ZipRecruiter

Log In

2

Remote Utilization Review Manager Jobs in Calgary, AB

YO AI Labs

RL Environment Engineer - Remote

Calgary, AB · Remote

$80 - $120/hr

Remote Job Summary We are seeking experienced Senior Software Engineers to support an AI training ... Hiring Manager review. Compensation Compensation is output-based , with payment provided per task ...

Alstar Group

Project Manager

Calgary, AB · On-site +1

... review meetings, and providing interface with clients, achieving the required outcomes with time ... One remote day per week What We're Looking For From You - If This Describes You, We'd Love to Meet!

eStruxture

Operations Field Engineer

Calgary, AB · Remote

Conduct comprehensive technical reviews and approvals of all high-risk and complex Methods of ... Expert knowledge of Building Management Systems and electrical monitoring telemetry for remote ...

Achen Henderson CPAs

Bookkeeping Manager

Calgary, AB · On-site +1

Fully remote may also be available for exceptional candidates. As a Bookkeeping Manager, you will manage a small, dedicated book of 15-30 clients, while also reviewing and overseeing the work of ...

Achen Henderson LLP

Bookkeeping Manager

Calgary, AB · Remote

Fully remote may also be available for exceptional candidates. As a Bookkeeping Manager, you will manage a small, dedicated book of 15-30 clients, while also reviewing and overseeing the work of ...

YO AI Labs

AI/ML Software Engineer - Remote

Calgary, AB · Remote

$80 - $120/hr

Remote Job Summary We are seeking experienced Senior Software Engineers to support an AI training ... Hiring Manager review. Compensation Compensation is output-based , with payment provided per task ...

YO AI Labs

AI coding agents Expert - Remote

Calgary, AB · Remote

$80 - $120/hr

Remote Job Summary We are seeking experienced Senior Software Engineers to support an AI training ... Hiring Manager review. Compensation Compensation is output-based , with payment provided per task ...

True Environmental

Manager - Hydrogeology

Calgary, AB · On-site +1

CA$120K - CA$180K/yr

Remote - Regular-Full Time As the Manager - Hydrogeology, this role will be responsible for ... management, review and storage. * Interface with other technical experts to achieve ...

previous pagenext page

Showing results 21-40

All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Calgary, AB

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 popular job titles related to Remote Utilization Review Manager jobs in Calgary, AB?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Calgary, AB are:

Remote Utilization Review Manager jobs near you

RL Environment Engineer - Remote

YO AI Labs

Calgary, AB • Remote

$80 - $120/hr

Full-time

Posted 9 days ago

Job description

Senior Software Engineer

Job Type: Contractor (~15 hours/week)
Location: Remote

Job Summary

We are seeking experienced Senior Software Engineers to support an AI training project by creating reinforcement learning environments that evaluate AI models on complex software engineering tasks using Model Context Protocol (MCP) tools.

You will design reproducible environments, deterministic verification, and reference solutions for tasks such as bug fixing, feature implementation, codebase refactoring, and performance optimization. No prior AI experience is required.

Key Responsibilities
  • Create reinforcement learning environments for software engineering tasks.
  • Design tasks involving bug fixing, feature development, refactoring, and performance optimization.
  • Build deterministic verification systems and golden reference solutions.
  • Evaluate AI agents' ability to reason through complex codebases and use MCP tools effectively.
  • Develop realistic, reproducible software engineering scenarios.
  • Ensure tasks accurately measure coding ability, problem-solving, and tool usage.
  • Document solutions and provide clear technical feedback.
Required Skills
  • Strong proficiency in Python 3, Java, Rust, C++, or TypeScript.
  • Strong understanding of algorithms and data structures.
  • Experience with bug fixing and debugging complex software issues.
  • Proven experience in feature implementation and codebase refactoring.
  • Strong knowledge of performance optimization and tuning.
  • Excellent written and verbal communication.
  • Strong attention to detail.
Preferred Qualifications
  • Experience working with large-scale or distributed codebases.
  • Familiarity with AI/ML systems is a plus but not required.
  • Experience with rigorous code reviews and software engineering best practices.
  • Experience working effectively in remote or cross-functional teams.
Hiring Process
  1. Submit an application and screening questions.
  2. Complete an AI interview (~30 minutes).
  3. Complete a technical assessment, if required.
  4. Hiring Manager review.
Compensation

Compensation is output-based, with payment provided per task that meets project specifications. Minimum weekly submission requirements may apply.

Availability

Selected experts should be prepared to begin their first tasks within 24–48 hours of completing onboarding.