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Remote Utilization Review Jobs in Spring Hill, TN

Humana

Senior Cybersecurity Engineer

Nashville, TN · Remote

$110K - $151K/yr

Identifies the need for new security technology solutions; designs, reviews and collaborates on the ... Additional Information Remote/WAH requirements: * WAH requirements: Must have the ability to ...

New

Humana

Senior Cybersecurity Engineer

Nashville, TN · Remote

$110K - $151K/yr

Identifies the need for new security technology solutions; designs, reviews and collaborates on the ... Additional Information Remote/WAH requirements: * WAH requirements: Must have the ability to ...

New

Cloud Range

Customer Success Manager

Nashville, TN · Remote

Customer Success Manager Remote | Full-time Are you highly organized, detail-oriented, great with ... Conduct regular reviews of customer concerns and proactively suggest solutions to improve their ...

Humana

Senior Cybersecurity Engineer

Nashville, TN · Remote

$110K - $151K/yr

Identifies the need for new security technology solutions; designs, reviews and collaborates on the ... Additional Information Remote/WAH requirements: * WAH requirements: Must have the ability to ...

New

ABB

Utility Sales Support

TN · Remote

$17.75 - $23.25/hr

While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred

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Remote Utilization Review information

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$20

$39

$64

How much do remote utilization review jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote utilization review in Spring Hill, TN is $39.76, according to ZipRecruiter salary data. Most workers in this role earn between $31.44 and $45.67 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 popular job titles related to Remote Utilization Review jobs in Spring Hill, TN?

For Remote Utilization Review jobs in Spring Hill, TN, the most frequently searched job titles are:

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Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Spring Hill, TN as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $82,696 per year, or $39.8 per hour.

Sales Enablement Manager - Revenue Cycle (REMOTE)

EnableComp

Franklin, TN • Remote

Full-time

Posted 23 days ago

EnableComp rating

8.7

Company rating: 8.7 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

48th of 495 rated business services

Job description

WHO WE ARE                                                           
EnableComp earned its reputation in the toughest corners of the revenue cycle by solving the complex claims no one else could. We developed Complex Revenue Intelligence (CRI), a smarter approach to predict and prevent revenue loss. Powered by the e360 RCM AI-driven platform and the most expansive complex revenue cycle data set, today EnableComp helps more than 1,000 hospitals nationwide recover $3 billion annually from complex claims, denials, and revenue recovery. By cutting through complexity, we help hospitals thrive, resulting in recognition as Black Book's #1 Specialty RCM provider for complex claims and revenue integrity in 2024 and 2025, a multi-year Top Workplaces honoree, and a SOC 2 Type II and HITRUST e1-certified platform.Our Vision is to empower healthcare providers to focus on patient care, not revenue cycle complexity. Our Mission is to uncover what others miss-turning every client dollar recovered into insight that helps prevent future loss. We live our Core Values of Uncompromising Integrity, Ecstatic Clients, and Empowered Team Members by operating with trust, accountability, and a "we before me" mindset. We pursue Innovation and Profitable Growth through continuous improvement and thoughtful problem-solving, and we believe work should include Fun-celebrating success, recognizing our people, and maintaining healthy work-life balance.

POSITION SUMMARY

The Sales Enablement Manager owns the competency and readiness of EnableComp's commercial team: Sales (MVPs and reps), Client Success Directors (CSDs), and Solution Engineering, and, over time, extends into cross functional readiness for Marketing aligned launches. Competency here includes fluency with the commercial tools the team runs on daily, Salesforce, sales engagement platforms, and AI enabled selling tools, so that tool proficiency translates directly into faster deal cycles and better day to day performance, not just process knowledge. This is a builder role, not a strategist role: the expectation is working onboarding curricula, certification programs, playbooks, and Salesforce integrated enablement content shipped in weeks, not a multi quarter enablement strategy deck. Success is measured in ramp time, win rate, message consistency, and forecast accuracy, not training hours logged.
The Job Responsibilities Include
  • Onboarding & Certification: Design and run a structured onboarding path for new Sales and CSD hires, with a certification checkpoint before full account/quota ownership. Target: cut time to first qualified opportunity and time to productivity measurably against current baseline.
  • Playbooks & Tools: Build and maintain the discovery guide, competitive battlecards, objection handling library, and cross sell map identified as gaps in the current commercial enablement content, built for daily use in live deals, not reference only documents.
  • AI Enabled Content Velocity: Use Claude and related tools to draft, iterate, and localize enablement content, call prep briefs, and account specific messaging at a pace a traditional enablement build cycle cannot match. This is a required working method, not an optional efficiency tool.
  • Tool & Systems Proficiency: Own certification on the commercial tool stack, Salesforce, sales engagement platforms, and AI enabled selling tools, so reps and CSDs use them fluently in live deals, not just log activity in them. Target: measurable gains in tool driven productivity, pipeline hygiene, and content reuse tied to proficiency level.
  • Cross Functional Program Delivery: Partner with Revenue Operations to embed enablement content and certification tracking directly into Salesforce, and with Product Marketing to translate positioning (e.g., CRI category narrative, client proof points) into field ready assets.
  • Enablement Measurement: Own the enablement scorecard: certification completion, ramp velocity, content utilization, and correlation to pipeline and win rate outcomes. Report results in the monthly commercial operating review.
Requirements & Qualifications
  • Bachelor's degree in Business, Communications, Instructional Design/Learning & Development, Marketing, or a related field preferred; equivalent practical experience in commercial enablement, sales training, or revenue operations will be considered in lieu of a degree.4 to 8 years in commercial enablement, sales training, or revenue operations, ideally in B2B SaaS or healthcare/RCM with enterprise, committee based buying cycles.
  • 4 to 8 years in commercial enablement, sales training, or revenue operations, ideally in B2B SaaS or healthcare/RCM with enterprise, committee based buying cycles.
  • Demonstrated builder track record: has personally created onboarding curricula, certification programs, or playbooks, not just managed a vendor or platform.
  • Fluent with AI tools (e.g., Claude) as a content development accelerant, plus working knowledge of Salesforce and sales engagement platforms.
  • Comfortable operating with minimal structure and competing priorities; this is a build and ship role inside a company on an active exit timeline.
  • Healthcare revenue cycle, payer, or provider side commercial experience is a strong plus, not required.
Special Considerations & Prerequisites
  • Minimal travel required (less than 20%), primarily for occasional team or company offsites
  • Ability to work at a computer for extended periods; standard office or remote work environment
  • A great candidate is self-directed and comfortable owning ambiguous, cross-functional problems; treats data hygiene as non-negotiable; and can translate technical workflows into plain-language impact for Sales and Marketing stakeholders
  • Practices and adheres to EnableComp's Core Values, Vision and Mission.
EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.
 
EnableComp recruits, develops and retains the industry's top talent.  As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people.  We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies.  If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you.
 
 Don't just take our word for it!  Hear what our people are saying:
"I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other." - Revenue Specialist
 
"I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun." - Supervisor, Operations
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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