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Remote Utilization Review Manager Jobs in Michigan

Software Engineering Manager - Remote Services

Ann Arbor, MI ยท Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Manager to lead the team building remote service software products for our field engineers who ... Stay hands-on by writing and reviewing code, building prototypes, and pairing with engineers on ...

Showing results 41-60

Remote Utilization Review Manager information

What is a remote utilization review manager?

A Remote Utilization Review Manager is a healthcare professional responsible for overseeing the review of medical services and determining the necessity, appropriateness, and efficiency of those services from a remote location. They ensure that healthcare providers comply with guidelines and that patients receive appropriate care without unnecessary procedures. These managers work with clinical teams, insurance companies, and regulatory agencies to optimize patient outcomes and manage healthcare costs. Working remotely allows them to perform these duties using digital health records and telecommunication tools.

What are the key skills and qualifications needed to thrive as a remote utilization review manager?

To thrive as a Remote Utilization Review Manager, you need expertise in healthcare management, case review, and regulatory compliance, typically supported by a nursing degree (RN or BSN) and relevant certifications such as CCM or URAC. Familiarity with utilization management software, electronic health records (EHRs), and payer systems is essential. Strong analytical thinking, attention to detail, and excellent communication skills help navigate complex cases and collaborate with clinical teams and insurers. These skills ensure effective resource utilization, regulatory adherence, and optimal patient outcomes in a remote healthcare environment.

What are some common challenges faced by a remote utilization review manager, and how can they be addressed?

A Remote Utilization Review Manager often encounters challenges such as maintaining effective communication with clinical teams, ensuring timely and accurate reviews, and staying updated with changing regulations and payer requirements. To address these, it's important to leverage secure collaborative platforms, establish clear workflows, and participate in ongoing training. Building strong relationships with team members and regularly reviewing protocols also help in overcoming remote work hurdles and ensuring compliance and efficiency.

What is the difference between Remote Utilization Review Manager vs Remote Utilization Review Nurse?

AspectRemote Utilization Review ManagerRemote Utilization Review Nurse
CredentialsTypically requires a nursing license, certifications like URAC or AAPC, and management experienceLicensed Registered Nurse (RN) with utilization review certification often preferred
Work EnvironmentOversees review teams, manages processes, and ensures compliance remotelyPerforms case reviews, assesses medical necessity, and documents findings remotely
Employer & Industry UsageHealth insurance companies, third-party administrators, healthcare organizations

The Remote Utilization Review Manager focuses on overseeing review teams and managing processes, while the Remote Utilization Review Nurse conducts case assessments and medical necessity reviews. Both roles require nursing credentials and are integral to healthcare utilization management, but differ in responsibilities and leadership levels.

What are the most commonly searched types of Remote Utilization Review jobs in Michigan?

The most popular types of Remote Utilization Review jobs in Michigan are:

What are popular job titles related to Remote Utilization Review Manager jobs in Michigan?

For Remote Utilization Review Manager jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Manager jobs in Michigan look for?

The top searched job categories for Remote Utilization Review Manager jobs in Michigan are:

What cities in Michigan are hiring for Remote Utilization Review Manager jobs?

Cities in Michigan with the most Remote Utilization Review Manager job openings:

Software Engineering Manager - Remote Services

KLA Corporation

Ann Arbor, MI โ€ข Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago


Job description

Company Overview

KLA is a global leader in diversified electronics for the semiconductor manufacturing ecosystem. Virtually every electronic device in the world is produced using our technologies. No laptop, smartphone, wearable device, voice-controlled gadget, flexible screen, VR device or smart car would have made it into your hands without us. KLA invents systems and solutions for the manufacturing of wafers and reticles, integrated circuits, packaging, printed circuit boards and flat panel displays. The innovative ideas and devices that are advancing humanity all begin with inspiration, research and development. KLA focuses more than average on innovation and we invest 15% of sales back into R&D. Our expert teams of physicists, engineers, data scientists and problem-solvers work together with the world's leading technology providers to accelerate the delivery of tomorrow's electronic devices. Life here is exciting and our teams thrive on tackling really hard problems. There is never a dull moment with us.

Group/Division

The KLA Services team headquartered in Milpitas, CA is our service organization that consists of Service Sales and Marketing, Spares Supply Chain management, Field Operations, Engineering, Product Training, and Technical Support. The KLA Services organization partners with our field teams and customers in all business sectors to maintain the high performance and productivity of our products through a flexible portfolio of services. Our comprehensive services include: proactive management of tools to identify and improve performance; expertise in optics, image processing and motion control with worldwide service engineers, 24/7 technical support teams and knowledge management systems; and an extensive parts network to ensure worldwide availability of parts.

Job Description/Preferred Qualifications

KLA Services is seeking a hands-on, AI-first Engineering Manager to lead the team building remote service software products for our field engineers who support and maintain KLA tools in the semiconductor fabrication plant, or "fab". This is a player-coach role: you will grow and lead a high-performing full-stack team while staying in the codebase yourself, setting the standard for how AI coding assistants and agentic workflows are used to design, build, and ship software. You will own the delivery, quality, and security of the remote service platform, ensuring our products remain robust, secure, and user-friendly and enabling seamless connectivity for our global workforce.

Key Responsibilities:
  • Lead, coach, and grow a team of full-stack software engineers, including hiring, onboarding, performance feedback, and career development, while remaining an active technical contributor to the team's work.

  • Set technical direction for front-end applications, back-end services, APIs, and microservices, and stay hands-on through design reviews, code reviews, prototypes, and direct contributions to critical or ambiguous parts of the stack.

  • Partner with marketing, product management, IT infrastructure, security, and support to align engineering execution with business priorities.

  • Own roadmap development, backlog refinement, and release planning for the remote services portfolio.

  • Manage team capacity, sprint commitments, and dependencies so that milestones are delivered predictably.

  • Establish and uphold engineering standards for automated testing, CI/CD pipelines, observability, and production readiness.

  • Drive incident response and root-cause resolution for production issues across the full technology stack.

  • Ensure compliance with relevant regulations and standards, and maintain the integrity and security of remote access systems.

  • Lead an AI-first engineering practice: use coding assistants such as Claude Code and Devin in your own daily work, and define the standards, guardrails, and review practices that make AI-accelerated delivery safe, secure, and effective across the team.

  • Personally evaluate emerging AI engineering tools, agentic workflows, and remote access technologies, run pilots with the team, and decide where to invest based on measured results.

  • Manage stakeholder communication, including status reporting, risk escalation, and budget or vendor discussions as needed.

  • Stay hands-on by writing and reviewing code, building prototypes, and pairing with engineers on complex problems, dedicating a meaningful share of your time to technical work.

  • Model AI-first engineering behavior day to day, sharing working patterns, measuring their impact on cycle time and quality, and coaching engineers to adopt what works.

Preferred Qualifications:
  • Proven track record of hiring, developing, and retaining engineering talent in a hands-on, high-ownership team culture.

  • Strong communication skills, with the ability to influence and work effectively with cross-functional teams and senior stakeholders.

  • Skilled at distilling ambiguous business problems into requirements, designs, and executable plans.

  • Experience delivering cloud native applications using Docker and Kubernetes.

  • Familiarity with modern web technologies such as HTML, CSS, JavaScript, Angular, and React.

  • Understanding of remote access protocols, VPNs, and security best practices.

  • Experience leading teams that practice Agile, Clean Code, and XP software development methods.

  • Demonstrated success using artificial intelligence to accelerate software engineering delivery, both individually and by raising the capability of an entire team.

  • Experience defining engineering standards for AI-assisted development, including prompt and context practices, code review of AI-generated changes, and security review.

  • achelor's degree in Computer Science, Information Technology, or a related field.

  • 8+ years of full-stack software engineering experience, with recent hands-on coding experience.

  • 3+ years of experience leading or managing software engineering teams while remaining technically hands-on.

Minimum Qualifications

  • Bachelor's Degree or higher in related field or equivalent combination of any relevant education and experience. 8+ years of relevant experiencewith proven track record to lead including 4+ years of management experience.

Base Pay Range: $153,300.00 - $260,600.00 AnnuallyPrimary Location: USA-MI-Ann Arbor-KLAKLA's total rewards package for employees may also include participation in performance incentive programs and eligibility for additional benefits including but not limited to: medical, dental, vision, life, and other voluntary benefits, 401(K) including company matching, employee stock purchase program (ESPP), student debt assistance, tuition reimbursement program, development and career growth opportunities and programs, financial planning benefits, wellness benefits including an employee assistance program (EAP), paid time off and paid company holidays, and family care and bonding leave.

Interns are eligible for some of the benefits listed. Our pay ranges are determined by role, level, and location. The range displayed reflects the pay for this position in the primary location identified in this posting. Actual pay depends on several factors, including state minimum pay wage rates, location, job-related skills, experience, and relevant education level or training. We are committed to complying with all applicable federal and state minimum wage requirements where applicable. If applicable, your recruiter can share more about the specific pay range for your preferred location during the hiring process.

KLA is proud to be an Equal Opportunity Employer. We will ensure that qualified individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us attalent.acquisition@kla.com or at +1-408-352-2808 to request accommodation.

Be aware of potentially fraudulent job postings or suspicious recruiting activity by persons that are currently posing as KLA employees. KLA never asks for any financial compensation to be considered for an interview, to become an employee, or for equipment. Further, KLA does not work with any recruiters or third parties who charge such fees either directly or on behalf of KLA. Please ensure that you have searched KLA's Careers website for legitimate job postings. KLA follows a recruiting process that involves multiple interviews in person or on video conferencing with our hiring managers. If you are concerned that a communication, an interview, an offer of employment, or that an employee is not legitimate, please send an email to talent.acquisition@kla.com to confirm the person you are communicating with is an employee. We take your privacy very seriously and confidentially handle your information.