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Remote Utilization Review Manager Jobs in Spokane, WA

DataAnnotation

FP&A Manager - AI Trainer

Spokane, WA · Remote

$50 - $100/hr

Enjoy the flexibility of remote work and the freedom to set your own schedule. This is an ... Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ...

micro1 AI

Medical Writing Manager

Spokane Valley, WA · 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

Medical Writing Manager

Spokane, WA · 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 ...

Corporate Tools

Social Media Specialist

Post Falls, ID · On-site +1

$50K/yr

This is a remote position, but if you're near one of our local offices, you're welcome to come ... Annual review with raise option * 22 days Paid Time Off accrued annually, and 4 holidays * After 3 ...

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All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Spokane, WA

Remote Utilization Review Manager information

See Spokane, WA salary details

$39.4K

$92K

$169.4K

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

As of Aug 17, 2026, the average yearly pay for remote utilization review manager in Spokane, WA is $92,023.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,200.00 and $110,700.00 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 Spokane, WA?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Spokane, WA are:

What cities near Spokane, WA are hiring for Remote Utilization Review Manager jobs?

Cities near Spokane, WA with the most Remote Utilization Review Manager job openings:

Remote Utilization Review Manager jobs near you

Security Engineering Manager

Corporate Tools

Post Falls, ID • On-site, Remote

$185K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 27 days ago

Job description

Overview
Corporate Tools is looking for a Security Engineering Manager who eats vulnerabilities for breakfast and leads with curiosity, code, and caffeine. This isn't a sit-back-and-schedule-meetings kind of role-you'll be in the trenches with your team, squashing bugs (the dangerous kind), locking down systems, and making sure our software is built like a digital fortress. You'll champion secure coding, make threat modeling feel less like paperwork and more like detective work, and still have time to help your team grow into confident, capable engineers who know their way around both code and conversation.
Your focus will be on leading initiatives and driving the team on our Core Systems, requiring a mix of deep expertise and a willingness to jump into different areas across the organization, doing whatever it takes to get the job done.
Wage
Up to $185,000 / year
Benefits
  • 100% employer-paid medical, dental and vision for employees
  • Annual review with raise option
  • 22 days Paid Time Off accrued annually, and 4 holidays
    • After 3 years, PTO increases to 29 days. Employees transition to flexible time off after 5 years with the company-not accrued, not capped, take time off when you want
    • The 4 holidays are: New Year's Day, Fourth of July, Thanksgiving, and Christmas Day
  • Paid Parental Leave
  • Up to 6% company matching 401(k) with no vesting period
  • Quarterly allowance
    • Use to make your remote work set up more comfortable, for continuing education classes, a plant for your desk, coffee for your coworker, a massage for yourself... really, whatever
  • Open concept office with friendly coworkers
  • Creative environment where you can make a difference
  • No dumb benefits like free dog walking on the weekends that snobby hipster places have to make you feel cool, but mathematically won't cost the company much money because you won't use it
  • Trail Mix Bar - oh yeah

Responsibilities
  • Lead 6 security engineers across three specialized teams: Red (offense), Blue (defense), and Orange (compliance).
  • Own the security strategy and execution for offensive testing, defensive monitoring, and compliance work - ensuring all three disciplines are aligned.
  • Act as the technical anchor for the teams: review code, guide exploits, drive secure architecture decisions, and mentor engineers.
  • Partner with product and engineering leads to embed security into development (threat modeling, secure coding, CI/CD guardrails).
  • Build internal security tools and automation that make it easier for product teams to ship securely.
  • Oversee red team engagements and turn findings into actionable fixes, not just reports.
  • Manage defensive capabilities - incident response, detection engineering, monitoring - and continually improve them.
  • Ensure compliance frameworks (SOC2, ISO, PCI, etc.) are met without slowing innovation or creating unnecessary bureaucracy.
  • Set a high technical bar: coach, mentor, and challenge engineers to pursue elegant, practical security solutions.
  • Balance being a builder and a leader: stay hands-on enough to earn respect from hackers, but prioritize leading and scaling the team's impact.

Requirements
  • BS in Computer Science or equivalent experience.
  • 5+ years building and securing software - hands-on experience with web frameworks (Rails, Django, Node, etc.) and modern architectures.
  • Proven application security expertise: secure SDLC, OWASP, threat modeling, exploit mitigation, and vulnerability remediation.
  • Experience leading security or engineering teams - setting strategy, running scrums, conducting reviews, and mentoring talent.
  • Strong knowledge of cloud environments (AWS, Azure, GCP) and securing databases (SQL/NoSQL) in production.
  • Exposure to offensive and defensive security practices - red team, blue team, or incident response experience a plus.
  • Ability to communicate risk and solutions to execs, engineers, and auditors - respected by hackers and trusted by leadership.
  • Pragmatic mindset: knows when to enable speed, when to block, and how to automate guardrails to keep teams fast and safe.

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