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Remote Utilization Review Jobs in New Port Richey, FL

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Remote Utilization Review information

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How much do remote utilization review jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for remote utilization review in New Port Richey, FL is $37.66, according to ZipRecruiter salary data. Most workers in this role earn between $29.76 and $43.27 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 New Port Richey, FL?

The most popular types of Utilization Review jobs in New Port Richey, FL are:

What are popular job titles related to Remote Utilization Review jobs in New Port Richey, FL?

For Remote Utilization Review jobs in New Port Richey, FL, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review jobs in New Port Richey, FL look for?

The top searched job categories for Remote Utilization Review jobs in New Port Richey, FL are:

What cities near New Port Richey, FL are hiring for Remote Utilization Review jobs?

Cities near New Port Richey, FL with the most Remote Utilization Review job openings:

Infographic showing various Remote Utilization Review job openings in New Port Richey, FL as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 4% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $78,333 per year, or $37.7 per hour.

Sr Partner Manager (fitness) - Tampa (remote opportunity - prefer Tampa area however open to Southea

Tampa, FL • On-site, Remote

Tivity Health
Fitness and Sports Centers • 201 - 500 employees

$74K - $102K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago


Key responsibilities

  • Manage and grow relationships with participating fitness locations within Tivity's Medicare and commercial networks.

  • Drive partner retention and engagement through proactive outreach, business reviews, and identifying opportunities for expansion.

  • Analyze partner performance metrics and collaborate with internal teams to support partner marketing, promotional initiatives, and network growth.


Job description

Description/Responsibilities
Our Senior Partner Manager is responsible for managing and growing relationships of participating fitness locations within Tivity's Medicare and commercial networks. In this role you will serve as the primary commercial contact for partner locations, ensuring partners understand program value, remain engaged in the network and expand their participation. You will also drive retention, partner satisfaction, and network growth by acting as a trusted advisor to partners and aligning their business goals with Tivity's programs.
Key Responsibilities:
  • Serve as the primary relationship owner for the assigned partner locations.
  • Develop and maintain strong relationships with owners, executives, operators, and regional leaders across the partner network.
  • Drive partner retention and engagement through proactive outreach and business reviews.
  • Identify opportunities to expand partner participation across additional locations or services.
  • Analyze partner performance metrics (utilization, CpV, AVPP, revenue) and recommend growth and retention.
  • Act as the voice of the partner within Tivity, by collaborating with operations, product, support, sales and client relations teams.
  • Support partner marketing and promotional initiatives to increase program adoption.
  • Monitor industry trends and competitive dynamics affecting Tivity programs and partner businesses.
  • Supports other initiatives, projects and activities related to the partner network's business objectives.

Qualifications
  • 5+ years of experience in account management, partnerships, or business development.
  • Experience working with multi-location fitness operators, franchises, or healthcare networks preferred.
  • Strong relationship management and communication skills.
  • Ability to interpret performance data and develop strategic recommendations.
  • Experience with CRM systems (Salesforce preferred).
  • Bachelor's degree (Business, Marketing, Health or related field) or equivalent experience.

Key Performance Indicators
  • Partner retention rate
  • Network growth
  • Cost per Visit
  • Average Visits Per Participant
  • Total payments to assigned partners
  • Engagement with program initiatives
  • Partner Engagement and Satisfaction

The salary range for this opportunity is $74,800 to $102,000. Compensation depends on several factors: qualifications, skills, competencies, and experience.
Tivity Health offers a robust benefits package, which includes a competitive salary, company bonus potential, medical, dental, vision, 401k with match, generous paid time off, free gym membership to over 13,000 fitness locations in the US, and other great benefits.
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About Tivity Health® Inc.
Tivity Health, Inc. is a leading provider of healthy life-changing solutions, including SilverSneakers®, ForeverFit®, and WholeHealth Living®. We help adults improve their health and support them on life's journey by providing access to in-person and virtual physical activity, social and mental enrichment programs, as well as a full suite of physical medicine and integrative health services. Our suite of services support health plans, employers, health systems and providers nationwide as they seek to reduce costs and improve health outcomes. Learn more at TivityHealth.
Tivity Health is an equal employment opportunity employer and is committed to a proactive program of diversity development. Tivity Health will continue to recruit, hire, train, and promote into all job levels without regard to race, religion, gender, marital status, familial status, national origin, age, mental or physical disability, sexual orientation, gender identity, source of income, or veteran status.