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Remote Utilization Management Jobs in Spring, TX

AS TRADE LLC

Business Analyst

Houston, TX · Remote

... Center, Utilization Management (UM), and IT * Translate business requirements into reporting ... Remote-friendly with flexible work options * Access to training, certifications, and professional ...

WNS Global Services

Sr Nurse - Clin. Education

Houston, TX · Remote

$80K - $95K/yr

... Utilization Management, Case Management, or Clinical Care Coordination, preferred Remote education/training experience, preferred Ability to flex work hours based on business needs Excellent ...

WNS

Sr Nurse - Clin. Education

Houston, TX · Remote

$80K - $95K/yr

... Utilization Management, Case Management, or Clinical Care Coordination, preferred. Remote education/training experience, preferred. Ability to flex work hours based on business needs. Excellent ...

SUN Behavioral Houston

Remote Intake Coordinator

Houston, TX · On-site +1

$17.25 - $23.50/hr

... the Utilization Management team for concurrent reviews. * Demonstrates an ability to be flexible, organized and function well in stressful situations. * Treats patients and their families with ...

WNS Global Services

Sr Nurse - Clin. Education

Houston, TX · On-site +1

$80K - $95K/yr

... Utilization Management, Case Management, or Clinical Care Coordination, preferred • Remote education/training experience, preferred • Ability to flex work hours based on business needs • ...

HealthHelp

Sr Nurse Clin Education

Houston, TX · Remote

$80K - $95K/yr

... Utilization Management, Case Management, or Clinical Care Coordination, preferred • Remote education/training experience, preferred • Ability to flex work hours based on business needs • ...

Aprio

Senior Director, Resource Management

Houston, TX · On-site +1

$225K - $300K/yr

Analyze trends in utilization, availability, backlog, pipeline, and seasonal demand to drive timely ... remote and hybrid options What's in it for you: - Working with an industry leader : Be part of a ...

DealerBuilt

Performance Manager

Houston, TX · On-site +1

Our portfolio includes Enterprise Retail Cloud DMS, Document Management, CRM, Desking, F&I Menus ... Host utilization sessions (remote/onsite) to improve the use of the solution, employee satisfaction ...

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All JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Spring, TX

Remote Utilization Management information

See Spring, TX salary details

$19

$37

$61

How much do remote utilization management jobs pay per hour?

As of Jun 19, 2026, the average hourly pay for remote utilization management in Spring, TX is $37.63, according to ZipRecruiter salary data. Most workers in this role earn between $29.71 and $43.22 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 the most commonly searched types of Utilization Management jobs in Spring, TX? The most popular types of Utilization Management jobs in Spring, TX are:
What are popular job titles related to Remote Utilization Management jobs in Spring, TX? For Remote Utilization Management jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Spring, TX look for? The top searched job categories for Remote Utilization Management jobs in Spring, TX are:
What cities near Spring, TX are hiring for Remote Utilization Management jobs? Cities near Spring, TX with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Spring, TX as of June 2026, with employment types broken down into 84% Full Time, 15% Part Time, and 1% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $78,263 per year, or $37.6 per hour.

Business Analyst

AS TRADE LLC

Houston, TX • Remote

Other

Posted 11 days ago

Job description

Business Analyst Healthcare (2 3 Years Experience)
<>About the Role

We are seeking a motivated and detail-oriented Business Analyst Healthcare (2 3 years experience) to support healthcare and health plan operations through data analysis, reporting, and documentation. This role is ideal for early-career professionals looking to build a career in healthcare analytics within a regulated environment. The Business Analyst will collaborate with cross-functional teams to support reporting initiatives, ensure data accuracy, and deliver insights that drive operational improvements.

<>Key Responsibilities
  • Support intake, tracking, and clarification of reporting and data requests from business stakeholders
  • Assist in gathering, documenting, and validating business requirements, data definitions, and reporting logic
  • Collaborate with cross-functional teams including Behavioral Health, Contact Center, Utilization Management (UM), and IT
  • Translate business requirements into reporting specifications under guidance from senior analysts
  • Develop, update, and maintain reports and dashboards using Tableau or similar BI tools
  • Perform data validation, quality checks, reconciliation, and root-cause analysis to ensure reporting accuracy
  • Use SQL or Oracle to extract, analyze, and manipulate healthcare data from multiple systems
  • Support data warehouse initiatives by validating data and improving usability for reporting users
  • Prepare clear summaries and explanations of healthcare metrics for non-technical stakeholders
  • Maintain documentation for reports, data standards, and reporting processes
  • Assist with ad-hoc analysis, audits, KPIs, and recurring health plan performance reporting
<>Required Qualifications
  • 2 3 years of experience in Business Analysis, Data Analytics, Reporting, or a related role
  • Bachelor s degree in Business, Healthcare Administration, Information Systems, Data Analytics, or a related field (or equivalent experience)
  • Working knowledge of SQL or Oracle for querying and data analysis
  • Experience with BI tools such as Tableau, Power BI, or Looker
  • Strong Excel skills (pivot tables, formulas, charts)
  • Understanding of reporting workflows, data documentation, and data validation
  • Strong attention to detail and ability to work with large datasets
  • Good written and verbal communication skills
  • Ability to collaborate with cross-functional teams and manage multiple priorities

Skills Healthcare Domain Knowledge, Health Plan Operations, Business Requirements Gathering, SQL, Tableau, Power BI, Excel (Pivot Tables, Formulas), Reporting & Dashboards, Data Validation, Data Quality, Healthcare Metrics, Documentation, UAT Support, Stakeholder Communication

<>Why Join ?
  • Excellent opportunity to start and grow your Healthcare Business Analyst career
  • Supportive and collaborative environment with experienced mentors
  • Competitive compensation and benefits
  • Remote-friendly with flexible work options
  • Access to training, certifications, and professional development

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