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Remote Utilization Review Jobs in Rosedale, MD (NOW HIRING)

OLIVER Agency - North America

Program Director

Baltimore, MD · On-site +1

$127K - $142K/yr

... reviews, SLA tracking, and QBR preparation -- in partnership with the Business Director * Route tasks to talent, factoring real-time utilization and SLAs; implement automated alerts to proactively ...

Medtronic

Robotic Clinical Specialist

Baltimore, MD · Remote

While this is a remote position not located at a physical Medtronic site, the candidate hired will ... The Surgical Robotics Utilization Team manages all aspects of system installation, start-up ...

Medtronic

Robotic Clinical Specialist

Baltimore, MD · Remote

While this is a remote position not located at a physical Medtronic site, the candidate hired will ... The Surgical Robotics Utilization Team manages all aspects of system installation, start-up ...

System One

Lead Healthcare Product Owner

Baltimore, MD · Remote

$72/hr

Drive cross-functional execution across multiple workstreams: stakeholder workshops, design reviews ... utilization management / PA programs . * 8-10+ years operating as a Product Owner (or equivalent ...

CareFirst

FP&A Consultant (Remote)

Baltimore, MD · Remote

Responsible for contribution to the development and analytical review of quarterly planning and ... Informs strategic financial planning by performing and evaluating financial, utilization and ...

CareFirst

Reimbursement Analyst (Remote)

Baltimore, MD · Remote

Will be responsible for reviewing and analyzing information for various provider reimbursement and ... Perform detailed financial analyses of the claims utilization data to determine the competitiveness ...

Skillcloud HCM

HRIS Lead

Hunt Valley, MD · On-site +1

$85K/yr

Publishers Circulation Fulfillment, Inc. HRIS Lead Hunt Valley, MD or Remote (EST) Publishers ... Monitor utilization and performance; recommend process improvements to enhance efficiency.

Actalent

Sales Enablement Proposal Writer

Hanover, MD · On-site +1

Manage version control, review and stakeholder feedback to maintain accuracy and quality * Manage ... Utilization of Monday.com collaboration tool for project tracking and management * Support ...

Actalent

Sales Enablement Proposal Writer

Hanover, MD · On-site +1

Manage version control, review and stakeholder feedback to maintain accuracy and quality * Manage ... Utilization of Monday.com collaboration tool for project tracking and management * Support ...

Actalent

Sales Enablement Proposal Writer

Hanover, MD · On-site +1

$61K - $71K/yr

Manage version control, review and stakeholder feedback to maintain accuracy and quality * Manage ... Utilization of Monday.com collaboration tool for project tracking and management * Support ...

ITW

National Sales Manager

MD · Remote

The role is a remote position; location base will be reviewed as this position covers all regions ... Enhance data utilization capabilities and enable stronger data led decision making in setting ...

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How much do remote utilization review jobs pay per hour?

As of Jul 7, 2026, the average hourly pay for remote utilization review in Rosedale, MD is $40.55, according to ZipRecruiter salary data. Most workers in this role earn between $32.07 and $46.59 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 popular job titles related to Remote Utilization Review jobs in Rosedale, MD? For Remote Utilization Review jobs in Rosedale, MD, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Rosedale, MD look for? The top searched job categories for Remote Utilization Review jobs in Rosedale, MD are:
What cities near Rosedale, MD are hiring for Remote Utilization Review jobs? Cities near Rosedale, MD with the most Remote Utilization Review job openings:
Remote Utilization Review jobs near you

Program Director

OLIVER Agency - North America

Baltimore, MD • On-site, Remote

$127K - $142K/yr

Full-time

Posted 25 days ago

Job description

Established in 2004, OLIVER is the world's first and only specialist in designing, building, and running bespoke in-house agencies and marketing ecosystems for brands. We partner with over 300 clients in 40+ countries and counting. Our unique model drives creativity and efficiency, allowing us to deliver tailored solutions that resonate deeply with audiences.

As a part of The Brandtech Group, we're at the forefront of leveraging cutting-edge AI technology to revolutionise how we create and deliver work. Our AI solutions enhance efficiency, spark creativity, and drive insightful decision-making, empowering our teams to produce innovative and impactful results.

Role: Program Director

Location: Baltimore, MD United States

About the role:
The Program Director leads delivery and operations for the OLIVER studio working in partnership with our client. You are accountable for SLA performance, resource utilization, operational reporting, and the overall health of the studio's day-to-day workflow. You partner directly with the Business Director, Resource Manager, and Integrated Project Managers to build and maintain a structured, scalable way of working.
What you will be doing:
  • Own the end-to-end delivery operation — from brief intake and triage through production, review, approval, and delivery — using OMG as the central workflow management system
  • Lead and develop a team of Integrated Project Managers and QA Managers across Mexico City and Chicago, building a delivery culture that is process-led, SLA-aware, and proactive
  • Partner with the Resource Manager to allocate creative, production, and QA resource against the studio's active workload, managing peaks and troughs effectively
  • Establish and maintain weekly and monthly accountability rhythms — status reporting, resourcing reviews, SLA tracking, and QBR preparation — in partnership with the Business Director
  • Route tasks to talent, factoring real-time utilization and SLAs; implement automated alerts to proactively address potential bottlenecks
  • Drive quality control standards across all workstreams, working closely with the QA Manager to ensure every asset is accurate, brand-compliant, and delivery-ready
  • Lead the studio's transition period: manage the handover of in-flight work from incumbent agencies, build process documentation, and establish OLIVER's ways of working from go-live
  • Manage relationships with Mexico City-based delivery team members, supporting cross-cultural collaboration and remote operational effectiveness
  • Report on studio performance against KPIs — cost per asset, time per project vs. SLA, resource utilization, revisions per asset — and identify trends and improvement opportunities
  • Build and maintain the studio's operational playbooks, briefing standards, and SLA frameworks
What you need to be great in this role:
  • Proven experience leading delivery and operations in a complex, multi-brand content production environment — ideally spanning multiple locations and disciplines
  • Expert proficiency with project management and workflow systems; experience with OMG or similar platforms (Workfront, Wrike, etc.) is a strong advantage
  • A track record of building and managing high-performance project management and operations teams
  • Strong data literacy: comfortable owning delivery metrics, SLA reporting, and operational dashboards
  • Experience managing distributed, multi-cultural teams across different time zones
  • A proactive, structured approach to problem-solving — you identify risk early and resolve it before it reaches the client
  • Experience leading studio transitions or agency implementations is a meaningful differentiator
  • Advanced use of AI tools to enhance operational efficiency, including workflow intelligence, automated triage, and brief scoring via OMG's AI-assist capability
  • Agentic thinking for complex, multi-team operational challenges: systematic, outcome-focused, and adaptable
  • Ability to train and guide the delivery team in responsible AI adoption within the studio's operational framework
  • At the time of this posting, the base salary for this position may range from $127,500.00 to $142,500.00 USD. Individual compensation varies based on job related factors, including location, business needs, level of responsibility, experience, and qualifications. The range listed is just one component of OLIVER's total compensation package.
Req ID: 17776#LI-director

Our values shape everything we do:

Be Ambitious to succeed 

Be Imaginative to push the boundaries of what's possible 

Be Inspirational to do groundbreaking work 

Be always learning and listening to understand 

Be Results-focused  to exceed expectations 

Be actively pro-inclusive and anti-racist across our community, clients and creations 

OLIVER, a part of the Brandtech Group, is an equal opportunity employer committed to creating an inclusive working environment where all employees are encouraged to reach their full potential, and individual differences are valued and respected. All applicants shall be considered for employment without regard to race, ethnicity, religion, gender, sexual orientation, gender identity, age, neurodivergence, disability status, or any other characteristic protected by local laws. 

 OLIVER has set ambitious environmental goals around sustainability, with science-based emissions reduction targets. Collectively, we work towards our mission, embedding sustainability into every department and through every stage of the project lifecycle.