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Remote Utilization Review Manager Jobs in Eagan, MN

ResMed

Review Specialist, OASIS & 485

Bloomington, MN · Remote

$62K - $80K/yr

OASIS Review Coding Specialist This is a remote position that provides flexibility and control over ... This role reports to the Supervisor of Coding and Review Operations or Manager of Coding and Review ...

MatrixCare

Review Specialist, OASIS & 485

Bloomington, MN · Remote

$62K - $80K/yr

OASIS Review Coding Specialist This is a remote position that provides flexibility and control over ... This role reports to the Supervisor of Coding and Review Operations or Manager of Coding and Review ...

Resmed

Review Specialist, OASIS & 485

Bloomington, MN · Remote

$62K - $80K/yr

OASIS Review Coding Specialist This is a remote position that provides flexibility and control over ... This role reports to the Supervisor of Coding and Review Operations or Manager of Coding and Review ...

Gradient Financial Group

Tax Manager

Arden Hills, MN · On-site +1

$85K - $100K/yr

Review and oversee business returns, including Forms 1065 and 1120-S. * Lead tax planning ... There is no timesheet culture or utilization target, work is distributed throughout the year, and ...

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All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Eagan, MN

Remote Utilization Review Manager information

See Eagan, MN salary details

$39.8K

$92.8K

$170.8K

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

As of Sep 2, 2026, the average yearly pay for remote utilization review manager in Eagan, MN is $92,808.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,700.00 and $111,700.00 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 popular job titles related to Remote Utilization Review Manager jobs in Eagan, MN?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Eagan, MN are:

What cities near Eagan, MN are hiring for Remote Utilization Review Manager jobs?

Cities near Eagan, MN with the most Remote Utilization Review Manager job openings:

Remote Utilization Review Manager jobs near you

Sr. ERP Implementation Project Manager, Infor M3

Columbus Global

Minneapolis, MN • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Job description

We are seeking an experienced Senior ERP Project Manager with expertise in Infor M3 implementations to join our team. The ideal candidate will have a commercial mindset, excellent communication skills, and a proven ability to balance clients' best interests with the company's strategic objectives. Candidates must have a record of senior leadership in the consulting industry.
The Senior ERP Project Manager at Columbus M3 provides a high degree of leadership to the project team, serving to facilitate the activities that meet the project objectives both on time and on budget. In this opportunity you will be responsible for full PM lifecycle, building of project ERP plans, management of scope, scheduled, resources and budget. You will also oversee client relationship management, risk management, and reporting.
Note: This is a remote opportunity and can be based from any location in the United States. #LI-Remote
Position Responsibilities:
  • Lead end-to-end implementation of Infor M3 projects or others as needed, ensuring delivery within scope, timeline, and budget.
  • Develop and manage comprehensive project plans, including milestones, resource allocation, and risk mitigation strategies.
  • Monitor project progress, ensuring effective communication and alignment among cross-functional teams, stakeholders, and clients.
  • Manage enterprise-level budgets, proactively monitoring budget to actuals and reporting thereof.
  • Communicate project status to both the project team and c-suite executives to ensure a positive client experience.
  • Proactively identify and resolve customer issues, balancing client satisfaction with Columbus' best interests; managing escalations with diplomacy and professionalism, ensuring swift and effective resolution while maintaining strong client relationships.
  • Collaborate with sales and pre-sales teams to draft detailed and accurate SOWs, facilitate the estimation of project budgets, timelines, and resource needs with precision to ensure realistic client expectations and profitable outcomes.
  • Forecast and allocate project resources, ensuring optimal utilization while minimizing resource conflicts.
  • Monitor team performance and provide mentorship and guidance to ensure adherence to project deliverables and quality standards.
  • Ensure the project team follows Columbus Methodology and is producing deliverables to standards and on schedule; maintain project plan.
  • Review and understand the contractual terms and scope of assigned projects
  • Review key deliverables to assure scope and budget remain aligned
  • Ensure project setup, time, invoice if required, and expense entry are recorded properly; perform time and expense reviews.

Skill Requirements & Experience:
  • 7+ years of ERP project management experience in ERP environment.
  • 7+ years managing ERP enterprise implementations is required, experience with Infor M3 is strongly preferred.
  • 7+ years of consulting experience (with leadership experience being a plus).
  • Strong commercial acumen with experience managing budgets, contracts, and profitability.
  • Excellent problem-solving and conflict resolution skills, with the ability to manage client escalations effectively.
  • Experience must encompass the management of budget, risks, resources, scope, issues, changes, and quality.
  • Previous experience in writing statements of work, project estimation, and resource forecasting.
  • Ability to oversee multiple projects simultaneously in a fast-paced environment.
  • Exceptional interpersonal, problem solving, and communication skills.
  • Ability to handle client and employee escalations with empathy, diplomacy, and fairness.
  • Bachelor's degree in business, IT, or a related field. PMP certification is preferred.
  • Coaching and/or mentoring experience with excellent presentation skills.
  • Experience working with global project team and able to adapt to schedule to alternate time zones when needed.
  • Ability to travel up to 30%

Preferred Requirements:
  • PMP Certification
  • Knowledge of other tier one ERP solutions

Full Time Benefits:
  • Columbus offers a competitive benefits package to all full-time employees. This package includes Health, Life, Dental and Vision Insurance, Short- and Long-Term Disability, in addition to, paid vacation, sick leave, holidays, and 401(k).

Business areas Columbus M3 Locations -United States Remote status Fully Remote Apply for this job
Our Values
  • We Collaborate
    For example, write something about the compensation that you offer, is it competitive?
  • We Stay Curious
    What kind of social activities do you do together? Write about everything from lunches together to annual trips.
  • We Build Trust
    Do you for example offer your employees some kind of health care?
  • We deliver customer success

Our Values
During 2021 we decided to evaluate our old values and create new ones that supported our organization and to become One Columbus even more. We started the project from bottom to top - we asked all our employees what they feel that Columbus stands for.
Our values guide us through our daily work, both subconsciously and consciously.
We collaborate - we stay curious - we build trust and we deliver customer success.

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