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Remote Utilization Review Manager Jobs in Edmond, OK

Chloeta

Management Analyst

Oklahoma City, OK · On-site +1

$35 - $40/hr

... utilization, and program performance. Supervisory Responsibilities : No Job Classification ... Remote / Virtual Travel: Travel up to 50% Compensation: This pay band reflects Chloeta's good faith ...

Solid Rock Recruiting LLC

Tax Manager

Oklahoma City, OK · On-site +1

$125K - $200K/yr

Tax Manager - Public Accounting | Hybrid or Remote Overview: A top-tier public accounting firm is ... Lead client engagements, including planning, budgeting, and supervising tax preparation and review ...

Lochner

Airport Civil Project Manager

Oklahoma City, OK · On-site +1

$79K - $105K/yr

Ensure efficient and productive utilization of staff in providing high-quality service ... remote opportunities where business needs allow • Life insurance and disability coverage ...

Solid Rock Recruiting LLC

Tax Senior

Oklahoma City, OK · On-site +1

$90K - $125K/yr

Prepare and review federal, state, and local tax returns for individuals, corporations ... Hybrid work model with flexibility to manage your schedule * Fully remote options available for ...

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All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Edmond, OK

Remote Utilization Review Manager information

See Edmond, OK salary details

$35.2K

$82.2K

$151.3K

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

As of Aug 19, 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?

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 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:

Remote Utilization Review Manager jobs near you

Management Analyst

Chloeta

Oklahoma City, OK • On-site, Remote

$35 - $40/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago

Job description

Job Summary
The Management Analyst provides analytical, administrative, and program management support to federal agencies by evaluating organizational performance, improving operational effectiveness, and supporting the successful execution of federal programs and projects. The Management Analyst gathers, analyzes, and interprets data to develop recommendations that improve business processes, organizational efficiency, resource utilization, and program performance.
Supervisory Responsibilities: No
Job Classification: Permanent; Full-Time
Duty Station: Remote / Virtual
Travel: Travel up to 50%
Compensation:
This pay band reflects Chloeta's good faith estimate of the range it expects to offer; Chloeta reserves the right to alter this range if business circumstances change.
  • $35-$40 per hour

  • Non-Exempt

Duties/Responsibilities
  • Collect, organize, analyze, and interpret quantitative and qualitative data to support program and project decision-making.

  • Evaluate organizational processes, workflows, and business operations to identify opportunities for increased efficiency and effectiveness.

  • Develop recommendations to improve management practices, operational procedures, and resource utilization.

  • Prepare project schedules, milestone reports, status reports, dashboards, and performance metrics.

  • Support program managers with project planning, coordination, implementation, and monitoring activities.

  • Conduct program evaluations, workload analyses, cost analyses, and operational assessments.

  • Develop and maintain project documentation, standard operating procedures (SOPs), policies, and technical reports.

  • Monitor project progress and identify risks, issues, and corrective action recommendations.

  • Assist with financial tracking, budget monitoring, acquisition documentation, and resource management activities.

  • Prepare executive briefings, presentations, correspondence, and analytical reports for leadership.

  • Coordinate meetings, prepare agendas, document meeting minutes, and track action items.

  • Research federal regulations, policies, and best practices to support program initiatives and decision-making.

  • Utilize automated management information systems and databases to collect, manage, and report program information.

  • Support quality assurance and quality control efforts by reviewing documents for completeness, accuracy, and compliance.

  • Collaborate with multidisciplinary teams, contractors, federal employees, tribal governments, state agencies, and other stakeholders.

  • Maintain accurate project records and ensure compliance with federal records management requirements.

  • This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

Required Skills/Abilities
  • Strong analytical, organizational, and problem-solving skills.

  • Ability to gather, evaluate, and interpret complex information from multiple sources.

  • Excellent written and verbal communication skills.

  • Strong attention to detail and commitment to producing accurate work products.

  • Ability to prioritize multiple assignments while meeting deadlines.

  • Knowledge of project management principles and business analysis techniques.

  • Experience preparing reports, presentations, dashboards, and executive summaries.

  • Ability to work independently while collaborating effectively within multidisciplinary teams.

  • Proficiency with Microsoft Office Suite, including Excel, Word, PowerPoint, Outlook, and Teams.

  • Experience using SharePoint, Microsoft Project, Power BI, or other data management and reporting tools is preferred.

  • Strong customer service and stakeholder engagement skills.

Education and Experience
  • Required: A bachelor's degree in business administration, accounting, finance, economics, or management information technology from an accredited college or university
  • Required: At least 4 years of experience in a business, management, or related field.
  • Preferred: Experience supporting projects for the U.S. Forest Service, National Forest System (NFS), or other federal land management agencies

Physical Requirements
  • Prolonged periods of sitting at a desk and working on a computer

  • This role routinely uses standard office equipment such as computers, phones, etc.

Benefits
Eligible employees receive the following benefits:
  • Health, Dental and Vision Insurance

  • Health Savings Account (HSA)

  • MDLIVE

  • Benefit Hub

  • Paid Annual Leave/PTO

  • Paid Sick Leave

  • Paid Holidays

  • 401(k)

  • Basic Life

  • Voluntary Life Insurance

  • Accident Insurance

  • Short Term Disability

  • Long Term Disability

  • Employee Assistance Program (EAP)

Pre-employment Requirements
Due to the nature of Chloeta's services, this position is contingent upon completing with a satisfactory outcome some or all of the following pre-employment background screenings: government security clearance, federal and state criminal background checks, drug test (urinalysis), Motor Vehicle Record (MVR) review, educational history, employment history, and/or credit check. In accordance with the Fair Credit Reporting Act (FCRA), pre-employment background screenings will require the employee's written authorization and will occur after acceptance of an offer of employment and prior to commencing work. Additionally, employees are required to complete the federal I-9/E-Verify process.
Drug and Alcohol Testing Policy
Employees may be subject to undergoing additional drug screens and/or alcohol testing at any time during the period of employment, including without prior notice.
EEO Statement
Chloeta 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. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
About Chloeta
Chloeta is a Native American owned enterprise providing a diverse range of engineering, scientific, and technical solutions to support military, energy, homeland security, emergency preparedness, and critical infrastructure requirements.

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