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Remote Utilization Review Manager Jobs in Boston, MA

WuXi AppTec

Marketing Manager

Boston, MA · On-site +1

... CRM utilization to support branding, lead generation and customer engagement. The ideal candidate ... Please note this job is remote in the Boston or San Diego area. Responsibilities Marketing Planning ...

WuXi AppTec

Marketing Manager

Boston, MA · On-site +1

... CRM utilization to support branding, lead generation and customer engagement. The ideal candidate ... Please note this job is remote in the Boston or San Diego area. Marketing Planning & Strategy

UnitedHealth Group

Clinical Claim Review RN

Boston, MA · Remote

... improving risk management, quality and revenue growth. Ready to help us deliver results that ... This position is Remote in Massachusetts. You will have the flexibility to work remotely* as you ...

Lendbuzz

Senior IT Manager (Boston)

Boston, MA · On-site +1

$150K - $190K/yr

Own IT budget, vendor management, and license utilization IT Operations & Service Management * Run ... Ensure reliable IT facilities for Boston HQ, Tel Aviv office and remote sites Security, Compliance ...

Motivity

Enterprise Customer Success Manager

Boston, MA · On-site +1

Remote Department: Customer Success | Reports to: VP of Customer Success Motivity is looking for a ... Establish clear success goals, including high product adoption and high platform utilization, and ...

YO AI Labs

Criminal Lawyer - Remote

Boston, MA · Remote

$140 - $400/hr

Review and analyze legal documents, court filings, and case materials to support AI system ... Collaborate remotely with project managers and technical teams to clarify requirements and ...

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All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Boston, MA

Remote Utilization Review Manager information

See Boston, MA salary details

$42.4K

$98.9K

$182K

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

As of Aug 17, 2026, the average yearly pay for remote utilization review manager in Boston, MA is $98,875.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,600.00 and $119,000.00 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 Boston, MA?

The most popular types of Remote Utilization Review jobs in Boston, MA are:

What are popular job titles related to Remote Utilization Review Manager jobs in Boston, MA?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Boston, MA are:

What cities near Boston, MA are hiring for Remote Utilization Review Manager jobs?

Cities near Boston, MA with the most Remote Utilization Review Manager job openings:

Remote Utilization Review Manager jobs near you

Manager, Programmatic Media (Remote)

Nimble Talent

Boston, MA • Remote

Contractor

Re-posted 3 days ago

Job description

At Nimble Talent, our mission is to make a difference in our clients’ lives.
What You'll Do:
  • Effectively communicate digital strategies and rational for tactical approaches for each campaign
  • Execute, manage, and optimize online biddable media campaigns and programs for agency clients
  • Develop, grow, and maintain relationships through exceptional client service
  • Formulate proposals for new client opportunities
  • Partner with Analytics team on campaign measurement reporting and insights generation
  • Provide regular insights to clients detailing performance, campaign optimizations, and new opportunities
  • Work with media partners to ensure accurate platform implementation
  • Troubleshoot issues on all pre-production and live campaigns
What We're Looking For:
  • 5+ Years of Programmatic experience 
  • Previously experience working with Basis a plus
  • Resourceful, curious, and motivated individual with an ability to work independently as well as in a team
  • Client facing experience with the ability to identify risks and effectively manage through issues
  • Previous leadership/management experience is a plus
  • Strong project management skills
About Us 

There’s a reason why Nimble Talent is the industry leader in providing expert talent solutions across the ad industry. We’ve never been afraid to do things differently. As an industry innovator and challenger, we deliver high-impact results to the biggest brands and agencies worldwide through a remote workforce operating across 31 states and 7 countries.  
 
Our clients trust us to transform and shape the direction of their business. For our people, we’ve created a place where diversity and inclusion are at the heart of our culture and business. Take control of your career, live the life you want, with peace of mind, happiness, and job security.  

What You Can Expect from Nimble Talent:  

The Perks 
We take great pride in our diverse, inclusive, and collaborative culture which is at the heart of our business. We provide you with the opportunity to work for dynamic brands and agencies, supporting you to build on your existing achievements, knowledge, and expertise. 
 
We Offer: 
- 100% remote and flexible work environment. You will never have to be in an office! 
- A competitive salary
- A minimum of 21 days of paid leave/ holidays per year, increasing in your second year 
- Medical, Dental & Vision Insurance Benefits 
- Mental well-being day off
- 401K matching 

Nimble Talent provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.  

We are not able to sponsor candidates requiring work authorization. 

Not you? Try one of our other open roles: https://jobs.lever.co/workreduce

Please feel free to reach out to our recruiting team with any questions careers@nimbletalent.com

#LI-Remote

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.