... utilization, backlog, revenue forecasting, margin, and active project health (delivery status ... PS Team quarterly reviews, capacity planning cycles, resource allocation/project assignments, and ...
... utilization, backlog, revenue forecasting, margin, and active project health (delivery status ... PS Team quarterly reviews, capacity planning cycles, resource allocation/project assignments, and ...
Remote (Travel to Atlanta Headquarters as Needed) Position Type: Full-Time About Us At Financial ... utilization and minimize bench time while maintaining exceptional service quality. * Review and ...
Quick apply
Remote (Travel to Atlanta Headquarters as Needed) Position Type: Full-Time About Us At Financial ... utilization and minimize bench time while maintaining exceptional service quality. * Review and ...
Senior Client Success Manager, ICE Mortgage Technology
Atlanta, GA · On-site +1
$115K - $150K/yr
Leverage reporting and data to monitor and drive utilization and adopt best practices (deployment ... Support team efforts in delivering value and ROI conversation material for Business Reviews through ...
New
Senior Client Success Manager, ICE Mortgage Technology
Atlanta, GA · On-site +1
$115K - $150K/yr
Leverage reporting and data to monitor and drive utilization and adopt best practices (deployment ... Support team efforts in delivering value and ROI conversation material for Business Reviews through ...
New
Senior Client Success Manager, ICE Mortgage Technology
Atlanta, GA · On-site +1
$115K - $150K/yr
Leverage reporting and data to monitor and drive utilization and adopt best practices (deployment ... Support team efforts in delivering value and ROI conversation material for Business Reviews through ...
New
Senior Client Success Manager, ICE Mortgage Technology
Atlanta, GA · On-site +1
$115K - $150K/yr
Leverage reporting and data to monitor and drive utilization and adopt best practices (deployment ... Support team efforts in delivering value and ROI conversation material for Business Reviews through ...
New
Full-Time CORE Assistant Clinical Director
Decatur, GA · Remote
$80K/yr
Fully Remote (Georgia Residents Only) Reports To: Executive Director Classification: 1099 ... Review staff productivity, service utilization, and caseload capacity on a regular basis to ...
Full-Time CORE Assistant Clinical Director
Decatur, GA · Remote
$80K/yr
Fully Remote (Georgia Residents Only) Reports To: Executive Director Classification: 1099 ... Review staff productivity, service utilization, and caseload capacity on a regular basis to ...
Full-Time CORE Assistant Clinical Director
Decatur, GA · On-site +1
$80K/yr
Fully Remote (Georgia Residents Only) Reports To: Executive Director Classification: 1099 ... Review staff productivity, service utilization, and caseload capacity on a regular basis to ...
Full-Time CORE Assistant Clinical Director
Decatur, GA · On-site +1
$80K/yr
Fully Remote (Georgia Residents Only) Reports To: Executive Director Classification: 1099 ... Review staff productivity, service utilization, and caseload capacity on a regular basis to ...
Full-Time CORE Assistant Clinical Director
Decatur, GA · Remote
$80K/yr
Fully Remote (Georgia Residents Only) Reports To: Executive Director Classification: 1099 ... Review staff productivity, service utilization, and caseload capacity on a regular basis to ...
Quick apply
Full-Time CORE Assistant Clinical Director
Decatur, GA · Remote
$80K/yr
Fully Remote (Georgia Residents Only) Reports To: Executive Director Classification: 1099 ... Review staff productivity, service utilization, and caseload capacity on a regular basis to ...
Electrical Engineering Department Head
Conyers, GA · On-site +1
$97K - $125K/yr
... Remote (Hybrid options available) About Raymond: We are a progressive, forward-thinking ... Monitor and manage departmental workload, utilization, staffing assignments, and resource planning.
Electrical Engineering Department Head
Conyers, GA · On-site +1
$97K - $125K/yr
... Remote (Hybrid options available) About Raymond: We are a progressive, forward-thinking ... Monitor and manage departmental workload, utilization, staffing assignments, and resource planning.
Clinical Account Executive Hereditary Cancer - Atlanta, GA
Atlanta, GA · On-site +1
$105K - $130K/yr
Expand menu utilization in existing accounts * Sell genetic diagnostic testing services to new ... Experience with customer base within territory #LI-JP1 #LI-REMOTE PRIVACY NOTICES To review Ambry ...
Clinical Account Executive Hereditary Cancer - Atlanta, GA
Atlanta, GA · On-site +1
$105K - $130K/yr
Expand menu utilization in existing accounts * Sell genetic diagnostic testing services to new ... Experience with customer base within territory #LI-JP1 #LI-REMOTE PRIVACY NOTICES To review Ambry ...
Clinical Account Executive Hereditary Cancer - Atlanta, GA
Atlanta, GA · On-site +1
$105K - $130K/yr
Expand menu utilization in existing accounts * Sell genetic diagnostic testing services to new ... Experience with customer base within territory #LI-JP1 #LI-REMOTE PRIVACY NOTICES To review Ambry ...
Clinical Account Executive Hereditary Cancer - Atlanta, GA
Atlanta, GA · On-site +1
$105K - $130K/yr
Expand menu utilization in existing accounts * Sell genetic diagnostic testing services to new ... Experience with customer base within territory #LI-JP1 #LI-REMOTE PRIVACY NOTICES To review Ambry ...
Cloud Solution Architect
Atlanta, GA · Remote
$61 - $83.75/hr
Support hands-on delivery as needed, including Salesforce configuration, data loads, and review of ... Proven leadership of Salesforce delivery teams, including onshore/offshore models, remote teams ...
Quick apply
Cloud Solution Architect
Atlanta, GA · Remote
$61 - $83.75/hr
Support hands-on delivery as needed, including Salesforce configuration, data loads, and review of ... Proven leadership of Salesforce delivery teams, including onshore/offshore models, remote teams ...
Service Delivery Manager - Remote - USA
Atlanta, GA · On-site +1
Comfortable owning engagement financials under a fixed-fee structure: capacity and utilization ... Able to run a budget and progress review with a client sponsor and de-escalate a difficult ...
Service Delivery Manager - Remote - USA
Atlanta, GA · On-site +1
Comfortable owning engagement financials under a fixed-fee structure: capacity and utilization ... Able to run a budget and progress review with a client sponsor and de-escalate a difficult ...
Senior Director, Professional Services
Atlanta, GA · Remote
$10K/mo
This is a full-time exempt and remote position. Candidates must be located in the United States ... Drive improvements in throughput, resource utilization, and burn rate while maintaining high ...
Quick apply
Senior Director, Professional Services
Atlanta, GA · Remote
$10K/mo
This is a full-time exempt and remote position. Candidates must be located in the United States ... Drive improvements in throughput, resource utilization, and burn rate while maintaining high ...
$100K - $125K/yr
This role is responsible for overseeing field service operations, technician utilization, work ... Review and approve custom labor quotes, balancing profitability with strategic customer ...
Quick apply
$100K - $125K/yr
This role is responsible for overseeing field service operations, technician utilization, work ... Review and approve custom labor quotes, balancing profitability with strategic customer ...
Remote Nurse Case Manager
Atlanta, GA · On-site +1
Remote The Case Manager utilizes a collaborative process of assessment, planning, facilitation and ... Through the use of clinical tools and information/data review, conducts comprehensive assessments ...
Remote Nurse Case Manager
Atlanta, GA · On-site +1
Remote The Case Manager utilizes a collaborative process of assessment, planning, facilitation and ... Through the use of clinical tools and information/data review, conducts comprehensive assessments ...
Clinical Quality Assurance Coordinator (32489)
Atlanta, GA · Remote
$27 - $29/hr
In this role, you'll ensure our Peer Review case reports are nothing short of exceptional ... The position is 100% remote with a schedule of Monday through Friday: * 12:00pm - 8:30pm EST ...
Clinical Quality Assurance Coordinator (32489)
Atlanta, GA · Remote
$27 - $29/hr
In this role, you'll ensure our Peer Review case reports are nothing short of exceptional ... The position is 100% remote with a schedule of Monday through Friday: * 12:00pm - 8:30pm EST ...
Clinical Quality Assurance Coordinator (32722)
Atlanta, GA · Remote
$31.25/hr
Why you'll love this role: * 100% remote - work from the comfort of home * Work-life balance with a ... Perform quality assurance review of peer review reports, correspondences, addendums or supplemental ...
Clinical Quality Assurance Coordinator (32722)
Atlanta, GA · Remote
$31.25/hr
Why you'll love this role: * 100% remote - work from the comfort of home * Work-life balance with a ... Perform quality assurance review of peer review reports, correspondences, addendums or supplemental ...
This role is Monday - Friday 100% remote aside from travel to tradeshows and exhibitions on average ... Claims , workers compensation , bill review , or similar experience required * Ability to assist ...
This role is Monday - Friday 100% remote aside from travel to tradeshows and exhibitions on average ... Claims , workers compensation , bill review , or similar experience required * Ability to assist ...
This role is Monday - Friday 100% remote aside from travel to tradeshows and exhibitions on average ... Claims , workers compensation , bill review , or similar experience required * Ability to assist ...
This role is Monday - Friday 100% remote aside from travel to tradeshows and exhibitions on average ... Claims , workers compensation , bill review , or similar experience required * Ability to assist ...
This role is Monday - Friday 100% remote aside from travel to tradeshows and exhibitions on average ... Claims , workers compensation , bill review , or similar experience required * Ability to assist ...
This role is Monday - Friday 100% remote aside from travel to tradeshows and exhibitions on average ... Claims , workers compensation , bill review , or similar experience required * Ability to assist ...
Remote Utilization Review information
See Decatur, GA salary details
$20.89 - $25.11
2% of jobs
$25.11 - $29.34
9% of jobs
$32.23 is the 25th percentile. Wages below this are outliers.
$29.34 - $33.56
21% of jobs
The median wage is $36.98 / hr.
$33.56 - $37.79
23% of jobs
$37.79 - $42.01
13% of jobs
$45.30 is the 75th percentile. Wages above this are outliers.
$42.01 - $46.24
10% of jobs
$46.24 - $50.46
8% of jobs
$50.46 - $54.68
5% of jobs
$54.68 - $58.91
5% of jobs
$58.91 - $63.13
2% of jobs
$63.13 - $67.36
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 Decatur, GA?
The most popular types of Utilization Review jobs in Decatur, GA are:
What are popular job titles related to Remote Utilization Review jobs in Decatur, GA?
For Remote Utilization Review jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Decatur, GA look for?
The top searched job categories for Remote Utilization Review jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Remote Utilization Review jobs?
Cities near Decatur, GA with the most Remote Utilization Review job openings:

Senior Operations Analyst
Alpharetta, GA • Remote
Full-time
Re-posted 29 days ago
Job description
Mission - Why We Exist, What We Do, and Why We Need You
Profisee exists to make data management easy. We are building an enduring company and a platform that emphasizes the value of the data-enabled future. We put our employees at the center of everything we do and value employee growth and fulfillment inf today's virtual workforce. We are built for fast growth: we value high energy, a growth mindset, and trust-based collaboration.
Our Professional Services (PS) practice exists to empower our customers and ensure they get value out of the Profisee platform. Our Service offerings include full lifecycle implementations as well as coaching and mentoring both customers and partners. Master Data Management projects are exciting as they vary greatly in use cases, scenarios, environments, and technologies. As a result, Professional Services are critical to the success of our customers' MDM programs. Profisee's modern MDM platform is rapidly becoming the leader in AI enabled Data Management as evidenced by our recently being named a Leader in Gartner MDM Magic Quadrant.
The Professional Services Senior Operations Analyst is the operational backbone of the PS organization and serves as "the right hand" of the SVP of Professional Services. This role exists to ensure the PS team can operate with precision, accountability, and data-driven confidence. You will own the operational infrastructure that keeps the business running: resource and billing integrity, financial partnership, reporting and analytics, and the systems and processes that enable consultants to focus on delivering exceptional client outcomes. The Senior Operations Analyst will be a partner to the SVP, translating raw data into actionable insight, enforcing billing discipline across a distributed consulting workforce, and building the reporting foundation that enables executive decision-making. If you are energized by bringing order to complexity, holding people accountable with professionalism, and building operational systems that scale a high-growth services business, this role is for you.
Your Performance Objectives - What You Will Accomplish
Objective #1:
Within your first month, learn the business:
- Audit and map the current billing workflow end-to-end, identifying gaps between time logged, work delivered, and invoices issued.
- Establish a weekly billing cadence in partnership with Finance, ensuring consultants and PS subcontract partners submit time accurately and on schedule.
- Build accountability mechanisms that reduce billing errors and unbilled hours by a measurable percentage within the first quarter.
- Serve as the primary liaison to Finance for all PS revenue recognition and billing inquiries, reducing escalations to the PS Leadership
Objective #2:
Within your first 3 months, align objectives and prepare plans for next steps:
- Design and deliver a suite of recurring executive reports for PS Leadership covering PS resource utilization, backlog, revenue forecasting, margin, and active project health (delivery status)
- Create a consultant-facing dashboard, so the team has real-time visibility into their own billing hours allocated, utilization, and project completion.
- Establish data definitions and reporting standards so numbers from PS, Finance, and pending sales/services opportunities/deals tell a consistent story.
- Identify the 3-5 KPIs that best predict PS revenue attainment and present a measurement framework to PS Leadership.
Objective #3:
Within your first 4 months, implement improvements and establish efficiencies from presented plan:
- Own the PS operating calendar: PS Team quarterly reviews, capacity planning cycles, resource allocation/project assignments, and leadership team meeting prep.
- Create alignment between Professional Services, Finance, Sales, and Customer Success - ensuring cross-functional commitments are tracked and delivered. (New Deal Handover, Project closing activities, Post implementation transition to CS and Support
- Manage and maintain PS systems including Open Air, CRM data hygiene, and any project management platforms the team uses. (Dev Ops)
- Proactively flag risks to revenue, utilization, or project delivery before they become executive-level problems.
Objective #4:
Within your first 9 months, begin taking professional services operations to the next level:
- Prepare materials for board and executive reviews, ensuring PS Leadership delivers accurate results, crisp narratives, and well-reasoned recommendations.
- Reduce the SVP's administrative burden by 30%+ by owning routine operations, follow-ups, and cross-functional coordination.
- Build a quarterly business rhythm for the PS leadership team that connects operational metrics to strategic priorities.
- Position PS operations as a competitive advantage by demonstrating that Profisee's services business runs with rigor and data fluency.
Your Key Responsibilities
Billing & Financial Operations
- Own the end-to-end billing process for Professional Services, from time entry through invoice creation/approval.
- Partner with Finance to ensure accurate and timely revenue recognition for PS engagements.
- Drive consultant compliance with time-tracking policies and escalate non-compliance professionally and consistently.
- Reconcile discrepancies between project actuals, billed amounts, and contracted scope.
- Manage billing for T&M, milestone, and fixed-fee engagement models.
- Monitor AR aging for PS and coordinate with Finance on collections as needed.
Reporting & Analytics
- Develop, maintain, and continuously improve the PS reporting suite for PS Leadership and other departments.
- Produce weekly, monthly, and quarterly reports covering utilization, backlog, revenue, margin, and PS resource productivity.
- Build ad hoc analyses to support business decisions including pricing, capacity, and go-to-market changes.
- Maintain data integrity across all PS systems; serve as the source of truth for PS operational data.
- Translate service delivery data into clear, executive-ready narratives and visualizations.
Operations & Process Management
- Design and implement scalable operational processes that grow with the PS team.
- Own PS systems administration including Open Air, NetSuite, Salesforce project tracking platforms, and CRM data hygiene.
- Manage resource allocation visibility: who is on what project, at what utilization, through what date.
- Coordinate cross-functional workflows between PS, Finance, Sales, Legal, and Customer Success.
- Identify process gaps that create billing errors, revenue leakage, or consultant friction - and close them.
- Drives PS Delivery process (Status reports, project plan updates, deliverables, hand-over, documentation in Dev Ops/SharePoint.
- Central Liaison for Customer Success team
- Status Reporting Validation, Project milestone billing/triggering, closing activities validated for closed projects
- DocuSign and Contract Administration (SOWs AND Change Orders)
Executive & Leadership Support
- Prepare presentations, reports, and data packages for the PS Leadership for board reviews, executive team meetings, and PS/Sales QBRs.
- Manage the PS operating calendar including team meetings, planning cycles, and milestone reviews.
- Draft internal communications on behalf of the SVP as needed.
- Track and follow up on action items from leadership meetings to ensure accountability and closure.
- Serve as a trusted thought partner to the SVP on operational priorities and team effectiveness.
Competencies - What We are Looking For
The following competencies define what exceptional performance looks like in this role:
- Operational Precision. You produce work that is accurate, thorough, and reliable. Billing errors, reporting mistakes, and missed deadlines are rare because you build systems that prevent them.
- Data Fluency. You move comfortably between raw data and executive narrative. You know which numbers matter, what they mean, and how to present them in a way that drives decisions.
- Accountability Without Drama. You can hold consultants to billing compliance standards and Finance to deadlines without creating conflict or requiring escalation to leadership.
- Proactive Communication. You surface risks and issues early, with context and a proposed path forward.
- Cross-Functional Influence. You work across Finance, Services Sales, and Customer Success without formal authority, earning credibility through follow-through and expertise.
How We Work - Our Core Values
Growth Mindset - We can learn and get better at anything. We embrace and accept mistakes as an essential part of the learning process. Growing, accomplishing new things, and helping others learn are some of the most rewarding experiences of being human!
Constructive Candor - Enables us to get to the meat of issues quickly and is the foundation of trust. We hopefully disagree at times, which means we enjoy the fruits of diverse perspectives. We always know how each other feels when we leave a room so we can feel comfortable voicing our opinions. This leads to more growth and an environment we love to be in every day.
Helpful - Strives to assist, mentor, coach and assist your fellow Profisors to their highest potential and for them to be successful in every endeavor. Always has time to lend a hand, answer a question or share knowledge with your fellow employees as a matter of normal business and not as an exception.
We Get Stuff Done! - Strategy without execution is just an idea. We deliver results, not reasons.
Fun is where Fun is Made - Professional life is as enjoyable and rewarding as we make it. We value the journey as much as the destination and strive to make each other laugh along the way.
About Profisee
Let's find your somewhere new. Where your ideas are heard, no matter how long you've been at the company, or what your position is, or who you're talking to. Where you can always tackle new challenges because the industry's surface has barely been scratched. Where you can continue to grow because growth is in the company's DNA. Where the driving question is, "Great, what's next?"
We're looking for people who can help solve the biggest data problems for the biggest names - organizations like MD Anderson, Intel, Under Armour, and more - so they can achieve their most important strategic initiatives.
So if you're ready for a new adventure, get in touch.
Profisee | Now you can make it happen
Equal Employment Opportunity
Profisee is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce. We want candidates of all human varieties, backgrounds and lifestyles. No problem cannot be solved by bringing together people with a broader set of perspectives. To provide equal employment and advancement opportunities to all individuals, employment decisions at the Company will be based on merit, qualifications, and abilities. The Company does not discriminate in employment opportunities or practices on the basis of race, color, religion, sex, national origin, age, disability, or any other characteristic protected by law. Additionally, the Company will provide reasonable accommodations that do not cause an undue hardship on the company for disabilities of existing or potential employees.