2

Remote Utilization Review Manager Jobs in Sheboygan, WI

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 ...

Showing results 41-60

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:

What cities near Sheboygan, WI are hiring for Remote Utilization Review Manager jobs?

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

Enterprise Solution Architect

Sargento

Plymouth, WI • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement

Re-posted 9 days ago


Key responsibilities

  • Lead end-to-end solution architecture for complex, cross-functional initiatives and enterprise programs.

  • Design scalable, sustainable solutions that align with enterprise architecture principles, standards, and strategic goals.

  • Serve as a trusted advisor to business and IT stakeholders, translating business needs into technology solutions and supporting architecture governance.


Sargento rating

9.2

Company rating: 9.2 out of 10

Based on 23 frontline employees who took The Breakroom Quiz

5th of 445 rated food and drinks producers


Job description

The Enterprise Solution Architect plays a pivotal role in shaping the technology solutions that power the business. You'll lead endtoend solution architecture across a diverse portfolio of applications and systems, ensuring technology investments align with enterprise standards, business strategy, and longterm growth objectives.As a trusted advisor to business and IT leaders, you'll evaluate options, navigate complex tradeoffs, and design scalable, sustainable solutions that deliver measurable value. This highimpact role is ideal for a strategic thinker who enjoys solving complex challenges, influencing key decisions, and connecting business goals with innovative technology solutions.

Your Passion. Our Culture.
At Sargento, you work for a company you believe in, with a family of people who believe in you. Our culture stems from a simple premise: Hire good people and treat them like family. At Sargento, you can make decisions based on how they affect people as well as the long-term health of our company. You will be encouraged to make a meaningful difference in the community, in the company and in your career. With diverse experiences and tools to learn and develop, you can transform your aspirations into reality. If you’re ready for the right place to belong and grow your career, you can find it here.
Benefits that set us apart.

  • Comprehensive medical including Fertility, Adoption benefits, Dental, and Vision Insurance
  • Remote ½ day Fridays
  • Onsite Health & Wellness Center
  • Employer 401K contribution in the top 1% of the nation
  • Relocation Assistance
  • Tuition Assistance
  • Access to Employee Store


What You Do.

Solution Architecture Leadership

  • Lead end to end solution architecture for complex, cross functional initiatives and enterprise programs that deliver meaningful business outcomes.
  • Design scalable, sustainable solutions that align with enterprise architecture principles, technology standards, and long term strategic goals.
  • Partner closely with business and IT stakeholders to translate business needs into actionable technology solutions that balance value, risk, and performance.
  • Present architecture options, trade offs, and recommendations in a clear, business focused manner to support informed decision making.

Enterprise Design & Technical Excellence

  • Ensure solutions meet critical non functional requirements, including security, performance, resiliency, scalability, and data integrity.
  • Identify and proactively manage architectural risks, technical debt, and integration complexity to support long term success.
  • Apply expertise in application, integration, API, and data architecture patterns to create connected, efficient solutions across the enterprise.
  • Contribute to the ongoing evolution of architecture standards, reference patterns, and future state solution designs.

Governance & Strategic Influence

  • Lead solution architecture reviews and provide recommendations through architecture governance processes.
  • Drive solution level architecture decisions within established enterprise guardrails.
  • Partner with architecture review boards and design authorities to evaluate standards, patterns, and exception requests.
  • Influence technology direction and enterprise architecture decisions through collaboration and thought leadership.

Collaboration, Mentorship & Enablement

  • Serve as a trusted advisor to business leaders, project teams, and technology partners throughout the solution lifecycle.
  • Potentially mentor Associate Architects and provide architectural guidance to delivery teams, helping elevate technical capabilities across the organization.
  • Foster strong collaboration across agile and hybrid delivery teams to ensure successful execution of strategic initiatives.

Your Education and Experience.

  • Bachelor's degree in Information Technology, Computer Science, or a related field; equivalent experience considered.
  • 3–7 years of experience in application development, technical design, or solution architecture.
  • Experience working in enterprise environments with multiple applications and integrations preferred.

Technical & Professional Expertise

  • Proven expertise in application and solution architecture across enterprise platforms.
  • Strong understanding of integration, API, and data architecture patterns.
  • Experience operating successfully within agile or hybrid delivery environments.
  • Ability to balance immediate business needs with technical constraints and long term sustainability.

Communication & Leadership Skills

  • Stakeholder management and influence skills, with the ability to drive alignment without formal authority.
  • Strong documentation, facilitation, and communication skills with both technical and non technical audiences.
  • Ability to analyze complex information, solve problems, and develop practical, business focused recommendations.

Our Story.
With over 2,400+ employees and net sales of $1.8 billion, Sargento Foods is a family-owned company that has been a leader in cheese for more than 70 years. We created the world’s first, successful pre-packaged sliced and shredded natural cheeses. Sargento is based in Plymouth, Wisconsin, where we manufacture and market shredded, sliced and snack natural cheese products, as well as ingredients and sauces. Sargento is known for the exceptional quality of our products and for product design, packaging and merchandising innovations that have transformed our industry.

To learn more about our culture and values, please visit our website at https://careers.sargento.com/us/en.

#LI-MR1

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.Employment Type: FULL_TIME

What Sargento employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


Sargento logo

About Sargento

Sourced by ZipRecruiter

Industry

Food and drink manufacturing

Company size

1,001 - 5,000 Employees

Headquarters location

Plymouth, WI, US

Year founded

1953