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Remote Utilization Review Manager Jobs in Houston, TX

Comfortable with hybrid-office/remote * Bachelor's or JD Degree or relevant equivalent experience * Experience Managing Document Review Projects * Minimum 2 years of eDiscovery project management ...

Remote or Hybrid in Houston, TX What Success Looks Like * Deliver consistent operational ... Lead data-driven monthly and quarterly client performance reviews, with clear actions, owners, and ...

New

Product Management Expert Role Type: Contractor Location: Remote, US-Based Job Overview We are ... Review AI-generated product outputs for structure, prioritization logic, technical depth, strategic ...

A Performance Manager (aka Success Manager) will retain revenue, drive customer engagement and ... Host utilization sessions (remote/onsite) to improve the use of the solution, employee satisfaction ...

Showing results 21-40

Remote Utilization Review Manager information

See Houston, TX salary details

$37.2K

$86.9K

$160K

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

As of Sep 4, 2026, the average yearly pay for remote utilization review manager in Houston, TX is $86,913.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,800.00 and $104,600.00 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 the most commonly searched types of Remote Utilization Review jobs in Houston, TX?

The most popular types of Remote Utilization Review jobs in Houston, TX are:

What are popular job titles related to Remote Utilization Review Manager jobs in Houston, TX?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Houston, TX are:

What cities near Houston, TX are hiring for Remote Utilization Review Manager jobs?

Cities near Houston, TX with the most Remote Utilization Review Manager job openings:

Managed Review Project Manager

TransPerfect

Houston, TX • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement

Re-posted 22 days ago


TransPerfect rating

7.0

Company rating: 7.0 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

271st of 500 rated business services


Job description

TransPerfect Is More Than Just a Job...
Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual identity, and each also has its own unique rewards.

Managed Review Project Manager

Who We Are:

TransPerfect is the world's largest provider of language services and technology solutions for global business. From offices in over 100 cities on six continents, TransPerfect offers a full range of services in 170+ languages to clients worldwide. More than 5,000 global organizations employ TransPerfect's GlobalLink technology to simplify management of multilingual content. TransPerfect has global headquarters in New York, with regional headquarters in London and Hong Kong.

What You Will Be Doing:

The Project Manager will be responsible for the execution of legal document review projects and be ultimately responsible for the quality and timeliness of all projects. Builds and grows relationships with clients, learning each client's specifications and advising on best practices when appropriate. Identifies potential project problem areas and solves those problems before and as they arrive. Responsible for training and developing team and maintaining profitability of team. Contributes to improving internal processes and external offerings.

  • Responsible for the execution of legal document review projects for VIP clients and complex cases
  • Oversee full life cycle of projects according to client parameters
  • Track delivery schedules, ensuring proper quality assurance, and manage changes in work scope
  • Communicate with clients and proactively offer solutions to improve their workflow through the life cycle of a case
  • Be available to answer client questions about Relativity and perform various administrative functions of the application(s) to meet clients' needs
  • Monitor multiple projects and jobs to ensure deadlines are met
  • Work closely with production staff to ensure proper allocation of resources based on deadlines and priorities set by the client
  • Serve as a liaison between the production staff, and the client during the life cycle of a project
  • Develop and utilize strong analytical skills to research potential solutions and determine appropriate course of action
  • Ensure jobs are completed according to client, and industry standards, and that job specifications and deadlines are met
  • Attend client meetings with sales teams to assist in closing deals and maintain client relationships
  • Train and develop project managers and project coordinators on team
  • Balance workload of team to maximize profitability while maintaining quality
  • Contribute to developing training material and to improving internal processes and external offerings
  • Perform other special projects or duties when required

Who We Are Looking For:

Your experience includes:

  • Willingness to think outside the box to come up with creative solutions to solve problems while driving client success
  • Comfortable with hybrid-office/remote
  • Bachelor's or JD Degree or relevant equivalent experience
  • Experience Managing Document Review Projects
  • Minimum 2 years of eDiscovery project management experience preferred
  • Experience with Relativity is highly preferred; RCA or RCU is a plus
  • Working knowledge of operations, including document imaging, printing, coding, and electronic data processing
  • Knowledge of MS Office applications including MS Access required
  • Available to work overtime, including evenings and weekends as needed
  • Available by phone or email when out of the office as needed
  • Ability to work well under pressure and meet tight deadlines
  • Must be a high-level problem solver and have high multi-tasking skills
  • Business-oriented with a record of leadership

Desired Skills and Experience

  • Actively licensed to practice law

Where Your Career is Going:

At TransPerfect, there are a lot of growth opportunities. All departments offer career growth and development that can combine your skills, interest and experience. We encourage our employees to have a continuous dialogue with management about growth opportunities throughout your tenure with the company.

End your job search and find your career at TransPerfect #careersNOTjobs.

Why TransPerfect:

For more than 25 years, we have honed a culture where all kinds of ideas are shared and new ventures are not only welcomed, but also encouraged. In this fast-paced environment, employees are intellectually stimulated so they can grow alongside the organization. From Intern to President, we believe that every single employee should have a voice and contribute to the amazing services we offer our clients.

We also offer a comprehensive benefits package including medical, dental, and vision insurance, 401k matching, membership to child-care providers, and other TransPerks. You even get your birthday off because let's face it, we're stoked that you were born.

TransPerfect provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law

For more information on the TransPerfect Family of Companies, please visit our website at www.transperfect.com.


What TransPerfect employees say

Pay

Benefits

Hours and flexibility

Workplace

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About TransPerfect

Sourced by ZipRecruiter

TransPerfect was founded in 1992 with a simple mission to provide the highest quality language services to leading organizations worldwide. Started as a two-person company operating out of a dorm room, TransPerfect has spent nearly three decades solving global business challenges for our clients, and has turned into one of the most successful growth stories in the business world.

Industry

Translation services

Company size

5,001 - 10,000 Employees

Headquarters location

New York, NY, US

Year founded

1992

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