuals with disabilities to perform those functions.
Equal Opportunity Statement
Genova Diagnostics is committed to building an inclusive workplace and providing equal employment opportunities based on qualifications, performance, and business needs.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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