ZipRecruiter

Log In

2

Remote Utilization Review Jobs in Phoenix, AZ (NOW HIRING)

Lincare

Medical Nutrition Spc - Remote

Phoenix, AZ · Remote

$29.25 - $39.25/hr

Conducts nutritional assessments by reviewing medical records, physician orders, and laboratory ... for utilization in patient care applications * Verifies enteral and oral nutrition orders for ...

TEKsystems

REMOTE- Inpatient Coder

Phoenix, AZ · Remote

$22 - $28/hr

Review emergency department medical records and accurately assign ICD-10-CM diagnosis codes, CPT ... including utilization of the ACEP E/M tool. * Analyze clinical documentation from physicians ...

StateServ Medical LLC

Account Manager - Remote

Mesa, AZ · Remote

$65K - $75K/yr

Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...

StateServ

Account Manager - Remote

Mesa, AZ · On-site +1

$65K - $75K/yr

Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...

StateServ Medical

Account Manager - Remote

Mesa, AZ · Remote

$65K - $75K/yr

Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...

StateServ

Account Manager - Remote

Mesa, AZ · On-site +1

$65K - $75K/yr

Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...

StateServ Medical LLC

Account Manager - Remote

Mesa, AZ · Remote

$65K - $75K/yr

Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...

StateServ Medical

Account Manager - Remote

Mesa, AZ · Remote

$65K - $75K/yr

Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...

Robert Half

Tax Director or Senior Manager

Scottsdale, AZ · Remote

$95 - $110/hr

... in a remote environment. Responsibilities: * Lead the technical review of a high volume of ... items, and utilization of tax attributes. * Oversee return-to-provision true-up analyses and ...

New

previous page

Showing results 41-60

All JobsUtilization Review JobsRemote Utilization Review JobsRemote Utilization Review Jobs in Phoenix, AZ

Remote Utilization Review information

See Phoenix, AZ salary details

$21

$41

$68

How much do remote utilization review jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote utilization review in Phoenix, AZ is $41.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $48.22 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 Phoenix, AZ?

The most popular types of Utilization Review jobs in Phoenix, AZ are:

What are popular job titles related to Remote Utilization Review jobs in Phoenix, AZ?

For Remote Utilization Review jobs in Phoenix, AZ, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review jobs in Phoenix, AZ look for?

The top searched job categories for Remote Utilization Review jobs in Phoenix, AZ are:

What cities near Phoenix, AZ are hiring for Remote Utilization Review jobs?

Cities near Phoenix, AZ with the most Remote Utilization Review job openings:

Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Phoenix, AZ as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $87,323 per year, or $42 per hour.

Clinical Account Representative

Gateway Recruiting

Phoenix, AZ • Remote

Full-time

PTO

Re-posted yesterday

Key responsibilities

  • Serve as the primary point of contact for high-volume, established accounts, ensuring onboarding and patient monitoring workflows are seamless.

  • Achieve sales and utilization targets within assigned accounts and execute quarterly business plans to support growth.

  • Provide technical troubleshooting, clinical support, and training to clinical staff and support clinical data collection.

Job description

Job Summary:

The Clinical Account Representative (CAR) supports the company's growth by driving utilization, supporting key accounts, and delivering education and technical support. This is a sales-forward role focused on account development, workflow optimization, and expanding access to therapy. The CAR operates at the intersection of clinical expertise, relationship management, and commercial execution, ensuring that the company is successfully integrated into heart failure care pathways and delivers measurable patient and economic value.

Job Responsibilities:

1. Sales & Customer Engagement

  • Serve as the primary point of contact for high-volume, established accounts, ensuring seamless onboarding and patient monitoring workflows.
  • Achieve assigned sales and utilization targets within defined accounts.
  • Execute actionable quarterly business plans with clear activity goals and growth drivers.
  • Conduct routine account check-ins to review program performance, identify barriers, and uncover new opportunities.
  • Deliver product demonstrations and participate in educational meetings to drive adoption and expand utilization.
  • Provide competitive insights, including customer feedback and market intelligence.
  • Provide coverage for Territory Managers during PTO, meetings, and peak demand periods.

2. Account Management

  • Maintain CRM documentation for key accounts, including activity notes, opportunities, and follow-ups.
  • Build and sustain strong relationships with physicians, APPs, clinics, and administrators.
  • Conduct quarterly account reviews in collaboration with Territory Manager to support program health, patient volume trends, and operational needs.
  • Support the execution of workflow optimizations to improve patient identification, onboarding, and monitoring processes.

3. Technical & Clinical Support

  • Provide technical troubleshooting for remote monitoring issues and workflow challenges, escalating as needed.
  • Offer procedural case support occasionally for broader territory, focusing on priority accounts.
  • Support training and education for new clinical staff, clinics, and administrators.
  • Participate in product in-services and support clinical data collection as needed.
  • Continue developing strong product competency.

4. Compliance & Collaboration

  • Adhere to all FDA, regulatory, and company quality requirements.
  • Maintain accurate documentation of sales activities, account plans, expenses, and clinical interactions.
  • Collaborate effectively with Territory Managers, Marketing, Professional Education, Clinical Specialists, and sales leadership.
  • Maintain professional, compliant, and positive communication with all hospital and internal stakeholders.

Education and Experience:

Required:

  • Bachelor's degree (Business, Life Sciences, Engineering, or related).
  • Experience: 2-4 years in medical device or healthcare (inside or field).
  • Demonstrates consultative selling skills, including uncovering needs, asking strategic questions, and positioning solutions that drive utilization growth.
  • Track record of ≥100% to goal in the most recent performance year.
  • Account-facing experience with clinicians and administrators (e.g.,clinics, service line leaders).
  • Proficiency with CRM (Salesforce preferred), Excel/analytics, and PowerPoint.
  • Comfortable delivering clinical/technical presentations to audiences of 10–50 stakeholders.

Preferred:

  • Knowledge of reimbursement landscape and payment pathways (highly preferred).
  • Experience at top MedTech organizations (highly preferred).
  • 1-2 years of commercial experience.
  • Experience in Cardiology/HF/EP/Structural Heart or remote monitoring.
  • Prior involvement in value analysis or committee-based selling.
  • Familiarity with Cath lab/OR workflows; basic procedural support experience.