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Remote Utilization Review Manager Jobs in Calgary, AB

Regional Sales Manager

Calgary, AB ยท Remote

$135K - $140K/yr

Some management of remote Reps is required to be considered. Key Responsibilities * Lead sales ... Review data to identify trends and customer opportunities * Attend industry and promotional events ...

Showing results 41-60

Remote Utilization Review Manager information

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 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 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:

Senior Business Solutions Team Lead (Remote Canada)

Directive

Calgary, AB โ€ข Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New


Job description

Directive Consulting is the leading B2B performance marketing agency that delivers real revenue—not just leads.

We use Customer Generation (a marketing methodology developed by us) to cut through the noise. Forget MQLs—we’re here to drive pipeline, fuel SQLs, and scale brands that are serious about growth. From Paid Media and SEO to CRO, RevOps, and Go-To-Market Strategy, we build marketing engines that win in SaaS and across B2B industries.

We move fast. We think boldly. We are elite. We hire people who challenge the status quo and push campaigns past what’s expected - sparking demand for bold, innovative brands. If you live for performance, love solving hard problems, and want your work to actually mean something, you’ll fit right in.

But here’s the fun part—we don’t just deliver results; we’re shaping the future of marketing. Ready to build something that breaks the mold?
*Internally this role is titled Associate Director, Revenue Operations*
About The Role:

We’re looking for an Associate Director, Revenue Operations to help lead and scale Directive’s Revenue Operations practice. This is a senior, client-facing player-coach role for someone who combines strong people leadership with deep technical expertise across Salesforce, marketing automation, and HubSpot.

You’ll partner closely with the Director of Revenue Operations to lead a team of RevOps Strategists, oversee complex client engagements, and ensure we consistently deliver high-quality strategic and technical work. You’ll also remain hands-on, stepping into client environments to guide architecture, troubleshoot complex issues, conduct audits, and support implementations when deeper expertise is required.

The right person is equally comfortable leading a team, presenting recommendations to senior client stakeholders, and getting into the details of a Salesforce or marketing automation environment.

What You’ll Do:

  • Manage and mentor a team of Revenue Operations Solution Engineers, including workload management, prioritization, coaching, and performance support.

  • Serve as an escalation point for complex client and technical challenges.

  • Own or oversee strategic client relationships, ensuring strong communication, delivery quality, and client satisfaction.

  • Lead and support Salesforce, HubSpot, and marketing automation audits, implementations, integrations, and optimization projects.

  • Provide hands-on expertise across Salesforce Sales Cloud, Salesforce Account Engagement/Pardot, and HubSpot Marketing Hub.

  • Design and advise on lifecycle architecture, lead management, routing, automation, CRM/MAP integrations, attribution, reporting, and data governance.

  • Translate complex technical findings into clear recommendations for executive and non-technical stakeholders.

  • Review strategist work for technical accuracy and strategic quality before client delivery.

  • Partner with Account Directors and internal leadership to identify expansion and cross-sell opportunities.

  • Support scoping, solution design, and new business conversations for RevOps opportunities.

  • Help develop repeatable processes, documentation, playbooks, and technical standards as the Revenue Operations practice scales.

  • Maintain visibility into project health, capacity, utilization, and delivery risks across the team.

What You’ll Bring:

Must Haves

  • 5+ years of experience in Revenue Operations, Marketing Operations, CRM consulting, marketing automation, or a related discipline.

  • 1–2+ years of direct people management or formal team leadership experience.

  • Active Salesforce Administrator Certification.

  • Strong hands-on Salesforce Sales Cloud administration and implementation experience.

  • Deep experience with Salesforce Account Engagement/Pardot:

    • Pardot/Account Engagement certification strongly preferred; or

    • At least 2–3 years of hands-on Pardot implementation and administration experience.

  • Strong hands-on experience with HubSpot Marketing Hub, including automation, lifecycle management, data architecture, integrations, and reporting.

  • Experience leading complex CRM and marketing automation implementations, audits, migrations, or optimization initiatives.

  • Strong understanding of lead lifecycle management, lead routing, attribution, CRM/MAP integrations, automation, and data governance.

  • Demonstrated ability to lead senior-level client conversations and translate technical issues into business recommendations.

  • Strong written and verbal communication with the ability to confidently manage client expectations and difficult conversations.

  • Ability to balance leadership responsibilities with hands-on technical execution.

Preferred

  • Previous agency experience strongly preferred; consulting or professional services experience is also highly relevant.

  • Salesforce Account Engagement/Pardot certification.

  • Additional Salesforce certifications.

  • HubSpot certifications.

  • Experience working across both Salesforce and HubSpot environments for B2B organizations.

  • Experience scoping projects, supporting sales conversations, and identifying account expansion opportunities.

  • Experience working across multiple concurrent client engagements.

What We Offer:

  • Compensation for this role includes a competitive base salary

  • 🙏 Medical, dental, vision plans, disability, and life insurance coverage for you and your family that fit your lifestyle

    • Including a 100% employer-paid plan for you and a 50% employer contribution for your dependents (US, CAD, MX)

  • Benefits to Support the Whole Person:

    • 🧠 Mental - Access to certified therapists through Spring Health, membership to Headspace

    • 💪 Physical - Physical therapy through Omada, thousands of Aaptiv virtual workouts, complimentary One Medical membership for primary and virtual care

    • 🛫 Time Off - Unlimited PTO (2-week minimum), Paid Company Holidays, Your Birthday Off, End of Year Recharge (Closed December 24 - January 1), Paid Parental Leave

    • 💰 Financial - Traditional and Roth 401(k) with a 3% company match

    • 🌟 Bonus - Annual bonus based on tenure, which scales in total amount over time

    • 🌴 Annual Company-wide Retreat

Work Environment Requirements

As a remote-first company, you’ll have the ability to work from your home office. For some positions, as posted, we will accommodate global opportunities where we have established businesses, including Canada, Mexico, and the UK. For global locations, you must have established and current work authorization and permanently reside in that country.

This role has the opportunity to operate 100% virtually from your home office. We primarily collaborate with our colleagues through virtual meetings (Zoom), and Slack. In this role, you will be required to operate a laptop computer (PC or Mac available), computer software platforms, and other office productivity tools as necessary. Due to the nature of this role, you must be able to remain stationary for extended periods, must be able to observe and interpret written and/or verbal communication, must have reliable internet access, and a professional background.

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions.

If you require reasonable accommodations in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, direct your inquiries to recruiting@directiveconsulting.com.

Additional Information

At Directive, one of our core values is People First. We’re committed to fostering a more diverse and inclusive culture in the digital landscape. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

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