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Remote Utilization Review Manager Jobs in Lompoc, CA

micro1 AI

Pharmacovigilance Expert

Santa Maria, CA · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

IQVIA

Flex Nurse Educator

Santa Maria, CA · Remote

Deliver remote patient education, including medication administration training and adherence ... Collaborate with District Managers and Field Leadership, participate in training sessions and ...

micro1 AI

Medical Billing Specialist

Santa Maria, CA · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

micro1 AI

Technology Transactions Counsel

Santa Maria, CA · On-site +1

$350K - $410K/hr

Remote (opportunity to work from our SF office) The Role We are looking for a high-potential ... contract review, intake, automation, and knowledge management. * Help shape scalable legal ...

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All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Lompoc, CA

Remote Utilization Review Manager information

See Lompoc, CA salary details

$40.5K

$94.4K

$173.8K

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

As of Sep 5, 2026, the average yearly pay for remote utilization review manager in Lompoc, CA is $94,413.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,700.00 and $113,600.00 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 popular job titles related to Remote Utilization Review Manager jobs in Lompoc, CA?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Lompoc, CA are:

What cities near Lompoc, CA are hiring for Remote Utilization Review Manager jobs?

Cities near Lompoc, CA with the most Remote Utilization Review Manager job openings:

Remote Utilization Review Manager jobs near you

Pharmacovigilance Expert

micro1 AI

Santa Maria, CA • Remote

$70 - $80/hr

Part-time

Re-posted 2 days ago

Job description

Role Title: Pharmacovigilance Expert


Role Type: Contractor


Location: Remote


micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety expertise on a key customer project. In this role, you'll apply your expertise to help train next-generation AI systems. Your work will shape how models learn, reason, and perform through high-quality, real-world input. No prior experience in AI is required — your domain knowledge is what matters. This opportunity is ideal for professionals experienced in authoring and reviewing complex safety reports, passionate about data quality, and committed to clear written and verbal communication.


Scope of Work

  1. Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and case-level records.
  2. Apply expert judgment to assess the accuracy and adequacy of interval safety findings, signal evaluations, and benefit-risk conclusions in alignment with best practices.
  3. Assess template and structural conformity to ICH E2F and ICH E2C requirements, including proper section content, presentation of cumulative versus interval data, and completeness of appendices.
  4. Reconcile figures and case counts across report sections and data sources, identifying and documenting discrepancies significant for regulatory review.
  5. Evaluate safety conclusions in light of new data or events, and provide clear, structured written rationales supporting your determinations.
  6. Deliver structured feedback to inform the development of AI-driven tools for pharmacovigilance documentation and analysis.


Preferred Qualifications

  1. 5+ years of pharmacovigilance or drug safety experience at a sponsor, CRO, or as an independent consultant.
  2. Demonstrated proficiency in authoring or reviewing DSURs and/or PSURs/PBRERs from start to finish.
  3. Working fluency with ICH E2F, ICH E2C(R2), and GVP guidelines, including signal management and benefit-risk assessment methodology.
  4. Hands-on experience with MedDRA coding, seriousness and causality assessment, expectedness determination, and aggregate safety data analysis.
  5. Expertise in reconciling aggregate safety data and identifying inconsistencies with case-level information.
  6. Advanced degree in life sciences, pharmacy, nursing, or medicine (PharmD, MD, MSc, or equivalent).
  7. Experience in both development-stage and post-marketing safety reporting, QPPV or deputy QPPV roles, safety committee participation, or AI-assisted safety review tools is a plus.

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