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Remote Utilization Review Jobs in Boston, MA (NOW HIRING)

Owl Labs

Senior Linux Device Programmer

Boston, MA · On-site +1

$170K - $185K/yr

Mentor junior engineers and review code contributions QUALIFICATIONS EDUCATION * Bachelor's degree ... This role can be remote or hybrid. Salary Range $170,000--$185,000 USD Owl Labs is an Equal ...

Lendbuzz

Senior IT Manager (Boston)

Boston, MA · On-site +1

$150K - $190K/yr

Own IT budget, vendor management, and license utilization IT Operations & Service Management * Run ... Ensure reliable IT facilities for Boston HQ, Tel Aviv office and remote sites Security, Compliance ...

WuXi AppTec

Marketing Manager

Boston, MA · On-site +1

... utilization to support branding, lead generation and customer engagement. The ideal candidate is ... Please note this job is remote in the Boston or San Diego area. Responsibilities Marketing Planning ...

WuXi AppTec

Marketing Manager

Boston, MA · On-site +1

... utilization to support branding, lead generation and customer engagement. The ideal candidate is ... Please note this job is remote in the Boston or San Diego area. Marketing Planning & Strategy

Newfire Global Partners

Director of UX

Boston, MA · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

Review and approve research & design plans * Lead performance development and team growth * Foster ... Location: Fully remote; must be US-based, ideally in Eastern Time Zone (Boston area preferred)

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All JobsUtilization Review JobsRemote Utilization Review JobsRemote Utilization Review Jobs in Boston, MA

Remote Utilization Review information

See Boston, MA salary details

$23

$45

$74

How much do remote utilization review jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for remote utilization review in Boston, MA is $45.94, according to ZipRecruiter salary data. Most workers in this role earn between $36.30 and $52.74 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 Boston, MA?

The most popular types of Utilization Review jobs in Boston, MA are:

What are popular job titles related to Remote Utilization Review jobs in Boston, MA?

For Remote Utilization Review jobs in Boston, MA, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review jobs in Boston, MA look for?

The top searched job categories for Remote Utilization Review jobs in Boston, MA are:

What cities near Boston, MA are hiring for Remote Utilization Review jobs?

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Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Boston, MA as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 6% In-person, and 94% Remote job distribution, with an average salary of $95,545 per year, or $45.9 per hour.

Solution Architect - Remote - FS450

Fresche Solutions

Franklin, MA • On-site, Remote

$63.75 - $84/hr

Other

Posted 11 days ago

Job description

At Fresche Solutions, we offer a great work-life balance with flexible hours. You can work remotely from anywhere in North America or from one of our offices-the decision is yours.
Why Join Fresche? We believe in leading our industry through innovation, delivering exceptional outcomes, and helping our customers achieve lasting success. Our goal is to ensure that 100% of our customers are referenceable. Our distinct company culture has made Fresche a top employer and a trusted partner to our customers for eleven consecutive years. We work hard to ensure that our values are reflected in everything we do-from setting priorities and developing ideas to delivering solutions and supporting our clients.
About the Role As a Solution Architect, you will play a pivotal role in the design, delivery, and evolution of complex digital transformation initiatives. You will own the technical solution from initial discovery and architecture through implementation, optimization, and project completion.
This position has a particular focus on application and system performance optimization across Java, IBM i/AS400, and DB2 environments. We are looking for someone who can evaluate performance at both the application and operating-system levels, identify bottlenecks, and architect practical solutions that improve scalability, responsiveness, stability, and overall system efficiency.
You will work across multiple projects, conducting research, facilitating technical workshops, documenting solutions, and presenting and defending architectural decisions to clients and internal stakeholders. You will also act as a senior escalation point for complex technical matters and help ensure the successful completion of each project phase.
What You Will Be Doing
  • Own the technical solution throughout the full project lifecycle, ensuring alignment with client requirements, business objectives, and project goals.
  • Assess and optimize application and system performance across Java, IBM i/AS400, and DB2 environments.
  • Analyze performance bottlenecks at the application, database, operating-system, and infrastructure levels.
  • Recommend and implement strategies to improve application responsiveness, transaction throughput, resource utilization, scalability, and system stability.
  • Review Java application behaviour, including memory utilization, garbage collection, threading, connection management, and application-server performance.
  • Evaluate IBM i system performance, including workload management, job activity, CPU and memory consumption, subsystem configuration, and system resource utilization.
  • Assess DB2 database performance, including query execution, indexing, access paths, SQL efficiency, locking, database configuration, and workload behaviour.
  • Research and evaluate technical options to inform solution architecture and modernization strategies.
  • Architect solutions spanning Java, PHP, IBM i, DB2, and other relevant technologies based on the unique requirements of each engagement.
  • Translate business and technical requirements into scalable, maintainable, and supportable solution designs.
  • Lead technical discovery sessions, architecture workshops, and solution-design discussions with clients and internal teams.
  • Present, explain, and defend architectural recommendations to both technical and non-technical stakeholders.
  • Produce clear architecture documentation, technical specifications, diagrams, recommendations, and implementation roadmaps.
  • Collaborate with development, infrastructure, database, delivery, and client teams to support successful implementation.
  • Champion the effective use of architecture standards, development tools, performance-monitoring tools, and delivery best practices.
  • Serve as a senior technical escalation point during discovery, development, testing, deployment, and production-support activities.
  • Balance modernization objectives with the realities of complex legacy and mission-critical environments.

What You Must Have
  • Bachelor's degree in Computer Science, Software Engineering, Computer Engineering, or a related field.
  • 12+ years of hands-on experience designing and architecting large-scale, web-based enterprise systems.
  • Demonstrated experience as a Solution Architect, Technical Architect, or senior application architect.
  • Expert-level web application development experience using technologies such as Java, PHP, or comparable enterprise application platforms.
  • Strong experience diagnosing and resolving complex application and system performance issues.
  • Hands-on knowledge of Java performance optimization, including JVM behaviour, memory management, garbage collection, threading, application servers, and application profiling.
  • Experience assessing performance within IBM i, iSeries, or AS400 environments.
  • Strong understanding of DB2 performance optimization, including SQL tuning, indexing, query plans, access paths, locking, and database workload analysis.
  • Ability to investigate performance issues across multiple layers, including application code, database, operating system, middleware, and infrastructure.
  • Experience designing solutions for complex, integrated, and business-critical application environments.
  • Strong technical documentation, presentation, and stakeholder-management skills.
  • Ability to clearly communicate and defend technical decisions with clients, development teams, and senior stakeholders.
  • Ability to manage competing priorities and provide architectural leadership across multiple projects simultaneously.

Preferred Qualifications
  • Experience with RPG applications and IBM i modernization initiatives.
  • Experience modernizing or integrating legacy IBM i applications with Java, PHP, APIs, web applications, or cloud-based platforms.
  • Familiarity with IBM i performance-monitoring and diagnostic tools.
  • Experience with application profiling, database monitoring, capacity planning, and performance-testing tools.
  • Knowledge of cloud, hybrid-cloud, containerized, or distributed application architectures.
  • Experience working in consulting, professional services, or client-facing delivery environments.

Employment Details This is a permanent, full-time position. We would also consider an experienced contractor for an initial one-year engagement.
Equal Opportunity Employer We are proud to be an equal opportunity employer and are committed to fostering a diverse and inclusive workplace. We do not discriminate on the basis of race, religion, colour, national origin, gender, sexual orientation, age, marital status, veteran status, disability, or any other protected characteristic.
What Is It Like to Work at Fresche?
Visit our website and apply today: https://freschesolutions.com/careers/
Follow Fresche Solutions on LinkedIn: https://www.linkedin.com/company/fresche-solutions
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