This is a remote opportunity and can be based from any location in the United States. #LI-Remote ... Review and understand the contractual terms and scope of assigned projects * Review key ...
This is a remote opportunity and can be based from any location in the United States. #LI-Remote ... Review and understand the contractual terms and scope of assigned projects * Review key ...
340B Program Director
Saint Paul, MN ยท Remote
ABOUT THE POSITION (Remote, work from home) The 340B Program Director, Pharmacy Services will lead ... utilization reports and inventory tracking, are generated accurately and timely for client review ...
340B Program Director
Saint Paul, MN ยท Remote
ABOUT THE POSITION (Remote, work from home) The 340B Program Director, Pharmacy Services will lead ... utilization reports and inventory tracking, are generated accurately and timely for client review ...
Medical Director PM&R or Internal Medicine - Remote
Minneapolis, MN ยท Remote
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
Medical Director PM&R or Internal Medicine - Remote
Minneapolis, MN ยท Remote
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
Medical Director PM&R or Internal Medicine - Remote
Minneapolis, MN ยท On-site +1
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
Medical Director PM&R or Internal Medicine - Remote
Minneapolis, MN ยท On-site +1
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
Coach and develop consulting team members by guiding workstream approaches, reviewing deliverables ... utilization management * 5 years of experience leading large-scale consulting engagements or large ...
Coach and develop consulting team members by guiding workstream approaches, reviewing deliverables ... utilization management * 5 years of experience leading large-scale consulting engagements or large ...
Senior Medical Director, Transplant Solutions - Remote
Minneapolis, MN ยท Remote
$292K - $438K/yr
Lead clinical discussions, case reviews, and performance reviews with clients * Build relationships ... Proven expertise integrating clinical and financial data to drive quality, utilization, and cost ...
Senior Medical Director, Transplant Solutions - Remote
Minneapolis, MN ยท Remote
$292K - $438K/yr
Lead clinical discussions, case reviews, and performance reviews with clients * Build relationships ... Proven expertise integrating clinical and financial data to drive quality, utilization, and cost ...
Senior Medical Director, Transplant Solutions - Remote
Minneapolis, MN ยท On-site +1
$292K - $438K/yr
Lead clinical discussions, case reviews, and performance reviews with clients * Build relationships ... Proven expertise integrating clinical and financial data to drive quality, utilization, and cost ...
Senior Medical Director, Transplant Solutions - Remote
Minneapolis, MN ยท On-site +1
$292K - $438K/yr
Lead clinical discussions, case reviews, and performance reviews with clients * Build relationships ... Proven expertise integrating clinical and financial data to drive quality, utilization, and cost ...
National Medical Director, Clinical AI Innovation and Performance - Remote
Minnetonka, MN ยท On-site +1
$81K - $111K/yr
Work will initially focus on utilization management (UM) clinical criteria-leveraging InterQual ... Reviewer types and UM workflows * Lead guideline clarification, customization, and enhancement ...
National Medical Director, Clinical AI Innovation and Performance - Remote
Minnetonka, MN ยท On-site +1
$81K - $111K/yr
Work will initially focus on utilization management (UM) clinical criteria-leveraging InterQual ... Reviewer types and UM workflows * Lead guideline clarification, customization, and enhancement ...
National Medical Director, Clinical AI Innovation and Performance - Remote
Minnetonka, MN ยท On-site +1
$81K - $111K/yr
Work will initially focus on utilization management (UM) clinical criteria-leveraging InterQual ... Reviewer types and UM workflows * Lead guideline clarification, customization, and enhancement ...
National Medical Director, Clinical AI Innovation and Performance - Remote
Minnetonka, MN ยท On-site +1
$81K - $111K/yr
Work will initially focus on utilization management (UM) clinical criteria-leveraging InterQual ... Reviewer types and UM workflows * Lead guideline clarification, customization, and enhancement ...
Senior Workforce Planning Analyst
Eagan, MN ยท On-site +1
$79K - $104K/yr
... and Utilization Management operations. In this role, you will be responsible for developing ... While this role is fully remote, we welcome all qualified applicants; however, preference will be ...
Senior Workforce Planning Analyst
Eagan, MN ยท On-site +1
$79K - $104K/yr
... and Utilization Management operations. In this role, you will be responsible for developing ... While this role is fully remote, we welcome all qualified applicants; however, preference will be ...
Customer Service Representative
Saint Paul, MN ยท Remote
$24/hr
Pay: $24.00 * Remote Shifts Available: Wednesday to Saturday 10:00 Am to 10:00 Pm. * Remote ... Review and edit incoming service requests to ensure appropriate labor and scheduling time is ...
Quick apply
Customer Service Representative
Saint Paul, MN ยท Remote
$24/hr
Pay: $24.00 * Remote Shifts Available: Wednesday to Saturday 10:00 Am to 10:00 Pm. * Remote ... Review and edit incoming service requests to ensure appropriate labor and scheduling time is ...
FP & Analysis & Ops Analytics Director
Saint Louis Park, MN ยท Remote
$124K - $195K/yr
This is a remote position with some travel required, working Monday through Friday during standard ... and utilization data ahead of the standing weekly review with the VP, Finance and HSP leadership
FP & Analysis & Ops Analytics Director
Saint Louis Park, MN ยท Remote
$124K - $195K/yr
This is a remote position with some travel required, working Monday through Friday during standard ... and utilization data ahead of the standing weekly review with the VP, Finance and HSP leadership
Director, Product Enablement and Performance, Clinical Decision Support- OI Product - Remote
Edina, MN ยท On-site +1
$241K - $252K/yr
... of Optum's Utilization Management Hospital Services product portfolio. This role acts as the ... Lead performance reviews, value realization discussions, and customer success initiatives to ...
Director, Product Enablement and Performance, Clinical Decision Support- OI Product - Remote
Edina, MN ยท On-site +1
$241K - $252K/yr
... of Optum's Utilization Management Hospital Services product portfolio. This role acts as the ... Lead performance reviews, value realization discussions, and customer success initiatives to ...
Director, Product Enablement and Performance, Clinical Decision Support- OI Product - Remote
Edina, MN ยท Remote
$241K - $252K/yr
... of Optum's Utilization Management Hospital Services product portfolio. This role acts as the ... Lead performance reviews, value realization discussions, and customer success initiatives to ...
Director, Product Enablement and Performance, Clinical Decision Support- OI Product - Remote
Edina, MN ยท Remote
$241K - $252K/yr
... of Optum's Utilization Management Hospital Services product portfolio. This role acts as the ... Lead performance reviews, value realization discussions, and customer success initiatives to ...
Senior Director, Product & Portfolio Management - Remote
Eden Prairie, MN ยท On-site +1
$237K - $248K/yr
... Utilization Management (UM) and Care Management (CM) technology portfolio. The role partners ... Operate portfolio governance cadences through executive dashboards, monthly and quarterly reviews ...
Senior Director, Product & Portfolio Management - Remote
Eden Prairie, MN ยท On-site +1
$237K - $248K/yr
... Utilization Management (UM) and Care Management (CM) technology portfolio. The role partners ... Operate portfolio governance cadences through executive dashboards, monthly and quarterly reviews ...
Senior Director, Product & Portfolio Management - Remote
Eden Prairie, MN ยท On-site +1
$237K - $248K/yr
... Utilization Management (UM) and Care Management (CM) technology portfolio. The role partners ... Operate portfolio governance cadences through executive dashboards, monthly and quarterly reviews ...
Senior Director, Product & Portfolio Management - Remote
Eden Prairie, MN ยท On-site +1
$237K - $248K/yr
... Utilization Management (UM) and Care Management (CM) technology portfolio. The role partners ... Operate portfolio governance cadences through executive dashboards, monthly and quarterly reviews ...
Tax Manager
Arden Hills, MN ยท On-site +1
$85K - $100K/yr
Review and oversee business returns, including Forms 1065 and 1120-S. * Lead tax planning ... There is no timesheet culture or utilization target, work is distributed throughout the year, and ...
Tax Manager
Arden Hills, MN ยท On-site +1
$85K - $100K/yr
Review and oversee business returns, including Forms 1065 and 1120-S. * Lead tax planning ... There is no timesheet culture or utilization target, work is distributed throughout the year, and ...
Director, Total Rewards (Remote, USA)
Minneapolis, MN ยท Remote
$130K - $178K/yr
Review benefit premium rate contribution, claims and utilization data on an annual basis; analyze and interpret data for trends, improvements, and efficiencies * Coordinate and lead the 401(k) ...
Director, Total Rewards (Remote, USA)
Minneapolis, MN ยท Remote
$130K - $178K/yr
Review benefit premium rate contribution, claims and utilization data on an annual basis; analyze and interpret data for trends, improvements, and efficiencies * Coordinate and lead the 401(k) ...
... remote role! Candidate must live in CST or EST. DaVita is seeking a full-time Nurse Practitioner ... Lead complex case reviews and manage escalations involving high-risk or high-utilization patients ...
... remote role! Candidate must live in CST or EST. DaVita is seeking a full-time Nurse Practitioner ... Lead complex case reviews and manage escalations involving high-risk or high-utilization patients ...
Sr. Process Engineer - Water Treatment
Minnetonka, MN ยท On-site +1
$106K - $137K/yr
... the utilization of existing customer assets. Key responsibilities include preparing detailed ... Participate in P-table (Process) reviews prior to proposal submission to ensure your proposed ...
Sr. Process Engineer - Water Treatment
Minnetonka, MN ยท On-site +1
$106K - $137K/yr
... the utilization of existing customer assets. Key responsibilities include preparing detailed ... Participate in P-table (Process) reviews prior to proposal submission to ensure your proposed ...
Remote Utilization Review information
See Minnesota salary details
$20.95 - $25.19
2% of jobs
$25.19 - $29.43
9% of jobs
$32.33 is the 25th percentile. Wages below this are outliers.
$29.43 - $33.67
21% of jobs
The median wage is $37.10 / hr.
$33.67 - $37.91
23% of jobs
$37.91 - $42.14
13% of jobs
$45.44 is the 75th percentile. Wages above this are outliers.
$42.14 - $46.38
10% of jobs
$46.38 - $50.62
8% of jobs
$50.62 - $54.86
5% of jobs
$54.86 - $59.09
5% of jobs
$59.09 - $63.33
2% of jobs
$63.33 - $67.57
2% of jobs
$20
$41
$67
How much do remote utilization review jobs pay per hour?
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 Minnesota?
The most popular types of Utilization Review jobs in Minnesota are:
What are popular job titles related to Remote Utilization Review jobs in Minnesota?
For Remote Utilization Review jobs in Minnesota, the most frequently searched job titles are:
- Non Exempt No Experience Utilization Management Nurse
- Evening Optum Health Utilization Review
- Remote Behavioral Health Utilization Review
- No Experience Utilization Review Nurse
- Contract Utilization Review Nurse
- Evening Utilization Review Nurse
- Part Time Utilization Review Nurse
- Overnight Utilization Review Nurse
- Remote Utilization Management Nurse
- Remote Hedis Review Nurse
What job categories do people searching Remote Utilization Review jobs in Minnesota look for?
The top searched job categories for Remote Utilization Review jobs in Minnesota are:
- Online Utilization Review
- Remote Bcba Utilization Review
- Case Manager Utilization Review Nurse
- Work From Home Dental Utilization Review
- Remote Optum Utilization Review
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- From Home Anthem Utilization Review Nurse
- Remote Dental Utilization Review
- Cigna Utilization Review Nurse
- Retrospective Review Nurse
What cities in Minnesota are hiring for Remote Utilization Review jobs?
Cities in Minnesota with the most Remote Utilization Review job openings:

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 7 days ago
Job description
The Senior ERP Project Manager at Columbus M3 provides a high degree of leadership to the project team, serving to facilitate the activities that meet the project objectives both on time and on budget. In this opportunity you will be responsible for full PM lifecycle, building of project ERP plans, management of scope, scheduled, resources and budget. You will also oversee client relationship management, risk management, and reporting.
Note: This is a remote opportunity and can be based from any location in the United States. #LI-Remote
Position Responsibilities:
- Lead end-to-end implementation of Infor M3 projects or others as needed, ensuring delivery within scope, timeline, and budget.
- Develop and manage comprehensive project plans, including milestones, resource allocation, and risk mitigation strategies.
- Monitor project progress, ensuring effective communication and alignment among cross-functional teams, stakeholders, and clients.
- Manage enterprise-level budgets, proactively monitoring budget to actuals and reporting thereof.
- Communicate project status to both the project team and c-suite executives to ensure a positive client experience.
- Proactively identify and resolve customer issues, balancing client satisfaction with Columbus' best interests; managing escalations with diplomacy and professionalism, ensuring swift and effective resolution while maintaining strong client relationships.
- Collaborate with sales and pre-sales teams to draft detailed and accurate SOWs, facilitate the estimation of project budgets, timelines, and resource needs with precision to ensure realistic client expectations and profitable outcomes.
- Forecast and allocate project resources, ensuring optimal utilization while minimizing resource conflicts.
- Monitor team performance and provide mentorship and guidance to ensure adherence to project deliverables and quality standards.
- Ensure the project team follows Columbus Methodology and is producing deliverables to standards and on schedule; maintain project plan.
- Review and understand the contractual terms and scope of assigned projects
- Review key deliverables to assure scope and budget remain aligned
- Ensure project setup, time, invoice if required, and expense entry are recorded properly; perform time and expense reviews.
Skill Requirements & Experience:
- 7+ years of ERP project management experience in ERP environment.
- 7+ years managing ERP enterprise implementations is required, experience with Infor M3 is strongly preferred.
- 7+ years of consulting experience (with leadership experience being a plus).
- Strong commercial acumen with experience managing budgets, contracts, and profitability.
- Excellent problem-solving and conflict resolution skills, with the ability to manage client escalations effectively.
- Experience must encompass the management of budget, risks, resources, scope, issues, changes, and quality.
- Previous experience in writing statements of work, project estimation, and resource forecasting.
- Ability to oversee multiple projects simultaneously in a fast-paced environment.
- Exceptional interpersonal, problem solving, and communication skills.
- Ability to handle client and employee escalations with empathy, diplomacy, and fairness.
- Bachelor's degree in business, IT, or a related field. PMP certification is preferred.
- Coaching and/or mentoring experience with excellent presentation skills.
- Experience working with global project team and able to adapt to schedule to alternate time zones when needed.
- Ability to travel up to 30%
Preferred Requirements:
- PMP Certification
- Knowledge of other tier one ERP solutions
Full Time Benefits:
- Columbus offers a competitive benefits package to all full-time employees. This package includes Health, Life, Dental and Vision Insurance, Short- and Long-Term Disability, in addition to, paid vacation, sick leave, holidays, and 401(k).
Business areas Columbus M3 Locations -United States Remote status Fully Remote Apply for this job
Our Values
- We Collaborate
For example, write something about the compensation that you offer, is it competitive? - We Stay Curious
What kind of social activities do you do together? Write about everything from lunches together to annual trips. - We Build Trust
Do you for example offer your employees some kind of health care? - We deliver customer success
Our Values
During 2021 we decided to evaluate our old values and create new ones that supported our organization and to become One Columbus even more. We started the project from bottom to top - we asked all our employees what they feel that Columbus stands for.
Our values guide us through our daily work, both subconsciously and consciously.
We collaborate - we stay curious - we build trust and we deliver customer success.