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Remote Utilization Review Jobs in Georgetown, TX

Qvest US

Staff Engineer

Austin, TX · On-site +1

$80K - $400K/yr

... review cycle, and shape and contribute to the engineering culture as a place to learn and grow ... Definition, utilization and implementation of CI/CD pipelines * Experience with SOA, Microservices ...

Qvest US

Staff Engineer

Austin, TX · On-site +1

$80K - $400K/yr

... review cycle, and shape and contribute to the engineering culture as a place to learn and grow ... Definition, utilization and implementation of CI/CD pipelines * Experience with SOA, Microservices ...

Allied Consultants, Inc.

Java Developer

Austin, TX · On-site +1

$51.50 - $66.50/hr

Analyze logs, system messages, thread connectivity, memory utilization, disk input/output, and disk ... Remote** Minimum Requirements: Candidates that do not meet or exceed the minimum stated ...

Allied Consultants, Inc.

Java Developer

Austin, TX · On-site +1

$51.50 - $66.50/hr

Analyze logs, system messages, thread connectivity, memory utilization, disk input/output, and disk ... Remote** Qualifications Minimum Requirements: Candidates that do not meet or exceed the minimum ...

Omnicell

Sr. Marketing Manager GTM

Austin, TX · Remote

Remote Department: Portfolio Marketing Reports to: Senior Manager, Marketing (GTM) Why Join ... Facilitate sales briefings, launch readiness reviews, field activation sessions, and post-launch ...

Braze

Senior Account Manager, SMB

Austin, TX · On-site +1

$68K - $94K/yr

WHAT YOU\'LL DO * Own the commercial relationship, empowering Braze utilization and value ... LI-Remote WHAT WE OFFER Braze benefits vary by location, and we encourage you to review our ...

Discovery Machine®, Inc.

Be Seen First

Database Engineer

Austin, TX · Remote

Manage the day-to-day operations, configuration, and remote administration of relational cloud ... Review, audit, and configure database environments to ensure they are strictly locked down in ...

New

COMPASSUS

Insurance Specialist

Burnet, TX · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Central Time Zone. Position ... Reviews the insurance verification and completes the authorization process within established time ...

New

Certinia

Sr. Project Manager

Austin, TX · On-site +1

Senior Project Manager, Professional Services Remote, U.S. WHO WE ARE Certinia (formerly ... Lead steering committee meetings, status reviews, and escalation conversations with a prepared ...

COMPASSUS

Insurance Specialist

Austin, TX · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Central Time Zone. Position ... Reviews the insurance verification and completes the authorization process within established time ...

New

Canals

Customer Success Manager

Austin, TX · Remote

Facilitate regular business reviews to demonstrate ROI and align on future goals. * Contribute to ... Demonstrated success driving product adoption, utilization and training end users. * Proven ...

COMPASSUS

Insurance Specialist

Round Rock, TX · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Central Time Zone. Position ... Reviews the insurance verification and completes the authorization process within established time ...

New

CVS Health

Case Manager Registered Nurse

Austin, TX · Remote

$54K - $129K/yr

Case Manager RN (100% Remote - Nationwide) FullTime | Work from Anywhere Nationwide | No Travel ... Support inpatient review and discharge planning as appropriate * Advocate for members to maximize ...

CVS Health

Case Manager Registered Nurse

Austin, TX · Remote

$54K - $129K/yr

Case Manager RN (100% Remote - Nationwide) FullTime | Work from Anywhere Nationwide | No Travel ... Support inpatient review and discharge planning as appropriate * Advocate for members to maximize ...

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All JobsUtilization Review JobsRemote Utilization Review JobsRemote Utilization Review Jobs in Georgetown, TX

Remote Utilization Review information

See Georgetown, TX salary details

$19

$39

$64

How much do remote utilization review jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for remote utilization review in Georgetown, TX is $39.29, according to ZipRecruiter salary data. Most workers in this role earn between $31.06 and $45.10 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 Georgetown, TX? The most popular types of Utilization Review jobs in Georgetown, TX are:
What are popular job titles related to Remote Utilization Review jobs in Georgetown, TX? For Remote Utilization Review jobs in Georgetown, TX, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Georgetown, TX look for? The top searched job categories for Remote Utilization Review jobs in Georgetown, TX are:
What cities near Georgetown, TX are hiring for Remote Utilization Review jobs? Cities near Georgetown, TX with the most Remote Utilization Review job openings:
Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Georgetown, TX as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $81,713 per year, or $39.3 per hour.

Staff Engineer

Qvest US

Austin, TX • On-site, Remote

$80K - $400K/yr

Full-time

Re-posted 4 days ago

Job description

Who We Are
Qvest US is the global leader in technology and business consulting for the Media & Entertainment and Consumer Packaged Goods & Retail industries. We strategize, advise, design, develop and implement future-forward business & technology solutions. With expertise in digital media supply chain, data & analytics, IP & rights management, broadcast transformation, Salesforce and applied AI, our exceptionally talented teams partner with Fortune 1,000 companies to revolutionize markets and set new industry standards.
 
About the IDC
The IDC is our Innovation and Development Center. We build custom software using modern technologies to solve complex business problems for our clients. We believe the best products and services are realized by knowledgeable, tight-knit teams aligned to a shared purpose and understanding. 

Who we're seeking
You are an innovative and thoughtful self-starter who enjoys solving problems and thrives in fast-paced, collaborative environments. You are looking for a role where you can shape best practices, mentor team members, work on varied projects, and influence technologies and solutions for both Qvest internal and client external projects. You thrive in environments where you're able to demonstrate technical competency while working individually, closely with team members, or directly with our clients.

Self driven engineering leader who love to identify and experiment with new approaches, technologies, or tools that will impact our projects or industry. Examples could include emergent architectural approaches, new cloud provider offerings, or productivity enhancers (new tooling, Chat-GPT, Co-Pilot, or similar)
What you'll do
  • As a mentor, you will help grow the careers of other team members, have the opportunity to participate in the hiring process, participate in the annual review cycle, and shape and contribute to the engineering culture as a place to learn and grow.
  • As a technology Leader, you’ll work directly with Qvest leadership to impact projects, teams and the Qvest organization by creating, shaping, proposing and presenting engineering practices, architectures, and tech stacks.  You will influence business development through your expertise by creating content and contributing to proposals.  You will extract reusable components, patterns, concepts and lessons learned to be leveraged across the organization.
  • As a project leader, you’ll help propose technologies to be used on specific projects, and define the shape of the team to build them. As a part of that team, you’ll help the team gather, translate and refine business requirements into deployable systems, extracting and leveraging repeatable design strategies, and creating reference implementations.  You will lead by example through the code you contribute, the continuous improvement you foster, and the quality of documentation, architecture, code, and tests you and your teams will deliver.
What you'll bring
  • 8-12+ years in software development, including working in teams
  • Experience with agile methodologies such as Scrum, Kanban or XP
  • Expertise in the language and library/framework ecosystems of Java, JavaScript/Typescript, or Python
  • Definition, utilization and implementation of CI/CD pipelines
  • Experience with SOA, Microservices, or similar architectural patterns
  • Experience constructing systems by utilizing a separation of concerns (good OOP, FP design, etc)
  • Experience with enterprise application integration, including defining the integration architecture, integration data flows and interfaces, integration mechanisms (e.g., async vs. synchronous), middleware, etc.
  • Experience with typical AuthN/AuthZ methods and products
  • Experience managing data, including the selection of persistence product, design of database schema, constraints and transaction boundaries, read/write design trade-off decisions and how it relates to mutable vs. immutable data state
  • Experience balancing feature development vs. technical debt accumulation in order to deliver business needs while also maintaining quality over time
  • Bachelor's degree in engineering, information systems, computer science, business administration, or other related fields
Travel Requirements
Employees are responsible for traveling to and from client sites as required by their project or assignment, regardless of location. Travel may include sites outside the employee’s primary office location, state, or region.
 
Remote & Hybrid Work
While remote or hybrid work may be permitted for certain projects, client needs take precedence. Employees are expected to report onsite at the client location when required by the project scope, client request, or management directive.
 
Life at Qvest
We were founded on a culture of collaboration and inclusiveness, and this permeates each of our initiatives, both client-facing and internal. We offer a wide selection of benefits including medical, dental & vision, 401k matching and flexible vacation; we sponsor training to advance our teams’ skill sets and we prioritize our employees’ professional growth paths. Qvest US is currently 300+ people strong and we’ve been recognized as a “Best Place to Work,” a “Great Place to Work,” “Fastest Growing,” and “A Jewel."
 
Equal Employment Opportunity
Qvest is an Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Qvest applies this stance to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including internships, at all levels of employment.