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Remote Utilization Review Jobs in San Ramon, CA (NOW HIRING)

Sr. Director, Delivery Management

Palo Alto, CA ยท Remote

$249K/yr

Define FDE engagement models: embedded on-site, remote retainer, and GSI co-delivery - matched to ... Manage FDE utilization and ensure billable productivity supports regional margin targets * Develop ...

... review rules - and you will stand behind what the Pre-Underwrite says.This is a remote position ... asset-utilization/depletion programs. * Asset Underwriting: Asset sourcing and seasoning, large ...

... review rules - and you will stand behind what the Pre-Underwrite says.This is a remote position ... asset-utilization/depletion programs. * Asset Underwriting: Asset sourcing and seasoning, large ...

Write, review, and ship production-quality code (e.g., Python, Go) to build tools and automation ... Employee divides their time between in-office and remote work. Access to an office location is ...

MMC Executive Director

Menlo Park, CA ยท Remote

$99.70 - $132.11/hr

... remote monitoring, and digital self-service pathways. * Optimize Epic-enabled workflows and digital ... Reduce avoidable utilization through evidence-based workflows, appropriate site-of-care management ...

Visit.org is looking for a passionate and ambitious Jr. Account Executive to join our remote team ... Ability to build account plans to understand key decision makers, product utilization potential ...

Showing results 41-60

Remote Utilization Review information

See San Ramon, CA salary details

$23

$47

$77

How much do remote utilization review jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote utilization review in San Ramon, CA is $47.25, according to ZipRecruiter salary data. Most workers in this role earn between $37.36 and $54.28 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.

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For Remote Utilization Review jobs in San Ramon, CA, the most frequently searched job titles are:

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The top searched job categories for Remote Utilization Review jobs in San Ramon, CA are:

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Cities near San Ramon, CA with the most Remote Utilization Review job openings:

Infographic showing various Remote Utilization Review job openings in San Ramon, CA as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 12% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $98,282 per year, or $47.3 per hour.

Sr. Director, Delivery Management

Uniphore

Palo Alto, CA โ€ข Remote

$249K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago


Job description

Uniphore is one of the largest B2B AI-native companies-decades-proven, built-for-scale and designed for the enterprise. The company drives business outcomes, across multiple industry verticals, and enables the largest global deployments.
Uniphore infuses AI into every part of the enterprise that impacts the customer. We deliver the only multimodal architecture centered on customers that combines Generative AI, Knowledge AI, Emotion AI, workflow automation and a co-pilot to guide you. We understand better than anyone how to capture voice, video and text and how to analyze all types of data.
As AI becomes more powerful, every part of the enterprise that impacts the customer will be disrupted. We believe the future will run on the connective tissue between people, machines and data: all in the service of creating the most human processes and experiences for customers and employees.

Job Description:

Why This Role

Uniphore is at an inflection point. The platform is mature, the market is moving, and enterprise customers are ready to deploy agentic AI at scale but only with a delivery partner who can meet them where they are, not hand them a playbook and walk away.

The Regional Delivery Leader for America West is not a project manager with an impressive title. This is the person who defines what great AI delivery looks like in the field, who builds the embedded delivery capability, earns trust at the C-suite, and turns early deployments into long-term platform adoption.

If you have built Forward Deployed Engineering teams, lived inside enterprise transformation programs, and understand that it's a new delivery reality - this role was designed for you.

The Role

As Regional Delivery Leader, you own delivery success and business performance across America West, one of Uniphore's four global regions. You are accountable for how the region performs: commercially, operationally, and in terms of customer outcomes.

You partner with Sales before the contract is signed and remain the senior delivery authority through go-live and beyond. You build the team, govern the portfolio, and set the standard for how Uniphore delivers, not through oversight alone, but through the credibility you bring into every room.

At the center of your delivery model is the Forward Deployed Engineering (FDE) capability: a team of embedded technical and business practitioners who work inside customer environments, accelerating adoption and compressing time-to-value in ways traditional PS models cannot.

What You Will Do

Build and Lead the FDE Team

This is your most important mandate. The FDE model is how Uniphore delivers differentiated, embedded value - and you will build it in the West from the ground up.

  • Hire, develop, and deploy Engineering FDEs, Delivery FDEs, and Industry Value Engineers (IVEs) across regional accounts
  • Define FDE engagement models: embedded on-site, remote retainer, and GSI co-delivery - matched to customer complexity and commercial structure
  • Build FDE playbooks, onboarding frameworks, and skill matrices that scale with the team
  • Manage FDE utilization and ensure billable productivity supports regional margin targets
  • Develop the Deployment Strategist capability within the FDE team: practitioners who combine deep platform fluency with the ability to frame outcomes in business language

Own the Sales Partnership

  • Engage as the senior delivery voice in the sales cycle - validating scope, confirming deliverability, and building customer confidence before the ink dries
  • Ensure all services are appropriately structured: FDE resoources, PoV Sprints, and partner co-delivery arrangements
  • Identify delivery risk, dependency, and constraint early
  • Shape commercial constructs that are both winnable for Sales and sustainable for Delivery

Drive Customer Outcomes

  • Serve as the delivery executive for key regional accounts throughout the customer lifecycle
  • Lead executive steering committees, program risk reviews, and quarterly business reviews
  • Guide customers from initial deployment through enterprise-scale adoption of the Uniphore platform
  • Build C-level relationships that generate expansion, reference value, and long-term partnership

Govern the Regional Portfolio

  • Own delivery margin, and financial accountability across all active and upcoming engagements in the West
  • Drive portfolio-level prioritization, balancing customer commitments, team capacity, and commercial health
  • Proactively monitor program health and intervene in escalated or at-risk situations before they become visible to the customer
  • Implement KPIs for on-time, on-budget delivery, utilization, customer satisfaction, and value realization

What Success Looks Like - Year One

  • FDE team is hired, deployed, and operating at target utilization across at least three anchor accounts
  • PoV Sprint model is live and being used as the standard pre-sales engagement in the West
  • Regional delivery margin is on-plan and improving quarter over quarter
  • Two or more customers have expanded from initial deployment to broader platform adoption
  • You are known by name in your customers' C-suites not as a vendor, but as a transformation partner

What We Are Looking For

  • 12+ years in delivery leadership, consulting, or services - with direct experience building and scaling embedded or Forward Deployed Engineering teams
  • Proven track record deploying FDE or technical delivery models in complex enterprise environments, including retainer-based and GSI co-delivery structures
  • P&L ownership experience in a delivery organization - you understand margin, utilization, and the levers that drive both
  • Deep domain fluency in one or more of: BPO/CX, financial services, insurance, healthcare, or telecom
  • Experience leading enterprise AI, data, or platform transformation programs from pilot to production at scale
  • Executive presence that earns credibility in both the sales room and the customer boardroom


Hiring Range: $220,000 - $291,000 OTE - for Primary Location Palo Alto, CA

The specific rate will depend on the successful candidate's qualifications and prior experience.

In addition to competitive base pay, this position also includes an annual incentive opportunity based on target achievement, pre-IPO stock options, benefits including medical, dental, vision, 401(k) with a match, and more, plus generous paid time off, paid holidays, paid day off for your birthday and other paid leave policies to support employees through all phases of life.


Benefits:


In addition to competitive base pay, this position also includes an annual incentive opportunity based on target achievement, pre-IPO stock options, benefits including medical, dental, vision, 401(k) with a match, and more, plus generous paid time off, paid holidays, paid day off for your birthday and other paid leave policies to support employees through all phases of life.


Location preference:

USA - CA - Palo Alto

Uniphore is an equal opportunity employer committed to diversity in the workplace. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, disability, veteran status, and other protected characteristics.
For more information on how Uniphore uses AI to unify-and humanize-every enterprise experience, please visitwww.uniphore.com.