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 ...
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 ...
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 ...
Ann Arbor, MI · On-site +1
Reviews, prioritizes, and aligns customer needs and Splunk portfolio strategy to drive significant ... utilization. * Partners with other account executive resources to provide insights to Rev Ops ...
Ann Arbor, MI · On-site +1
Reviews, prioritizes, and aligns customer needs and Splunk portfolio strategy to drive significant ... utilization. * Partners with other account executive resources to provide insights to Rev Ops ...
Grand Rapids, MI · On-site +1
Hybrid (3 days onsite & 2 days remote) in Grand Rapids, MI Here's what you'll do: * Retrieve claims ... Review underwriting period claims and provide notice to agents if clients are likely to experience ...
Grand Rapids, MI · On-site +1
Hybrid (3 days onsite & 2 days remote) in Grand Rapids, MI Here's what you'll do: * Retrieve claims ... Review underwriting period claims and provide notice to agents if clients are likely to experience ...
Livonia, MI · On-site +1
$32.50 - $43.75/hr
... sets and optimal utilization of the 3M CDI software. Responsible for scheduling and work ... May perform CDI reviews to support program during high volume, short staffing periods. Maintains a ...
Livonia, MI · On-site +1
$32.50 - $43.75/hr
... sets and optimal utilization of the 3M CDI software. Responsible for scheduling and work ... May perform CDI reviews to support program during high volume, short staffing periods. Maintains a ...
Detroit, MI · On-site +1
$70K - $140K/yr
Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...
Detroit, MI · On-site +1
$70K - $140K/yr
Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...
Prepare and review financial statements and board reports * Coordinate annual audits and serve as ... May be remote with periodic on-site or board meeting attendance * Expected to engage regularly with ...
Prepare and review financial statements and board reports * Coordinate annual audits and serve as ... May be remote with periodic on-site or board meeting attendance * Expected to engage regularly with ...
Grand Rapids, MI · On-site +1
$70K - $140K/yr
Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...
Grand Rapids, MI · On-site +1
$70K - $140K/yr
Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...
Grand Rapids, MI · Remote
$101K - $151K/yr
Optimize team utilization by balancing workloads to drive efficiency and meet project demands ... Demonstrated ability to lead effectively with minimal supervision across remote, office, and ...
Grand Rapids, MI · Remote
$101K - $151K/yr
Optimize team utilization by balancing workloads to drive efficiency and meet project demands ... Demonstrated ability to lead effectively with minimal supervision across remote, office, and ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Detroit, MI · On-site +1
$70K - $140K/yr
Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...
Detroit, MI · On-site +1
$70K - $140K/yr
Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...
Grand Rapids, MI · On-site +1
$70K - $140K/yr
Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...
Grand Rapids, MI · On-site +1
$70K - $140K/yr
Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...
Ann Arbor, MI · On-site +1
This role is Remote, with up to 50% travel in the US & Canada. Key Responsibilities: Solution ... Track project progress, labor utilization, and implementation activities against project plans.
Ann Arbor, MI · On-site +1
This role is Remote, with up to 50% travel in the US & Canada. Key Responsibilities: Solution ... Track project progress, labor utilization, and implementation activities against project plans.
Grand Rapids, MI · Remote
$101K - $151K/yr
Optimize team utilization by balancing workloads to drive efficiency and meet project demands ... Demonstrated ability to lead effectively with minimal supervision across remote, office, and ...
Grand Rapids, MI · Remote
$101K - $151K/yr
Optimize team utilization by balancing workloads to drive efficiency and meet project demands ... Demonstrated ability to lead effectively with minimal supervision across remote, office, and ...
Coordinates clinical reviews with Regional Operations Managers to ensure appropriate utilization of product on patient menus as well as maintaining the nutrition and wellness goals of the region in ...
Coordinates clinical reviews with Regional Operations Managers to ensure appropriate utilization of product on patient menus as well as maintaining the nutrition and wellness goals of the region in ...
Detroit, MI · On-site +1
Review patient-specific information in cases where the site has specifically requested assistance ... General office demands - Remote, Work from Home. * One to two home office days per week. * Must be ...
Detroit, MI · On-site +1
Review patient-specific information in cases where the site has specifically requested assistance ... General office demands - Remote, Work from Home. * One to two home office days per week. * Must be ...
Review patient-specific information in cases where the site has specifically requested assistance ... General office demands - Remote, Work from Home. * One to two home office days per week. * Must be ...
Review patient-specific information in cases where the site has specifically requested assistance ... General office demands - Remote, Work from Home. * One to two home office days per week. * Must be ...
Review patient-specific information in cases where the site has specifically requested assistance ... General office demands - Remote, Work from Home. * One to two home office days per week. * Must be ...
Review patient-specific information in cases where the site has specifically requested assistance ... General office demands - Remote, Work from Home. * One to two home office days per week. * Must be ...
... utilization. * Partner with actuarial and underwriting teams to validate assumptions and ensure ... review and approval. * Manage program opportunities through the full pipeline lifecycle, tracking ...
... utilization. * Partner with actuarial and underwriting teams to validate assumptions and ensure ... review and approval. * Manage program opportunities through the full pipeline lifecycle, tracking ...
$18.65 - $22.42
2% of jobs
$22.42 - $26.19
9% of jobs
$28.77 is the 25th percentile. Wages below this are outliers.
$26.19 - $29.96
21% of jobs
The median wage is $33.01 / hr.
$29.96 - $33.73
23% of jobs
$33.73 - $37.50
13% of jobs
$40.44 is the 75th percentile. Wages above this are outliers.
$37.50 - $41.28
10% of jobs
$41.28 - $45.05
8% of jobs
$45.05 - $48.82
5% of jobs
$48.82 - $52.59
5% of jobs
$52.59 - $56.36
2% of jobs
$56.36 - $60.13
2% of jobs
$18
$36
$60
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.
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.
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.

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 29 days ago
Belle is a fast growing engagement company that is revolutionizing home healthcare - and it all begins with the feet. With 25M+ U.S. seniors no longer able to see or reach their feet, a lack of self care and mobility challenges cost the health insurance plans $38B+ in preventable medical spending every year.
Belle trains and manages a network of nail technicians or "Community Health Workers" who provide in-home foot care (aka medical pedicures). Belle uses cutting edge data science to identify those most in need on behalf of health plans and deploys its services accordingly. While in the home, Community Health Workers complete assessments and screenings, often being the first to identify emerging issues below and above the knee. As these issues arise, a team of remote nurses coordinate care with other healthcare providers - preventing serious and costly episodes.
Our mission: Bring Joy to Healthcare. Join us if our cause inspires you!
We're looking for a Senior Product Engineer who operates as a true product partner. You'll own significant areas of our product, make architectural decisions, and influence what we build-not just how. A core pillar of this role is data and analytics: you'll own the infrastructure, models, and reporting that make Belle a genuinely KPI-driven organization. You think in terms of patient and operational outcomes, weigh tradeoffs against business impact, and can push back on a spec when the data or the user need points elsewhere. You set the technical bar for the team and raise the people around you.
What You'll DoRequirements
What does success in this role look like?
Send us something you've built-ideally something you own beyond your day job. A side project, an open-source contribution, a tool that scratched your own itch. Tell us what it does, the most interesting technical or product decision you made, and how AI coding tools fit into how you work today. We'd rather see one thing you're proud of than a long list of past employers..
Benefits
Sourced by ZipRecruiter
Health care and social assistance
51 - 200 Employees
Nashville, TN, US