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Remote Utilization Review Jobs in Arizona (NOW HIRING)

TM

Phoenix, AZ · Remote

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

Intake Coordinator

Phoenix, AZ · On-site +1

$17 - $23/hr

With one of America's largest cost, quality and utilization datasets, we create greater ... This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment:

Bilingual Intake Coordinator

Phoenix, AZ · On-site +1

$17 - $23/hr

With one of America's largest cost, quality and utilization datasets, we create greater ... This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment:

Bilingual Intake Coordinator

Phoenix, AZ · On-site +1

$17 - $23/hr

With one of America's largest cost, quality and utilization datasets, we create greater ... This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment:

Network Analyst

Fort Huachuca, AZ · On-site +1

$80K - $128K/yr

Interface with Remote Network Enterprise Centers (RNEC) and Defense Information Systems Agencies ... Analyze workload, including traffic and utilization using Wireshark. Oversee or provide technical ...

... pipeline reviews, territory planning, and performance coaching. * Build a high-performing ... Ensure consistent adoption and utilization of CRM systems, sales engagement platforms, AI-enabled ...

RN Clinical Documentation

Phoenix, AZ · Remote

$32.75 - $44/hr

Clinical Documentation Option to work fully remote or in-office near Deer Valley, AZ. Must reside ... years Utilization Review/Case Management Preferred * 7 years patient care in critical care or ...

Showing results 41-60

Remote Utilization Review information

See Arizona salary details

$19

$39

$64

How much do remote utilization review jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for remote utilization review in Arizona is $39.40, according to ZipRecruiter salary data. Most workers in this role earn between $31.15 and $45.24 per hour, depending on experience, location, and employer.

What is a remote utilization review?

A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.

What does a remote utilization review do?

A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.

What are the key skills and qualifications needed to thrive in remote utilization review?

To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.

What are the most commonly searched types of Utilization Review jobs in Arizona?

The most popular types of Utilization Review jobs in Arizona are:

What cities in Arizona are hiring for Remote Utilization Review jobs?

Cities in Arizona with the most Remote Utilization Review job openings:

Infographic showing various Remote Utilization Review job openings in Arizona as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 3% Contract, and 1% Nights. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $81,956 per year, or $39.4 per hour.

Full-time

Re-posted 24 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.