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Remote Utilization Management Jobs in Rochester, MN

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Remote Utilization Management information

See Rochester, MN salary details

$21

$42

$70

How much do remote utilization management jobs pay per hour?

As of Jun 27, 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 job categories do people searching Remote Utilization Management jobs in Rochester, MN look for? The top searched job categories for Remote Utilization Management jobs in Rochester, MN 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:
Remote Utilization Management jobs near you
Technical Product Owner - Business Systems

Technical Product Owner - Business Systems

Expleo

Rochester, MN • Remote

$79 - $89/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

Job description

Overview

Location: Remote within USA

Employment Type: W2 Contract

Are you someone who thrives at the intersection of technology, governance, and product delivery? Trissential is hiring a Technical Product Owner - Business Systems to join our client's team and take ownership of critical enterprise platforms that power modern delivery teams. This is a high-impact opportunity where you'll shape how teams work, scale systems, and drive automation across the organization.

What's in It for You?

  • Ownership & Influence - Act as the enterprise system owner for key platforms and shape how teams deliver at scale
  • Strategic Impact - Drive governance, automation, and reporting standards across product and delivery organizations
  • Technical Growth - Deepen your expertise in tools like Aha!, Azure DevOps (ADO), and Miro
  • Cross-Functional Collaboration - Partner with product, finance, HR, and engineering leaders
  • Innovation Culture - Influence platform strategy and continuous improvement across the enterprise

Your Role & Responsibilities

  • Serve as the system owner and enterprise steward for core business platforms including Aha!, ADO, and Miro
  • Define, implement, and evolve governance frameworks, configurations, and ways of working aligned to enterprise strategy
  • Own platform operating models, including access controls, licensing, security, and audit readiness
  • Administer and enhance system configurations, workflows, and integrations
  • Drive automation to reduce manual effort and standardize scalable delivery practices
  • Partner with cross-functional teams to translate business and product needs into optimized system designs
  • Establish guardrails, templates, and standards to ensure consistent and efficient tool usage
  • Ensure data integrity and reporting accuracy across time tracking, cost, utilization, and portfolio insights
  • Serve as the escalation point for complex system, workflow, and integration issues
  • Lead stakeholder enablement through training, onboarding, and change management initiatives
  • Evaluate enhancements, prioritize backlogs, and continuously improve platform performance and adoption

Skills & Experience You Should Possess

  • Hands-on experience administering and configuring Aha!, Azure DevOps (ADO), and Miro
  • Strong expertise in workflows, permissions, data structures, and automation within enterprise platforms
  • Proven ability to design and implement scalable system configurations aligned to business needs
  • Experience supporting enterprise platforms, troubleshooting complex issues, and delivering sustainable solutions
  • Strong understanding of Agile methodologies, product delivery, and time tracking practices
  • Ability to balance flexibility for teams with governance, compliance, and enterprise standards
  • Experience collaborating with cross-functional stakeholders including product, finance, HR, and delivery teams

Bonus Points If You Have:

  • Experience leading platform upgrades, enhancements, or vendor engagements
  • Knowledge of integrations between enterprise systems and reporting platforms
  • Strong background in optimizing workflows for financial and workforce planning
  • Experience driving enterprise-wide adoption of tools and processes
  • Track record of improving data quality and reporting consistency across platforms

Education & Certifications You Need:

  • Bachelor's degree in Information Systems, Computer Science, Business, or a related field
  • Agile or Product certifications (e.g., CSPO, SAFe, PMI-ACP) preferred

What We Offer

At Trissential, we value expertise, innovation, and collaboration. By joining our client's team, you'll play a key role in shaping enterprise systems and delivery excellence while enjoying a flexible and supportive environment.

  • Competitive Compensation -$79-$89 per hour. Final compensation is determined based on skill alignment, years of experience, and fair, market-based rates by geography.
  • Comprehensive Benefits for you and your dependents - Medical, dental, vision, free tele-health, HSA with company contribution, life and disability insurance, and 401k with matching
  • Paid Time Off - Offers paid time away from work
  • Remote Flexibility - Work from anywhere within the U.S.
  • Career Development - Access to training, certifications, and growth opportunities
  • Collaborative Culture - Work with forward-thinking teams focused on innovation and continuous improvement

This opportunity is only open to candidates authorized to work in the United States

Ready to shape the future of enterprise product systems? Apply today and bring your expertise to a role where your impact will be felt across the organization

Employment Type: OTHER

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