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Remote Utilization Review Jobs in Boca Raton, FL

NationsBenefits

Account Manager

Plantation, FL · On-site +1

  • Medical

Open to remote & onsite in Plantation, FL Primary Responsibilities: 1. Client Account Management ... utilization. * Prepare and present Monthly Reports, Quarterly Business Reviews (QBRs), and ad hoc ...

NationsBenefits, LLC

Account Manager

Plantation, FL · On-site +1

  • Medical

Open to remote & onsite in Plantation, FL Primary Responsibilities: 1. Client Account Management ... utilization. * Prepare and present Monthly Reports, Quarterly Business Reviews (QBRs), and ad hoc ...

JDA

Sr. Director, Finance -IT

Delray Beach, FL · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

US Remote Dallas and Scottsdale preferred Overview: The Senior Director, Finance IT is a senior ... Conduct regular license and entitlement reviews across all Finance platforms to ensure the ...

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All JobsUtilization Review JobsRemote Utilization Review JobsRemote Utilization Review Jobs in Boca Raton, FL

Remote Utilization Review information

See Boca Raton, FL salary details

$20

$40

$65

How much do remote utilization review jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for remote utilization review in Boca Raton, FL is $40.12, according to ZipRecruiter salary data. Most workers in this role earn between $31.73 and $46.06 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 Boca Raton, FL?

The most popular types of Utilization Review jobs in Boca Raton, FL are:

What are popular job titles related to Remote Utilization Review jobs in Boca Raton, FL?

For Remote Utilization Review jobs in Boca Raton, FL, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review jobs in Boca Raton, FL look for?

The top searched job categories for Remote Utilization Review jobs in Boca Raton, FL are:

What cities near Boca Raton, FL are hiring for Remote Utilization Review jobs?

Cities near Boca Raton, FL with the most Remote Utilization Review job openings:

Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Boca Raton, FL 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 $83,458 per year, or $40.1 per hour.

VP, Client Strategy & Success

SmartX Advisory Solutions

West Palm Beach, FL • On-site, Remote

Full-time

Re-posted 19 days ago

Job description

Job Description
VP, Client Strategy & Success
Opportunity
SMArtX Advisory Solutions, a rapidly growing financial services technology company based in West Palm Beach, Florida, is seeking a leader with the drive and expertise to advance SMArtX's strategic relationship management, engagement, and adoption goals across our client channels-including Enterprise and Independent RIA firms, FinTech companies, Asset Managers, TAMPs, and Custodians.
The team's objective is to help customers solve key challenges, scale their businesses, and maximize the value of SMArtX solutions.
As part of the Client Success team, you'll be tech-savvy and knowledgeable about Managed Accounts, TAMPs, UMAs, and the broader FinTech ecosystem. Passion for our platform's capabilities-and for driving client outcomes-is essential. In this role, you will manage critical relationships and coordinate efforts across SMArtX and third-party partners.
The ideal candidate can navigate large, complex organizations, build trusted executive relationships, and drive platform adoption and usage.
Position Requirements
  • Demonstrated ability to identify, develop, and proactively pursue opportunities within strategic and enterprise client accounts.
  • Strong ability to quickly assess client and prospect needs and map them to SMArtX's value proposition, platform capabilities, and workflow solutions.
  • Proven success managing complex client relationships and influencing stakeholders at all levels, including executives and decision-makers.
  • Experience developing strategic account plans, including account mapping, goal setting, and multi-year growth strategies.
  • Familiarity with client health metrics, KPI tracking, and data-driven approaches to monitoring risk, adoption, engagement, and satisfaction.
  • Ability to lead business reviews, present insights, and translate client goals into measurable success outcomes.
  • Strong organizational skills and attention to detail, with the ability to manage timelines, cross-functional deliverables, and competing priorities.
  • Excellent communication skills-written, verbal, and presentation-with the ability to convey complex concepts clearly and persuasively.
  • Ability to manage multiple requests and time demands while achieving performance and growth goals across an assigned book of strategic accounts.
  • A strong sense of urgency and ownership; proactively brings forward ideas, identifies areas for improvement, and executes with discipline.
  • Team-oriented mindset with a commitment to shared goals and cross-functional success.
  • High degree of drive, resilience, and strategic thinking; ability to operate effectively in a fast-paced, evolving environment.
  • Bachelor's degree required.
  • Proficiency communicating the value of Unified Managed Accounts (UMAs), Managed Portfolio Solutions, Asset Management Solutions, and TAMP solutions used by RIAs.
  • 10+ years of experience in financial services or FinTech with a focus on relationship management, strategic accounts, or client success.

Responsibilities
  • Cultivate and maintain strong, long-term relationships across strategic and enterprise accounts.
  • Become a subject matter expert on SMArtX's platform, capabilities, and workflows; serve as a trusted advisor to clients.
  • Lead executive-level interactions, presentations, and business reviews with decision-makers and key stakeholders.
  • Develop, execute, and maintain strategic account plans, including account mapping, opportunity identification, and long-term partnership strategies.
  • Oversee client health metrics, proactively monitoring adoption, engagement, risk indicators, and client satisfaction.
  • Define, track, and report KPIs and shared client-success goals aligned with retention, expansion, and platform utilization.
  • Guide clients on best practices and optimize their use of SMArtX's platform and workflows.
  • Collaborate cross-functionally on contract terms, business agreements, and renewal/expansion opportunities.
  • Educate clients on new and upcoming capabilities, product enhancements, and workflow optimizations.
  • Deliver platform and technology demonstrations tailored to client needs and strategic objectives.
  • Report on pipeline, account health, and client activity using CRM tools; maintain accurate documentation and executive visibility.
  • Partner with Product, Operations, and Service teams to escalate and resolve issues, driving continuous improvement.
  • Travel up to 10-20% as needed.

About SMArtX Advisory Solutions
Founded in 2018, SMArtX Advisory Solutions is a rapidly growing financial technology firm creating breakthrough innovations in the wealth management industry. We offer a professional yet relaxed work environment where dynamic individuals thrive.
Submit your resume today to join our team.
Skills Required
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More Details
Employment Type: Full Time Location: [REMOTE] Experience Required: Director/ Vice-President Date Published: 02 Dec 2025

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