About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized, URAC-accredited Independent Review Organization (IRO) specializing in objective, evidence-based medical peer reviews
Quick apply
About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized, URAC-accredited Independent Review Organization (IRO) specializing in objective, evidence-based medical peer reviews
About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized, URAC-accredited Independent Review Organization (IRO) specializing in objective, evidence-based medical peer reviews
Quick apply
About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized, URAC-accredited Independent Review Organization (IRO) specializing in objective, evidence-based medical peer reviews
About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized, URAC-accredited Independent Review Organization (IRO) specializing in objective, evidence-based medical peer reviews
Quick apply
About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized, URAC-accredited Independent Review Organization (IRO) specializing in objective, evidence-based medical peer reviews
WHO WE ARE: GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our
WHO WE ARE: GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our
Telephonic Case Manager I
Oklahoma City, OK · Remote
$63K - $95K/yr
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate,
Quick apply
Telephonic Case Manager I
Oklahoma City, OK · Remote
$63K - $95K/yr
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate,
Telephonic Case Manager I
Oklahoma City, OK · Remote
$63K - $95K/yr
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate,
Telephonic Case Manager I
Oklahoma City, OK · Remote
$63K - $95K/yr
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate,
Tax Resource Management Manager - Remote Eligible
Oklahoma City, OK · On-site +1
$85K - $155K/yr
Location: All locations Work Arrangement: Hybrid or Remote Typical Day in the Life The Tax Resource Management Manager is responsible for aligning tax talent with client and regulatory demands by
Tax Resource Management Manager - Remote Eligible
Oklahoma City, OK · On-site +1
$85K - $155K/yr
Location: All locations Work Arrangement: Hybrid or Remote Typical Day in the Life The Tax Resource Management Manager is responsible for aligning tax talent with client and regulatory demands by
Tax Resource Management Manager - Remote Eligible
Oklahoma City, OK · Remote
$85K - $155K/yr
Location: All locations Work Arrangement: Hybrid or Remote Typical Day in the Life The Tax Resource Management Manager is responsible for aligning tax talent with client and regulatory demands by
Tax Resource Management Manager - Remote Eligible
Oklahoma City, OK · Remote
$85K - $155K/yr
Location: All locations Work Arrangement: Hybrid or Remote Typical Day in the Life The Tax Resource Management Manager is responsible for aligning tax talent with client and regulatory demands by
Tax Resource Management Manager - Remote Eligible
Oklahoma City, OK · Remote
$85K - $155K/yr
Location: All locations Work Arrangement: Hybrid or Remote Typical Day in the Life The Tax Resource Management Manager is responsible for aligning tax talent with client and regulatory demands by
Tax Resource Management Manager - Remote Eligible
Oklahoma City, OK · Remote
$85K - $155K/yr
Location: All locations Work Arrangement: Hybrid or Remote Typical Day in the Life The Tax Resource Management Manager is responsible for aligning tax talent with client and regulatory demands by
About the Role * Lead multiple client engagements across corporate, partnership, and high-net-worth individual tax work * Serve as the primary client relationship manager for key accounts in a fully
Quick apply
About the Role * Lead multiple client engagements across corporate, partnership, and high-net-worth individual tax work * Serve as the primary client relationship manager for key accounts in a fully
About FullStack FullStack is your AI-native engineering partner, built to turn AI capability into certainty. Most companies can demo AI; few can get it to production and prove what it produced. We
About FullStack FullStack is your AI-native engineering partner, built to turn AI capability into certainty. Most companies can demo AI; few can get it to production and prove what it produced. We
Who We Are Signup Expert is a growth agency that helps brands connect with top-tier people on the ground to grow and scale their businesses through grassroots execution. We specialize in sourcing,
Quick apply
Who We Are Signup Expert is a growth agency that helps brands connect with top-tier people on the ground to grow and scale their businesses through grassroots execution. We specialize in sourcing,
Who We Are Signup Expert is a growth agency that helps brands connect with top-tier people on the ground to grow and scale their businesses through grassroots execution. We specialize in sourcing,
Who We Are Signup Expert is a growth agency that helps brands connect with top-tier people on the ground to grow and scale their businesses through grassroots execution. We specialize in sourcing,
Who We Are Signup Expert is a growth agency that helps brands connect with top-tier people on the ground to grow and scale their businesses through grassroots execution. We specialize in sourcing,
Who We Are Signup Expert is a growth agency that helps brands connect with top-tier people on the ground to grow and scale their businesses through grassroots execution. We specialize in sourcing,
Who We Are Signup Expert is a growth agency that helps brands connect with top-tier people on the ground to grow and scale their businesses through grassroots execution. We specialize in sourcing,
Who We Are Signup Expert is a growth agency that helps brands connect with top-tier people on the ground to grow and scale their businesses through grassroots execution. We specialize in sourcing,
Who We Are Signup Expert is a growth agency that helps brands connect with top-tier people on the ground to grow and scale their businesses through grassroots execution. We specialize in sourcing,
Quick apply
Who We Are Signup Expert is a growth agency that helps brands connect with top-tier people on the ground to grow and scale their businesses through grassroots execution. We specialize in sourcing,
Who We Are Signup Expert is a growth agency that helps brands connect with top-tier people on the ground to grow and scale their businesses through grassroots execution. We specialize in sourcing,
Who We Are Signup Expert is a growth agency that helps brands connect with top-tier people on the ground to grow and scale their businesses through grassroots execution. We specialize in sourcing,
This role requires the ability to work lawfully in the U.S. without employment-based immigration sponsorship, now or in the future. At RapidScale, exceptional technology is powered by exceptional
This role requires the ability to work lawfully in the U.S. without employment-based immigration sponsorship, now or in the future. At RapidScale, exceptional technology is powered by exceptional
This role requires the ability to work lawfully in the U.S. without employment-based immigration sponsorship, now or in the future. At RapidScale, exceptional technology is powered by exceptional
This role requires the ability to work lawfully in the U.S. without employment-based immigration sponsorship, now or in the future. At RapidScale, exceptional technology is powered by exceptional
Remote Utilization Review Manager information
See Edmond, OK salary details
$35.2K - $45.8K
9% of jobs
$53.6K is the 25th percentile. Wages below this are outliers.
$45.8K - $56.3K
22% of jobs
$56.3K - $66.9K
11% of jobs
The median wage is $73.4K / yr.
$66.9K - $77.5K
14% of jobs
$77.5K - $88K
12% of jobs
$94.6K is the 75th percentile. Wages above this are outliers.
$88K - $98.6K
13% of jobs
$98.6K - $109.1K
13% of jobs
$109.1K - $119.7K
5% of jobs
$119.7K - $130.2K
2% of jobs
$130.2K - $140.8K
0% of jobs
$140.8K - $151.3K
0% of jobs
$35.2K
$82.2K
$151.3K
How much do remote utilization review manager jobs pay per year?
As of Sep 12, 2026, the average yearly pay for remote utilization review manager in Edmond, OK is $82,229.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,800.00 and $98,900.00 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?
| Aspect | Remote Utilization Review Manager | Remote Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license, certifications like URAC or AAPC, and management experience | Licensed Registered Nurse (RN) with utilization review certification often preferred |
| Work Environment | Oversees review teams, manages processes, and ensures compliance remotely | Performs case reviews, assesses medical necessity, and documents findings remotely |
| Employer & Industry Usage | Health 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 Edmond, OK?
For Remote Utilization Review Manager jobs in Edmond, OK, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Manager jobs in Edmond, OK look for?
The top searched job categories for Remote Utilization Review Manager jobs in Edmond, OK are:
What cities near Edmond, OK are hiring for Remote Utilization Review Manager jobs?
Cities near Edmond, OK with the most Remote Utilization Review Manager job openings:
Orthopedic Spine Reviewer (Remote)
Oklahoma City, OK • Remote
Managed Medical Review Organization
• Public Administration • 51 - 200 employees51 - 200 employees
Contractor
Posted 18 days ago
Job description
About MMRO
Managed Medical Review Organization (MMRO) is a nationally recognized, URAC-accredited Independent Review Organization (IRO) specializing in objective, evidence-based medical peer reviews and disability evaluations. For more than 30 years, MMRO has partnered with government agencies, health plans, employers, and disability systems across the United States to deliver high-quality, clinically sound, and impartial medical reviews.
Our mission is to support fair and accurate healthcare and disability-related decisions by leveraging the expertise of experienced practicing physicians. MMRO is committed to integrity, clinical excellence, quality assurance, and timely service, providing an environment where physician expertise directly impacts important healthcare determinations.
We are currently seeking Board-Certified Orthopedic Surgeons, with a preference for physicians who have completed an Orthopedic Spine Fellowship, to join our nationwide network of independent Physician Reviewers.
Position Overview
As an Independent Physician Reviewer, you will perform objective medical record reviews and provide evidence-based opinions regarding diagnosis, treatment, disability, impairment, and medical necessity questions. Reviews are conducted remotely and do not require direct patient interaction.
This role is ideal for physicians seeking flexible consulting opportunities that allow them to apply their clinical expertise while maintaining control over their schedule and workload.
Responsibilities
Qualifications
Required
Why Partner with MMRO?
Managed Medical Review Organization (MMRO) is a nationally recognized, URAC-accredited Independent Review Organization (IRO) specializing in objective, evidence-based medical peer reviews and disability evaluations. For more than 30 years, MMRO has partnered with government agencies, health plans, employers, and disability systems across the United States to deliver high-quality, clinically sound, and impartial medical reviews.
Our mission is to support fair and accurate healthcare and disability-related decisions by leveraging the expertise of experienced practicing physicians. MMRO is committed to integrity, clinical excellence, quality assurance, and timely service, providing an environment where physician expertise directly impacts important healthcare determinations.
We are currently seeking Board-Certified Orthopedic Surgeons, with a preference for physicians who have completed an Orthopedic Spine Fellowship, to join our nationwide network of independent Physician Reviewers.
As an Independent Physician Reviewer, you will perform objective medical record reviews and provide evidence-based opinions regarding diagnosis, treatment, disability, impairment, and medical necessity questions. Reviews are conducted remotely and do not require direct patient interaction.
This role is ideal for physicians seeking flexible consulting opportunities that allow them to apply their clinical expertise while maintaining control over their schedule and workload.
- Conduct thorough, unbiased medical chart reviews in accordance with accepted clinical standards and evidence-based guidelines.
- Analyze medical records and supporting documentation to formulate clear, well-reasoned clinical opinions.
- Prepare concise, accurate, and defensible written reports that clearly support review determinations.
- Complete reviews in accordance with MMRO's quality standards and established turnaround times.
- Utilize MMRO review templates and ensure all required elements are addressed completely and accurately.
- Maintain professionalism, objectivity, and confidentiality throughout the review process.
- Respond promptly to communications from MMRO clinical and operations staff.
- Participate in required reviewer orientation and ongoing training activities.
- Incorporate quality feedback provided by MMRO's Medical Director, Associate Medical Director, and clinical team.
- Support continuous quality improvement initiatives through constructive suggestions and collaboration.
Required
- Current, unrestricted M.D. or D.O. license to practice medicine in the United States.
- Active Oklahoma state medical license.
- Board Certification through an American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA) recognized specialty board.
- Minimum of five (5) years of full-time equivalent clinical practice providing direct patient care.
- Active clinical experience within the past three (3) years.
- Strong written communication skills and attention to detail.
- Ability to meet established review deadlines consistently.
- Fellowship training in Orthopedic Spine Surgery.
- Prior experience performing peer reviews, independent medical reviews, disability evaluations, utilization review, or expert medical opinions.
- 100% remote independent contractor opportunity
- Flexible scheduling with the ability to accept cases based on your availability
- No patient appointments, call coverage, or administrative practice responsibilities
- Competitive per-case compensation
- Opportunities to review cases aligned with your specialty expertise
- Dedicated clinical and operational support team
- Work with a respected, URAC-accredited organization committed to quality and clinical integrity
- Make a meaningful impact on healthcare and disability-related decision-making nationwide
Powered by JazzHR
iCBcS317sc
About Managed Medical Review Organization
Sourced by ZipRecruiter
Industry
Public administration
Company size
51 - 200 Employees
Headquarters location
Novi, MI, US
Year founded
2007