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Remote Utilization Management Jobs in Rochester, MN

Remote Utilization Management information

See Rochester, MN salary details

$21

$42

$70

How much do remote utilization management jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for remote utilization management in Rochester, MN is $42.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.94 and $49.38 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 Rochester, MN? For Remote Utilization Management jobs in Rochester, MN, the most frequently searched job titles are:
What cities near Rochester, MN are hiring for Remote Utilization Management jobs? Cities near Rochester, MN with the most Remote Utilization Management job openings:
Infographic showing various Remote Utilization Management job openings in Rochester, MN as of July 2026, with employment types broken down into 76% Full Time, 21% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $89,397 per year, or $43 per hour.
Account Manager (Rochester, MN)

Account Manager (Rochester, MN)

Guardant Health

Rochester, MN • On-site, Remote

$77K - $106K/yr

Full-time

Posted 15 days ago


Job description

Company Description
Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics. Guardant tests help improve outcomes across all stages of care, including screening to find cancer early, monitoring for recurrence in early-stage cancer, and treatment selection for patients with advanced cancer. For more information, visit guardanthealth.com and follow the company on LinkedIn, X (Twitter) and Facebook.
Responsibilities:
  • Drive opportunities in current clients
  • Work with existing accounts and build processes to identify patients and send samples
  • Responsible for overall customer service and account management
  • Work to ensure timely sample acquistion
  • Driving tests per customer in current accounts
  • Drive the process of ordering in current customers
  • Streamlines customer service
  • Collaborate and coordinate with all sales positions to ensure successful attainment of company goals and objectives
  • Identify and develop opportunities between oncology clients and GHI.
  • Continually analyze commercial environment within assigned accounts to determine trends and provide customer feedback to GHI leadership
  • Ensure team objectives are met
  • Work effectively with individuals across multiple departments throughout GHI
  • Embrace, embody and represent the Guardant Health company culture at all times to external and internal constituents

Qualifications:
  • 2-3 years customer service/sales experience with a history of proven past sale performance that has met and exceeded expectations.
  • Previous experience in pharma, diagnostic, medical device or biotech setting is preferred.
  • Ability to engage in a consultative process that overcomes objections and indifferences while connecting client needs with GHI capabilities.
  • Comfortable communicating and presenting at the executive level (CEO, COO, CFO)
  • Ability to work independently, communicate proactively, manage multiple projects and prioritize daily tasks while managing critical deadlines.
  • Knowledge of oncology, hematology, chemotherapeutics and targeted agents is ideal.
  • Excellent negotiation and customer service skills.
  • Outstanding strategic sales account planning skills.
  • Superior listening and problem solving skills.
  • Ability to handle sensitive information and maintain a very high level of confidentiality
  • Demonstrate customer support abilities throughout the sales cycle
  • Impeccable verbal communication and presentation skills
  • Must be very proficient with all Microsoft Office products - particularly Excel and PowerPoint
  • Effective and regular utilization of Salesforce.com
  • Ability to develop and utilize cross-functional relationships to facilitate the accomplishment of work goals and objectives.
  • Ability to work effectively with minimal direction from, or interface with, manager
  • Problem solving, decision making and technical learning
  • Strong administrative skills and sophistication to manage business in complex environments
  • Demonstrate GHI's Values by acting with integrity, respect, trust and Possess a very positive attitude and an understanding of the dynamics involved with organizational growth and change
  • Frequent travel ( > 50%) throughout the territory as needed

AI & Digital Fluency
  • Demonstrate curiosity, sound judgment, and the ability to critically evaluate and responsibly leverage AI-enabled tools in accordance with company policies, ethical standards, and regulatory requirements to improve the efficiency, effectiveness, and quality of work.

Hybrid Work Model:This section is applicable to onsite employees who are eligible for hybrid work location as specified by management and related policies. Guardant has defined days for in-person/onsite collaboration and work-from-home days for individual-focused time. All U.S. employees who live within 50 miles of a Guardant facility will be required to be onsite on Mondays, Tuesdays, and Thursdays. We have found aligning our scheduled in-office days allows our teams to do the best work and creates the focused thinking time our innovative work requires. At Guardant, our work model has created flexibility for better work-life balance while keeping teams connected to advance our science for our patients.
The annualized base salary ranges for the primary location and any additional locations are listed below. This range does not include benefits or, if applicable, bonus, commission, or equity. Each candidate's compensation offer will be based on multiple factors including, but not limited to, geography, experience, education, job-related skills, job duties, and business need.Primary Location: Remote-USA-MNPrimary Location Base Pay Range: $77,200 - $106,150Other US Location(s) Base Pay Range: $77,200 - $106,150If the role is performed in Colorado, the pay range for this job is: $77,200 - $106,150
Employee may be required to lift routine office supplies and use office equipment. Majority of the work is performed in a desk/office environment; however, there may be exposure to high noise levels, fumes, and biohazard material in the laboratory environment. Ability to sit for extended periods of time.
Guardant Health is committed to providing reasonable accommodations in our hiring processes for candidates with disabilities, long-term conditions, mental health conditions, or sincerely held religious beliefs. If you need support, please reach out to Peopleteam@guardanthealth.com
A background screening including criminal history is required for this role. GH will consider qualified applicants with criminal arrest or conviction histories in a manner consistent with applicable law including but not limited to the LA County Fair Chance Policies and the Fair Chance Act (Gov. Code Section 12952).
Guardant Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
All your information will be kept confidential according to EEO guidelines.
To learn more about the information collected when you apply for a position at Guardant Health, Inc. and how it is used, please review our Privacy Notice for Job Applicants.
Please visit our career page at: http://www.guardanthealth.com/jobs/