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Remote Utilization Review Jobs in Michigan (NOW HIRING)

Kiongroup

Controls Engineering Manager

Grand Rapids, MI · On-site +1

$121K - $182K/yr

Monitor team utilization and coordinate workload balancing across team members. * Participate in ... Ability to work independently and lead effectively with minimal supervision in remote, office, and ...

Kiongroup

Controls Engineering Manager

Grand Rapids, MI · On-site +1

$121K - $182K/yr

Monitor team utilization and coordinate workload balancing across team members. * Participate in ... Ability to work independently and lead effectively with minimal supervision in remote, office, and ...

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Remote Utilization Review information

See Michigan salary details

$18

$36

$60

How much do remote utilization review jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for remote utilization review in Michigan is $36.85, according to ZipRecruiter salary data. Most workers in this role earn between $29.13 and $42.31 per hour, depending on experience, location, and employer.

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 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 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 are the most commonly searched types of Utilization Review jobs in Michigan? The most popular types of Utilization Review jobs in Michigan are:
What are popular job titles related to Remote Utilization Review jobs in Michigan? For Remote Utilization Review jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Michigan look for? The top searched job categories for Remote Utilization Review jobs in Michigan are:
What cities in Michigan are hiring for Remote Utilization Review jobs? Cities in Michigan with the most Remote Utilization Review job openings:
Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Michigan as of August 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 100% Remote job distribution, with an average salary of $76,654 per year, or $36.9 per hour.

Senior Applications Analyst

FIRST MERCHANTS

Farmington Hills, MI • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 12 days ago

First Merchants Bank rating

7.8

Company rating: 7.8 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

89th of 170 rated banks

Job description

First Merchants Bank is seeking a Senior Applications Analyst to join our team. This position can be remote within our operational footprint. This role will be responsible for eliciting needs of the stakeholders, analyzing business requirements, identifying business opportunities, preparing documentation, and evaluating risk for assigned applications. Ensure assigned applications work reliably for the business and are kept current per the vendor requirements; maintain, troubleshoot, and support systems daily. This role can be remote within our operational footprint of Indiana, Ohio, Michigan or Kentucky.

As part of this role, duties and responsibilities include: 

  • Ensure the assigned applications are fully utilizing the feature/functionality and that processes are efficient. Perform business process review and analyses in order to drive efficiency and utilization gains throughout the department. Actively seek ways to improve the client experience.
  • Responsible for evaluating product offerings and potential enhancements and identifying the feasibility, business value proposition, and/or the benefits to be gained. Make a recommendation to team with rationale and obtain a supported team decision.
  • Lead and/or participate on projects as needed (system upgrades, bank integrations, etc.). Collaborate with other departments to lead and facilitate the implementation and fulfill the initiative purpose and goal through standard best practice project management techniques.
  • Maintain and manage reporting systems to provide actionable information to drive business decisions.
  • Maintain Disaster Recovery plans and models.
  • Ensure all application changes follow the standard process while keeping exceptions to a minimum and only with special approval.

In order to be successful in this position, we require the following: 

  • High school diploma or equivalent (GED). 
  • A minimum of three (3) years of application/business/systems analyst experience in a financial industry environment. 

The following would be a plus: 

  • Bachelor’s degree in business, operations or a related field
  • Direct Banking experience, including exposure to and understanding of bank structure/operations
  • For Enterprise Applications:
    • Technical certifications in Microsoft, CompTIA, and/or Cisco
    • Foxtrot Certification
    • Knowledge of SQL, SAS Visual Analytics, SSRS, or other reporting technology
  • For Deposit Applications:
    • Payment Certifications (AAP, NCP, and/or APRP)
    • Knowledge of SQL

First Merchants offers the following:

  • Base Pay PLUS Bonuses
  • Medical, Dental and Vision Insurance
  • 401k
  • Health Savings and Flexible Spending Accounts
  • Vacation/Sick Time
  • Paid Holidays
  • Paid Parental Leave
  • Tuition Reimbursement
  • Additional Benefits

A little about us:

First Merchants is guided by a genuine philosophy of being a meaningful place to work and having a prosperous impact across all walks of life throughout the communities we serve, including consumers, businesses and other organizations. Our Vision, Mission and Team statement reflect and reinforce that authentic service philosophy.

Our Vision is:

To enhance the financial wellness of the diverse communities we serve.

Our Mission is:

To be the most responsive, knowledgeable, and high-performing financial organization for our clients, teammates, and shareholders.

Our Team:

"We are a collection of dynamic colleagues with diverse experiences and perspectives who share a passion for positively impacting lives. We are genuinely committed to attracting and engaging teammates of diverse backgrounds. We believe in the power of inclusion and belonging."

Apply today to begin your career with us!

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