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Remote Utilization Review Manager Jobs in Sheboygan, WI

Sargento

Associate Brand Manager

Plymouth, WI · On-site +1

$87K - $113K/yr

Remote ½ day Fridays * Onsite Health & Wellness Center * Employer 401K contribution in the top 1% ... For further information, please review the Know Your Rights notice from the Department of Labor.

Sargento Foods

Associate Brand Manager

Plymouth, WI · On-site +1

$87K - $113K/yr

Remote ½ day Fridays * Onsite Health & Wellness Center * Employer 401K contribution in the top 1% ... For further information, please review the Know Your Rights notice from the Department of Labor.

Sargento

Consumer Insights Manager- FSI

Plymouth, WI · On-site +1

Remote ½ day Fridays * Onsite Health & Wellness Center * Employer 401K contribution in the top 1% ... For further information, please review the Know Your Rights notice from the Department of Labor.

Sargento

Consumer Insights Manager- FSI

Plymouth, WI · On-site +1

Remote ½ day Fridays * Onsite Health & Wellness Center * Employer 401K contribution in the top 1% ... For further information, please review the Know Your Rights notice from the Department of Labor.

Sargento

Enterprise Solution Architect

Plymouth, WI · On-site +1

Remote ½ day Fridays * Onsite Health & Wellness Center * Employer 401K contribution in the top 1% ... Identify and proactively manage architectural risks, technical debt, and integration complexity to ...

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All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Sheboygan, WI

Remote Utilization Review Manager information

See Sheboygan, WI salary details

$38.9K

$90.7K

$166.9K

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

As of Sep 7, 2026, the average yearly pay for remote utilization review manager in Sheboygan, WI is $90,700.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,300.00 and $109,100.00 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 Sheboygan, WI?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Sheboygan, WI are:

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Cities near Sheboygan, WI with the most Remote Utilization Review Manager job openings:

Remote Utilization Review Manager jobs near you

Curriculum Manager - Data Science and AI

DataCamp

Belgium, WI • On-site, Remote

Full-time

Medical, Dental, Vision

Re-posted 3 days ago

Job description

About DataCamp

Data and AI skills are critical for thriving today, and DataCamp is the platform that empowers everyone to learn them. We help individuals and Fortune 1000 companies close the data and AI skills gap through world-class learning, hands-on training, and a global community of expert instructors.

In this role, you'll collaborate with instructors and teams across curriculum, engineering, product, and marketing to expand and improve our Data Science and Data Engineering curriculum-helping millions worldwide upskill in data and AI.

About the role

This is an individual contributor role. You will collaborate with subject matter experts and leverage in-house-built cutting-edge AI tooling to scale high-quality course creation. Here's what your day-to-day will look like: 

  • Manage the entire content development lifecycle and deadlines.
  • Source and recruit top-tier subject-matter experts as instructors. 
  • Collaborate with instructors to create engaging content. 
  • Consistently leverage a variety of off-the-shelf and in-house AI systems to drive high-quality content production. 
  • Design, review, and create content on data science and data engineering. You will review content from a learner perspective, ensuring it is technically accurate and pedagogically effective.
  • Continuously assess course performance using learner feedback and engagement data to drive improvements.
  • Identify and prioritize existing curriculum gaps or new topics in data science and data engineering.

Qualifications:

  • A solid technical background in Python and SQL. A technical background in data engineering is a plus. 
  • Strong expertise in instructional design, with proven experience designing, structuring, and teaching technical courses, and creating interactive, hands-on learning experiences.
  • Graduate degree (Master's or PhD) in Computer Science, AI, Data Science, or a related STEM field, or equivalent industry experience with hands-on expertise in data science, machine learning, or software development.
  • Strong experience with agentic AI systems such as Claude Code, Cursor, Replit. You can demonstrate you've increased your output 10x with AI.

Bonus if you have the following

  • A deep understanding of the DataCamp course format-you have an intuitive understanding of what makes a great DataCamp course.
  • An existing network of potential subject matter experts who can become DataCamp instructors.
  • An extensive track record of building sophisticated AI systems and workflows.

Why Datacamp? 

Joining DataCamp means becoming part of a dynamic, creative, and international start-up. Here are just a few of the reasons why you'll love being on our team:

  • Exciting Challenges - Tackle some of the most important educational challenges in Data & AI.
  • Work with the Best Instructors - Partner with top-tier instructors from leading organizations like Microsoft, Hugging Face, AWS, and more.
  • Competitive Compensation - We offer a competitive salary with attractive benefits.
  • Work Flexibility - Benefit from flexible working hours and a remote-friendly culture.
  • Professional Growth - Access to a yearly learning & development budget.
  • Global Culture - Join a team that values international collaboration.
  • Annual Retreats - Participate in international company retreats, fostering a global team spirit.
  • Tools & Setup - Receive an annual IT equipment budget to refresh your workspace.

Our competitive compensation package offers additional benefits. On top of your salary you will also receive extra legal benefits such as best-in-class medical insurance including dental and vision. Depending on your location additional benefits might be available to you.

Apply