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Remote Utilization Review Manager Jobs in Oneida, NY

Remote (U.S.) About World Fuel At World Fuel, we help commercial and industrial customers navigate ... Experience reviewing contracts, pricing models, or supplier proposals. * Familiarity with CRM, ...

Conduct iterative review cycles for training materials by organizing review sessions, collecting ... Use content management tools and processes to organize, store, and maintain training materials and ...

Showing results 21-40

Remote Utilization Review Manager information

See Oneida, NY salary details

$39.5K

$92.1K

$169.5K

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

As of Aug 20, 2026, the average yearly pay for remote utilization review manager in Oneida, NY is $92,116.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,200.00 and $110,800.00 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 Oneida, NY?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Oneida, NY are:

What cities near Oneida, NY are hiring for Remote Utilization Review Manager jobs?

Cities near Oneida, NY with the most Remote Utilization Review Manager job openings:

Quality Program Manager

Lockheed Martin - US

Liverpool, NY โ€ข On-site, Remote

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 21 days ago


Job description

hackajob is collaborating with Lockheed Martin - US to connect them with exceptional professionals for this role.

WHAT WE'RE DOING

Lockheed Martin has a Quality Program Manager (QPM) role available within the Radar, Electronic Warfare & Acoustic Systems (REAS) Market Segment based in Syracuse, NY. The right candidate will be responsible to ensure Customer requirements are satisfied for all delivered products, documentation and services for assigned program(s).

THE WORK

  • The role of the QPM is to develop and implement the programโ€™s Quality plan and lead the Quality team ensuring compliance to industry standards, contractual requirements and customer expectations.
  • The QPM serves as the Quality Point of Contact (PoC) for the Program & leads the Quality Program Team โ€“ all aspects including Hardware Quality Engineering, Supplier Quality, and Production Operations Quality โ€“ through all areas of the program / product lifecycle.
  • QPM ensures communication and flow down of requirements to internal teams and external supply base.
  • QPM may supplement Quality team surveillance as required.
  • The QPM is also responsible to develop and manage the Quality budget for the program.
  • QPM analyzes quality performance data (manufacturing data, engineering design metrics), identifies recurring issues, drives root cause analysis and corrective actions, and raises quality performance issues to senior leadership, as needed.
  • Ensures Product Quality Assurance, Inspection and Auditor resources are in place to support surveillance activity and upcoming deliverables
  • Flows Program and Quality related information to Quality Program Team (QPT)
  • Provides/Presents Quality activity progress update and accomplishments in support of Programโ€™s business rhythm.
  • Reviews Quality data for trends (favorable or unfavorable) identifying need for action and delegating/performing root cause analyses as required
  • Ensures documentation of program non-compliances and assignment of ownership to appropriate functions/individuals
  • Drives non-compliance resolution with QPT members and other functions & ensures closure of all actions
  • Communicates with DCMA and end-contract customers regarding upcoming joint customer events
  • Collaborates with Engineering & Technology, Production Operations regarding process questions or changes.

WHO WE ARE

Our customers are world-wide and so is our reputation for creating original solutions with the latest technologies. Our products keep our customers safe and bring them home to their families at night.

We provide the resources, inspiration, and focus - if you have the resourcefulness and perseverance to work hard, then we want to create a better tomorrow with you.

WHO YOU ARE

You thrive in a collaborative, multidisciplinary engineering environment and are committed to delivering best-in-class products and solutions.

WHY JOIN US

Your Health, Your Wealth, Your Life

Our flexible schedules, competitive pay and comprehensive benefits enable you to live a healthy, fulfilling life at and outside of work.

Learn more about Lockheed Martin's Comprehensive benefits package here!

Basic Qualifications

  • Bachelorโ€™s degree from an accredited college or equivalent experience/combined education.
  • Leadership skills and/or experience leading a team
  • Root Cause and Corrective Action experience
  • Ability to obtain a security clearance

Desired Skills

  • 5+ years Quality/Engineering/Production/Process Engineering experience;
  • Experience in multiple Quality disciplines
  • Familiarity with AS9100, ISO 9001 Quality Management System
  • Strong Customer Relationship Management ability.
  • Excellent verbal and written communication skills.
  • Previous Program or Product Quality Experience or Program Management Experience
  • Project Management, Leadership and Delegation Abilities.
  • Familiarity with contract requirements and government flow downs
  • Auditing experience
  • Risk Identification and Mitigation
  • Cost Account Manager (CAM)

Security Clearance Statement: This position requires a government security clearance, you must be a US Citizen for consideration.

Clearance Level: Secret

Other Important Information You Should Know

Expression of Interest: By applying to this job, you are expressing interest in this position and could be considered for other career opportunities where similar skills and requirements have been identified as a match. Should this match be identified you may be contacted for this and future openings.

Ability to Work Remotely: Part-time Remote Telework: The employee selected for this position will work part of their work schedule remotely and part of their work schedule at a designated Lockheed Martin facility. The specific weekly schedule will be discussed during the hiring process.

Work Schedules: Lockheed Martin supports a variety of alternate work schedules that provide additional flexibility to our employees. Schedules range from standard 40 hours over a five day work week while others may be condensed. These condensed schedules provide employees with additional time away from the office and are in addition to our Paid Time off benefits.

Schedule for this Position: 4x10 hour day, 3 days off per week

Pay Rate: The annual base salary range for this position in California, Massachusetts, and New York (excluding most major metropolitan areas), Colorado, Hawaii, Illinois, Maryland, Minnesota, New Jersey, Vermont, Washington or Washington DC is $104,500 - $184,115. For states not referenced above, the salary range for this position will reflect the candidateโ€™s final work location. Please note that the salary information is a general guideline only. Lockheed Martin considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/ training, key skills as well as market and business considerations when extending an offer.

Benefits offered: Medical, Dental, Vision, Life Insurance, Short-Term Disability, Long-Term Disability, 401(k) match, Flexible Spending Accounts, EAP, Education Assistance, Parental Leave, Paid time off, and Holidays.

(Washington state applicants only) Non-represented full-time employees: accrue at least 10 hours per month of Paid Time Off (PTO) to be used for incidental absences and other reasons; receive at least 90 hours for holidays. Represented full time employees accrue 6.67 hours of Vacation per month; accrue up to 52 hours of sick leave annually; receive at least 96 hours for holidays. PTO, Vacation, sick leave, and holiday hours are prorated based on start date during the calendar year.

This position is incentive plan eligible.

Pay Rate: The annual base salary range for this position in most major metropolitan areas in California, Massachusetts, and New York is $120,100 - $208,150. For states not referenced above, the salary range for this position will reflect the candidateโ€™s final work location. Please note that the salary information is a general guideline only. Lockheed Martin considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/ training, key skills as well as market and business considerations when extending an offer.

Benefits offered: Medical, Dental, Vision, Life Insurance, Short-Term Disability, Long-Term Disability, 401(k) match, Flexible Spending Accounts, EAP, Education Assistance, Parental Leave, Paid time off, and Holidays.

This position is incentive plan eligible.

Lockheed Martin is an equal opportunity employer. Qualified candidates will be considered without regard to legally protected characteristics.

The application window will close in 90 days; applicants are encouraged to apply within 5 - 30 days of the requisition posting date in order to receive optimal consideration.

At Lockheed Martin, we use our passion for purposeful innovation to help keep people safe and solve the world's most complex challenges. Our people are some of the greatest minds in the industry and truly make Lockheed Martin a great place to work.

With our employees as our priority, we provide diverse career opportunities designed to propel, develop, and boost agility. Our flexible schedules, competitive pay, and comprehensive benefits enable our employees to live a healthy, fulfilling life at and outside of work. We place an emphasis on empowering our employees by fostering an inclusive environment built upon integrity and corporate responsibility.

If this sounds like a culture you connect with, youโ€™re invited to apply for this role. Or, if you are unsure whether your experience aligns with the requirements of this position, we encourage you to search on Lockheed Martin Jobs, and apply for roles that align with your qualifications.

Experience Level: Experienced Professional

Business Unit: RMS

Relocation Available: Possible

Career Area: QA/Test and Inspection

Type: Full-Time

Shift: First