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Remote Utilization Review Jobs in Michigan (NOW HIRING)

Belle, LLC

Senior Product Engineer

Detroit, MI · Remote

As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Mentor engineers through code review, pairing, and design discussion * Identify high-leverage ...

Mars

Drive financial processes and system utilization in alignment with company finance policies ... Utilize operational reviews and performance analysis to generate insights, identify risks, and ...

fng

Software Developer

Warren, MI · On-site +1

This is a remote position. Responsibilities * Design, develop, test, and deploy full-stack features ... Participate in technical design discussions, code reviews, testing, documentation, and deployment ...

fng

Software Developer

Warren, MI · On-site +1

This is a remote position. Responsibilities * Design, develop, test, and deploy full-stack features ... Participate in technical design discussions, code reviews, testing, documentation, and deployment ...

Motorola

Partnering with the business leads to ensure tool utilization and solution standardization with our ... Implement engagement review and quality assurance procedures as measured by goals and business ...

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Showing results 41-60

All JobsUtilization Review JobsRemote Utilization Review JobsRemote Utilization Review Jobs in Michigan

Remote Utilization Review information

See Michigan salary details

$18

$36

$60

How much do remote utilization review jobs pay per hour?

As of Sep 6, 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 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 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 92% Full Time, and 8% Part Time. Highlights an 100% Remote job distribution, with an average salary of $76,654 per year, or $36.9 per hour.

Pricing & Business Development Analyst

Integra Partners

Troy, MI • On-site, Remote

$80K - $80K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Job description

The Pricing & Business Development Analyst supports Integra Partners' pricing, sales, and business development analytics. This role is designed for professionals with strong Excel skills who are excited to learn SQL, Python, and Tableau. The analyst will help maintain pricing models, analyze performance metrics, and contribute to financial and business development insights that guide strategic decisions.
JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES
  • Analyze healthcare claims, reimbursement data, utilization trends, and financial performance to support pricing and business development initiatives.
  • Develop and maintain pricing models, fee schedules, and reimbursement assumptions for Medicare, Medicaid, and commercial payers that analyze margins and profitability.
  • Research HCPCS/CPT codes, modifiers, payer policies, and reimbursement methodologies to support pricing recommendations.
  • Assist in evaluating pricing strategies through performance metrics, ROI analysis, and competitive insights.
  • Support client-specific pricing proposals and contract modeling through financial analysis and scenario modeling.
  • Develop and maintain reports that track pricing performance, business metrics, and sales activities.
  • Contribute to maintaining an accurate new-business pipeline model.
  • Perform basic margin and pricing reviews to ensure alignment with internal guidelines.
  • Conduct ad-hoc analyses to support business development and margin-improvement initiatives.
  • Analyze trends in costs, customer activity, and product categories, identifying areas of opportunity.
  • Summarize findings and communicate actionable insights and recommendations to leadership, business development, and operational stakeholders.
  • Collaborate cross-functionally with Sales, Finance, Operations, and other key teams.

EDUCATION: Bachelor's degree or equivalent experience
EXPERIENCE:
  • 3 - 5 years of experience in analytics, finance, business operations, or a related area.
  • Advanced Excel proficiency required (pivot tables, lookups, data cleaning, basic modeling).
  • Working knowledge of SQL preferred; experience with Python, Tableau, or other data visualization tools is a plus.
  • Experience analyzing healthcare claims, reimbursement methodologies, fee schedules, or managed care pricing is required.
  • Knowledge of healthcare coding systems (HCPCS, CPT, ICD-10) and reimbursement methodologies is strongly preferred.
  • Strong written and verbal communication skills, with the ability to explain analytical findings clearly.
  • Highly organized, detail-oriented, and able to balance multiple priorities.
  • Self-motivated, curious, and eager to learn new tools, systems, and industry concepts.

What Will Make You Successful in This Role
  • A genuine passion for analytics and solving business problems.
  • Ability to translate complex data into actionable recommendations.
  • Strong attention to detail and commitment to data accuracy.
  • Enthusiasm for learning new technologies and working with data.
  • Ability to work independently while contributing to a collaborative team environment.
  • Strong problem-solving skills and a mindset focused on continuous improvement.
Salary: $80,000/Annually
Benefits Offered
  • Competitive compensation and annual bonus program
  • 401(k) retirement program with company match
  • Company-paid life insurance
  • Company-paid short term disability coverage (location restrictions may apply)
  • Medical, Vision, and Dental benefits
  • Paid Time Off (PTO)
  • Paid Parental Leave
  • Sick Time
  • Paid company holidays and floating holidays
  • Quarterly company-sponsored events
  • Health and wellness programs
  • Career development opportunities

Remote Opportunities
We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, Nevada, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Washington.
Our Story
Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits.
With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We're looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you.
Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don't hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.

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