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Remote Utilization Review Manager Jobs in Middletown, CT

Conduct quarterly business reviews with key accounts to assess performance and identify growth ... Remote monitoring workflow development, Utilization ramp and adoption metrics * Strong executive ...

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Remote Utilization Review Manager information

See Middletown, CT salary details

$39.5K

$92.2K

$169.6K

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

As of Aug 22, 2026, the average yearly pay for remote utilization review manager in Middletown, CT is $92,152.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,200.00 and $110,900.00 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 Middletown, CT?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Middletown, CT are:

What cities near Middletown, CT are hiring for Remote Utilization Review Manager jobs?

Cities near Middletown, CT with the most Remote Utilization Review Manager job openings:

Territory Manager

Gateway Recruiting

New Haven, CT โ€ข Remote

Full-time

Posted 11 days ago


Job description

JOB SUMMARY:

The Territory Manager (TM) is responsible for driving therapy adoption, opening new accounts, and growing revenue. This is a hunter-oriented commercial role focused on expanding access, building high-impact customer relationships, and integrating the therapy into clinical workflows across implanting centers and community hospitals.

JOB RESPONSIBILITIES:

Sales & Customer Engagement:

  • Build and maintain strong relationships with physicians, clinics, administrators, and key stakeholders.
  • Deliver clinical, technical, and strategic presentations to drive therapy understanding and adoption.
  • Lead pricing discussions, contract negotiations, and value-based conversations.
  • Plan and execute educational events focused on hemodynamics, GDMT, published data, biomarkers, patient selection, and local case studies.
  • Provide day-of-procedure support and post-operative troubleshooting as needed.
  • Meet or exceed sales targets and execute quarterly business plans.
  • Collaborate closely with Marketing, Professional Education, and Commercial Excellence teams.
  • Track territory performance, customer engagement, and pipeline activity.

Account Management & Program Development:

  • Conduct quarterly business reviews with key accounts to assess performance and identify growth opportunities.
  • Partner effectively with Clinical Account Representative to support priority accounts with a unified strategy.
  • Develop long-term relationships with both new and existing customers.
  • Submit timely and accurate sales reports, forecasts, and competitive insights.

Market Development & Competitive Strategy:

  • Identify, qualify, and convert new business opportunities across implanting and community sites.
  • Use market insights to understand customer needs, emerging trends, and competitive dynamics.
  • Build and execute territory strategies to increase market share and drive sustainable adoption.
  • Maintain strong knowledge of company products, competitive products, and alternative therapies.

Technical & Procedural Support:

  • Provide on-call technical, clinical, and engineering support for field questions and procedural needs.
  • Offer procedural case coverage across the region, ensuring high-quality support for implanting teams.
  • Support clinics with training, education, clinical data collection, and new product introductions.

Compliance & Cross-Functional Collaboration:

  • Adhere to FDA regulations, company policies, quality standards, and operating procedures.
  • Maintain accurate documentation of sales activities, customer interactions, and expenses.
  • Work collaboratively with internal partners, customers, contractors, and vendors.
  • Interact with patients, when necessary, in a professional, compliant manner.

QUALIFICATIONS:

Required:

  • Bachelor's degree in business, Marketing, Life Sciences, Engineering, or related field.
  • 3–5 years of direct healthcare sales experience; 2+ years in cardiology structural heart/heart failure preferred.
  • Track record of ≥100% to quota for 2 consecutive years
  • Demonstrated success opening 3–5+ net-new accounts/year or expanding underdeveloped accounts to sustained utilization.
  • Strong understanding of payor and insurance reimbursement landscape.
  • Recent launch experience (Preferred) (last 3–5 years) leading 2–3 program or therapy launches/year with proof of sustainability (e.g., active clinic users, adherence to workflows, utilization trends), including: Pre-launch planning, Stakeholder alignment and executive sponsorship, Training, education, and clinical workflow integration, Post launch support and long-term sustainability plans.
  • Experience driving program implementation and ongoing program maturity, such as: clinic onboarding, Remote monitoring workflow development, Utilization ramp and adoption metrics
  • Strong executive presence, clinical/technical presentations to audiences of 1–50 stakeholders.
  • Proven ability to influence cross-functional buying groups (value analysis committees, supply chain, service line leadership) Influencing multiple key stakeholders to drive growth.
  • Strong understanding of market dynamics
  • Strong commercial acumen with ability to produce data-driven territory strategies, forecasting models, and QBRs using CRM platforms (Salesforce preferred), analytics, and Excel.
  • Willingness to travel 60-70% within territory, including some overnight and early/late case support.

Preferred:

  • Cath Lab experience preferred
  • 2+ years in cardiology structural heart/heart failure preferred.
  • Experience at top MedTech organizations.
  • Experience operating in a competitive market with multiple industry players.
  • Familiarity with Cath lab/OR workflows.