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Remote Utilization Review Jobs in Raleigh, NC (NOW HIRING)

Remote, United States (Headquarters: Durham, NC) Department: North America Commercial - Field Force ... Partner with internal review processes (e.g., MRC) to ensure compliant and effective materials

... remote) with an every-other-Friday-off schedule (9/8/80). The Benefits Partner sits within our ... utilization trends, and contributing to recommendations and materials for program changes and ...

... remote) with an every-other-Friday-off schedule (9/8/80). The Benefits Partner sits within our ... utilization trends, and contributing to recommendations and materials for program changes and ...

Audit, review, and reconcile monthly carrier invoices to ensure precise billing. * Data &HRIS ... Prior experience managing multi-state benefits or handling leave administration for a 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 ...

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Remote Utilization Review information

See Raleigh, NC salary details

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$41

$67

How much do remote utilization review jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for remote utilization review in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Remote Utilization Review position, and why are they important?

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 typical day look like for someone in a Remote Utilization Review role?

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 job?

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 Raleigh, NC? The most popular types of Utilization Review jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Utilization Review jobs? Cities near Raleigh, NC with the most Remote Utilization Review job openings:
Infographic showing various Remote Utilization Review job openings in Raleigh, NC as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $85,491 per year, or $41.1 per hour.
Field Evaluations Engineer - North Carolina Area

Field Evaluations Engineer - North Carolina Area

UL Solutions

Raleigh, NC • Remote

$100K - $115K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 16 days ago


UL Solutions rating

8.3

Company rating: 8.3 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

24th of 105 rated laboratories


Job description

Conduct on site engineering evaluations to help regulatory authorities determine the compliance of a product, leading to "approval" of the installation. The evaluation process consists of documentation review, visual and mechanical inspection, suitability for installation in accordance with the adopted installation Code(s) such as the National Electrical Code, applicable testing and an engineering report. If you have:

  • An engineering/technology degree from an accredited university
  • Expert knowledge of Building Codes, NEC, Field evaluations, conformity Standards and the NEC
  • Demonstrated ability to apply project-handling concepts in use in areas of expertise, including application to complex, new, or modified products in the field
  • Experienced with the utilization of Electrical Test Equipment.  Experienced with conducting electrical tests on products.
  • A working knowledge of industry issues, needs, and problems
  • Eight years of directly related experience

We would like to hear from you!

Join our Product Safety Field Evaluation Team and make a difference! 

#LI-MB1

#LI-Remote

A global leader in applied safety science, UL Solutions (NYSE: ULS) transforms safety, security and sustainability challenges into opportunities for customers in more than 110 countries. UL Solutions delivers testing, inspection and certification services, together with software products and advisory offerings, that support our customers' product innovation and business growth. The UL Mark serves as a recognized symbol of trust in our customers' products and reflects an unwavering commitment to advancing our safety mission. We help our customers innovate, launch new products and services, navigate global markets and complex supply chains, and grow sustainably and responsibly into the future. Our science is your advantage.

We work at the center of safety and sustainability - we're helping to tackle the worst aspects of the global climate crisis with projects in electrical infrastructure, renewable energy and electried transportation. Whether we're helping customers make safer electric vehicle batteries or debating the impact of wind farms, we develop cutting-edge safety science. And we do it in some of the largest and best-equipped laboratories in the world. We're always looking for people to help us explore, experiment and advance ideas that change the way the world works. Join our team and help create a cleaner, safer future for all.
  • University Degree (Bachelor's degree) in Engineering, Engineering Technology, Industrial Technology, Manufacturing Technology, or Physics from an ABET accredited program 
  • Detailed knowledge of the technical vocabulary common to the field evaluation business
  • Expert knowledge of NEC, Building Codes, Regulatory and conformity standards in use in areas of expertise
  • Demonstrated ability to apply project-handling concepts in use in areas of expertise, including application to complex, new, or unusual products
  • Experience with Hazard Based Safety Engineering (HBSE) concepts
  • Working knowledge of industry issues, needs, and problems

Candidate needs to be located close to airport due to high travel requirements. 

What we offer:

  • Total Rewards:  We understand compensation is an important factor as you consider the next step in your career . The estimated salary range for this position is $100,000 to $115,000 and is based on multiple factors, including job-related knowledge/skills, experience, geographical location, as well as other factors. This position is eligible for annual bonus compensation with a target payout of 10% of the base salary. This position also provides health benefits such as medical, dental and vision; wellness benefits such as mental and financial health; and retirement savings (401K) commensurate with the standard rewards offered in each individual location or country. We also provide full-time employees with paid time off including vacation (15 days), holiday including floating holidays (12 days) and sick time off (72 hours).

Learn More:

Curious? To learn more about us and the work we do, visit UL.com

  • Independently determines project scope, develops a preliminary plan of investigation, and determines project specifications by analyzing client input, available data, and product construction.  Projects include frequent travel to conduct on-site product evaluations.  Some International travel required.
  • Initiates communication with clients and AHJ's to promote and explain the benefits of new and existing services.  Communicates with clients to discuss technical issues, explain UL procedures and requirements, and negotiate completion date and sample requirements. 
  • Responds to address client concerns and to resolve any complex client issues
  • Provides technical assistance to clients in reference to product evaluations and plans review
  • Represents UL at meetings of outside organizations and provides presentations on a variety of code and certification related technical topics.
  • Determines areas in which the product may not be in compliance with the applicable Standard based requirements
  • Plans, conducts, and supervises code and regulatory related projects of major magnitude and scope.
  • Serves as Project Handler of record and signs as Reviewer of record as assigned
  • Resolves complex engineering issues by analyzing and reporting on the acceptability of the field-based product evaluations
  • Develops test requirements for products beyond the scope of existing standards, or those involving unique features requiring frequent use of independent judgment
  • Develops special test methods and test equipment.
  • May represent UL at local meetings and/or industry-related functions such as seminars and trade shows
  • May provide leadership and technical advice on special projects that involve complex, new or unusual issues. 
  • Performs other duties as directed

What UL Solutions employees say

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