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Remote Utilization Review Manager Jobs in Birmingham, AL

Credit Review Team Leader Sr

Hoover, AL · On-site +1

$125K - $255K/yr

The Credit Review Team Leader Sr. has a proven track record in a Credit Review management role or ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Credit Review Team Leader Sr

Hoover, AL · On-site +1

$125K - $255K/yr

The Credit Review Team Leader Sr. has a proven track record in a Credit Review management role or ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Run quarterly business reviews with practice leadership using their own metrics: answer rates, hold ... Channel structured client feedback to product Location Remote (US) with approximately 25% travel to ...

Run quarterly business reviews with practice leadership using their own metrics: answer rates, hold ... Channel structured client feedback to product Location Remote (US) with approximately 25% travel to ...

Conduct regular check-in calls with value-based messaging, along with Quarterly Business Reviews to ... Remote/Hybrid Work Salary Range: $70,000-$90,000 DOE About the Company A rapidly growing SaaS ...

Conduct regular check-in calls with value-based messaging, along with Quarterly Business Reviews to ... Remote/Hybrid Work Salary Range: $70,000-$90,000 DOE About the Company A rapidly growing SaaS ...

... remote or hybrid team through scheduled meetings and office hours. Key Responsibilities * Process and work hospital billing claims within Epic * Review, manage, and resolve patient accounts and ...

Remote Pharmacist

Birmingham, AL · Remote

$54.50 - $65.50/hr

Reviews TNF orders and converts to valid product order when possible. * Other Clinical or Remote Pharmacy Activities: * Manages all generated protected health information in a manner consistent with ...

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Remote Utilization Review Manager information

See Birmingham, AL salary details

$36.5K

$85.3K

$157K

How much do remote utilization review manager jobs pay per year?

As of Sep 3, 2026, the average yearly pay for remote utilization review manager in Birmingham, AL is $85,295.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,800.00 and $102,600.00 per year, depending on experience, location, and employer.

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 Birmingham, AL?

The most popular types of Remote Utilization Review jobs in Birmingham, AL are:

What are popular job titles related to Remote Utilization Review Manager jobs in Birmingham, AL?

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

What job categories do people searching Remote Utilization Review Manager jobs in Birmingham, AL look for?

The top searched job categories for Remote Utilization Review Manager jobs in Birmingham, AL are:

What cities near Birmingham, AL are hiring for Remote Utilization Review Manager jobs?

Cities near Birmingham, AL with the most Remote Utilization Review Manager job openings:

Credit Review Team Leader Sr

Huntington

Hoover, AL • On-site, Remote

$125K - $255K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 14 days ago


Huntington National Bank rating

8.1

Company rating: 8.1 out of 10

Based on 174 frontline employees who took The Breakroom Quiz

66th of 174 rated banks


Job description

Description

Summary:

The Credit Review Team Leader Sr. will report directly to the Credit Review Director or Credit Review Group Manager. This role involves leading a team in various credit risk review engagements and continuous monitoring activities associated with a strong independent credit review and/or similar credit risk management function. The Credit Review Team Leader Sr. has a proven track record in a Credit Review management role or similar leadership position and has demonstrated exceptional delivery results within a demanding environment.

Duties and Responsibilities:

  • Serve as the departmental subject matter expert in credit risk in one of more of the segments within the commercial and/or consumer portfolios and have general knowledge of lending support area practices impact on credit risk within the financial services industry.
  • Develop and maintain working relationships with executive bank management, regulators, segment leadership as well as with the broader Credit Review team to execute review responsibilities effectively and efficiently.
  • Contribute to the development and execution of Credit Review’s annual and strategic plans.  
  • Participate in the monitoring of credit-related risk throughout the Bank and the Holding Company including subsidiaries. 
  • Provide technical guidance for integrated CR engagements. 
  • As part of the respective credit risk focus area, develop and manage a credit review program which assesses the management framework in selecting, underwriting, and administering the direct and indirect credit risk inherent in products/services and related activities administered by business segments, assess adherence to policies and procedures and compliance with legal and regulatory requirements, and evaluate results to determine if issues exist and improvement recommendations are necessary.
  • Coordinate with the management team the development of credit review objectives and related procedures to address relevant credit risks.
  • Contribute to the continuous improvement of Credit Review tools and methods.  
  • Identify and communicate emerging risk issues to enhance credit risk management practices across the enterprise. 
  • Through contribution to Credit Review leadership presentations, provide senior management and the Board of Directors with information regarding the identification, measurement, and management of credit risk for designated credit risk focus area.
  • Represent Credit Review in risk meetings with business segments and affiliates, executive leadership, and the Board when necessary. 
  • Monitor annual plan progress and changes, engagement budget/staffing and recommendation status and follow-up related to areas of responsibility.
  • Serve as SME / EIC on special projects / targeted reviews outside of traditional exams.
  • Performs other duties as assigned.

Basic Qualifications:

  • Bachelor’s Degree
  • 10+ years of progressively responsible experience in credit review, risk and/or credit risk management, portfolio monitoring, underwriting and/or analysis, including a management role

Preferred Qualifications:

  • Strong working knowledge of risk and/or credit risk management and control frameworks
  • Strong verbal and written communication skills, the ability to engage in difficult conversations, as well as ability to manage multiple engagements/projects simultaneously are essential to providing a strong, independent role when evaluating areas of the Bank and Holdco
  • Prior Credit Review and/or risk officer experience. 
  • Project management skills, ability to deliver high quality results while meeting deadlines, department and personal goals.
  • Technical accounting (GAAP) or financial statement analysis knowledge
  • Working knowledge of MS Access, Excel, Word and credit/statistical analysis tools
  • Conflict management experience


Exempt Status: (Yes = not eligible for overtime pay) (No = eligible for overtime pay)

Yes

Workplace Type:

Office

Our Approach to Office Workplace Type

Certain positions outside our branch network may be eligible for a flexible work arrangement. We’re combining the best of both worlds:  in-office and work from home. Our approach enables our teams to deepen connections, maintain a strong community, and do their best work. Remote roles will also have the opportunity to come together in our offices for moments that matter. Specific work arrangements will be provided by the hiring team.

Compensation Range:

$125,000-$255,000 Annual Salary

The compensation range represents the anticipated low and high end of the base compensation range for this position. Actual compensation will vary based on various factors including but not limited to location, experience, and education.  Colleagues in this position are also eligible to participate in an applicable incentive compensation plan.  In addition, Huntington provides a variety of benefits to colleagues, including health insurance coverage, wellness program, life and disability insurance, retirement savings plan, paid leave programs, paid holidays and paid time off (PTO). 


Huntington is an Equal Opportunity Employer.


Tobacco-Free Hiring Practice: Visit Huntington's Career Web Site for more details.


Note to Agency Recruiters:  Huntington will not pay a fee for any placement resulting from the receipt of an unsolicited resume.  All unsolicited resumes sent to any Huntington colleagues, directly or indirectly, will be considered Huntington property. Recruiting agencies must have a valid, written and fully executed Master Service Agreement and Statement of Work for consideration.



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