Remote Medical Coder
Memphis, TN · On-site +1
$75/hr
Test AI performance against custom-built scenarios and refine tasks based on quality reviews and ... utilization management, patient access, compliance, or related healthcare administrative ...
Memphis, TN · On-site +1
$75/hr
Test AI performance against custom-built scenarios and refine tasks based on quality reviews and ... utilization management, patient access, compliance, or related healthcare administrative ...
Memphis, TN · On-site +1
$75/hr
Test AI performance against custom-built scenarios and refine tasks based on quality reviews and ... utilization management, patient access, compliance, or related healthcare administrative ...
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Quick apply
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Quick apply
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Quick apply
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Quick apply
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Quick apply
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
Quick apply
Memphis, TN · Remote
$55.28 - $57.69/hr
Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we look for * R.Ph required; PharmD preferred * Full, current, and unrestricted pharmacist ...
... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...
... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...
Memphis, TN · Remote
$107K - $136K/yr
... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...
Memphis, TN · Remote
$107K - $136K/yr
... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...
Memphis, TN · Remote
... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...
Memphis, TN · Remote
... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...
Memphis, TN · On-site +1
Note: * This is a remote, Monday-Friday (8:00 a.m.-5:00 p.m.) role with flexibility to support ... Supporting utilization management functions for more complex and non-routine cases as needed.
New
Memphis, TN · On-site +1
Note: * This is a remote, Monday-Friday (8:00 a.m.-5:00 p.m.) role with flexibility to support ... Supporting utilization management functions for more complex and non-routine cases as needed.
New
Collierville, TN · Remote
Review contractor and EPC schedules and provide analysis and feedback to the project team ... WORK LOCATION & TRAVEL [Location / Remote / Hybrid or project site as assigned] with [travel to ...
Quick apply
Collierville, TN · Remote
Review contractor and EPC schedules and provide analysis and feedback to the project team ... WORK LOCATION & TRAVEL [Location / Remote / Hybrid or project site as assigned] with [travel to ...
MS · Remote
$17.75 - $23.25/hr
While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred
MS · Remote
$17.75 - $23.25/hr
While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred
Byhalia, MS · Remote
$17.75 - $23.25/hr
While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred
Byhalia, MS · Remote
$17.75 - $23.25/hr
While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred
Memphis, TN · On-site +1
$23/hr
Review medical documentation and adjudicate leave requests in compliance with applicable leave ... Work Environment This is a remote role in a high-volume, fast-paced environment focused on ...
Memphis, TN · On-site +1
$23/hr
Review medical documentation and adjudicate leave requests in compliance with applicable leave ... Work Environment This is a remote role in a high-volume, fast-paced environment focused on ...
$20.78 - $24.99
2% of jobs
$24.99 - $29.19
9% of jobs
$32.07 is the 25th percentile. Wages below this are outliers.
$29.19 - $33.39
21% of jobs
The median wage is $36.80 / hr.
$33.39 - $37.60
23% of jobs
$37.60 - $41.80
13% of jobs
$45.07 is the 75th percentile. Wages above this are outliers.
$41.80 - $46
10% of jobs
$46 - $50.21
8% of jobs
$50.21 - $54.41
5% of jobs
$54.41 - $58.61
5% of jobs
$58.61 - $62.82
2% of jobs
$62.82 - $67.02
2% of jobs
$20
$41
$67
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.
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.
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.
The most popular types of Utilization Review jobs in Memphis, TN are:
For Remote Utilization Review jobs in Memphis, TN, the most frequently searched job titles are:
The top searched job categories for Remote Utilization Review jobs in Memphis, TN are:
Cities near Memphis, TN with the most Remote Utilization Review job openings:

Memphis, TN • On-site, Remote
$75/hr
Contractor
Medical, Dental, Vision, Life, Retirement, PTO
Posted 4 days ago
Sourced by ZipRecruiter
At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions - from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless. Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients' capabilities by seeking solvers and delivering solutions to address today's workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.
Recruiting and staffing services
1,001 - 5,000 Employees
Hanover, MA, US