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Reviewer Jobs in Remote, OR (NOW HIRING)

Utilization Review Specialist HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470 EMPLOYMENT TYPE- Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a ...

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...

Be Seen First

Concurrent Utilization Review (UR) Nurse Remote Opportunity Contract to Hire Must be licenses in California The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time ...

UTILIZATION REVIEW CLINICIAN REMOTE Ability to travel on-site to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed for business operations EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...

New

Compensation: Varies per assignment. Up to $500 per week. Location: Remote (USA) Company: ProductReviewJobs Thank you for your interest in becoming a Paid Product Tester. This opportunity is for ...

Compensation: Varies per assignment. Up to $500 per week. Location: Remote (USA) Company: ProductReviewJobs Thank you for your interest in becoming a Paid Product Tester. This opportunity is for ...

Compensation: Varies per assignment. Up to $500 per week. Location: Remote (USA) Company: ProductReviewJobs Thank you for your interest in becoming a Paid Product Tester. This opportunity is for ...

Pharmacy Manager

Roseburg, OR · On-site

$62.50 - $73.50/hr

Please click here to review the Costco Applicant Privacy Notice. The jobs listed are examples of the typical kinds of positions that Costco may hire for when openings exist. The listing does not mean ...

Compensation: Varies per assignment. Up to $500 per week. Location: Remote (USA) Company: ProductReviewJobs Thank you for your interest in becoming a Paid Product Tester. This opportunity is for ...

Senior Lease Auditor

Myrtle Point, OR · Remote

$85K - $105K/yr

Our Lease Administration practice provides portfolio lease administration, reconciliation reviews, and lease audit services for some of the most dynamic companies in the country, guiding clients ...

Senior Lease Auditor

OR · On-site +1

$85K - $105K/yr

Our Lease Administration practice provides portfolio lease administration, reconciliation reviews, and lease audit services for some of the most dynamic companies in the country, guiding clients ...

Compensation: Varies per assignment. Up to $500 per week. Location: Remote (USA) Company: ProductReviewJobs Thank you for your interest in becoming a Paid Product Tester. This opportunity is for ...

Compensation: Varies per assignment. Up to $500 per week. Location: Remote (USA) Company: ProductReviewJobs Thank you for your interest in becoming a Paid Product Tester. This opportunity is for ...

Compensation: Varies per assignment. Up to $500 per week. Location: Remote (USA) Company: ProductReviewJobs Thank you for your interest in becoming a Paid Product Tester. This opportunity is for ...

UM Nurse

OR · Remote

Review cases for medical necessity and apply the appropriate clinical criteria; to include, but not limited to Medicare criteria, Medicaid/Medi-cal criteria, Interqual, Milliman, or Health Plan ...

Compensation: Varies per assignment. Up to $500 per week. Location: Remote (USA) Company: ProductReviewJobs Thank you for your interest in becoming a Paid Product Tester. This opportunity is for ...

CONTRACT MANAGER SPECIALIST - 60073197

OR · On-site

$90K - $109K/yr

Review contract scopes, deliverables, performance measures, budgets, and payment terms for accuracy, consistency, and compliance with approved funding. Monitor provider performance through the review ...

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Reviewer information

See Remote, OR salary details

$10

$29

$48

How much do reviewer jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for reviewer in Remote, OR is $29.85, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $36.49 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a reviewer, and why are they important?

A successful Reviewer needs strong analytical thinking, attention to detail, and expertise in the relevant subject area, often supported by a degree or professional background. Familiarity with review management software, submission tracking systems, and industry-specific guidelines is commonly required. Excellent written communication, objectivity, and time management set outstanding reviewers apart. These skills ensure thorough, fair, and timely evaluations, which uphold the quality and credibility of published work or products.

How do reviewers typically collaborate with other team members during the evaluation process?

Reviewers often work closely with subject matter experts, editors, or project managers to ensure that evaluations are thorough and consistent. Collaboration usually involves regular meetings to discuss criteria, clarify expectations, and address any ambiguities in the material under review. Additionally, Reviewers may provide feedback or suggestions for improvement and participate in group discussions to achieve consensus on final recommendations. This teamwork helps maintain high standards and ensures the integrity of the review process.

What is the difference between Reviewer vs Quality Control Inspector?

AspectReviewerQuality Control Inspector
CredentialsTypically requires a degree or certification in the relevant fieldOften requires technical training or certification in inspection methods
Work EnvironmentOffice or remote review settings, analyzing documents or dataManufacturing, construction, or production sites inspecting products
Employer & IndustryPublishing, media, manufacturing, or software companiesManufacturing, construction, aerospace, or automotive industries
Search & Comparison IntentUnderstanding review roles, responsibilities, and qualificationsComparing inspection and quality assurance roles in industry

While both reviewers and quality control inspectors ensure standards are met, reviewers primarily evaluate documents, data, or content in office settings, focusing on accuracy and compliance. Quality control inspectors physically examine products or processes on-site to identify defects or issues. Their roles overlap in quality assurance but differ in work environment and specific tasks.

How to get a job as a reviewer?

To become a reviewer, gain relevant knowledge in the subject area, develop strong communication and critical thinking skills, and build a portfolio of reviews or sample work. Many reviewer roles require attention to detail, familiarity with review platforms or tools, and sometimes specific certifications or experience depending on the industry. Applying through company websites, freelance platforms, or industry-specific job boards can help find opportunities.

What is a reviewer?

Reviewers are individuals who evaluate and provide feedback on various works, such as academic papers, products, services, or creative projects. Their main role is to assess the quality, accuracy, and relevance of the material, offering constructive criticism and recommendations for improvement. Reviewers are essential in maintaining standards and ensuring that only high-quality works are published or made available to the public. The specific responsibilities of a reviewer can vary depending on the industry or context in which they work.
What are the most commonly searched types of Reviewer jobs in Remote, OR? The most popular types of Reviewer jobs in Remote, OR are:
What are popular job titles related to Reviewer jobs in Remote, OR? For Reviewer jobs in Remote, OR, the most frequently searched job titles are:
What job categories do people searching Reviewer jobs in Remote, OR look for? The top searched job categories for Reviewer jobs in Remote, OR are:
Infographic showing various Reviewer job openings in Remote, OR as of August 2026, with employment types broken down into 67% Full Time, 16% Part Time, and 17% Contract. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $62,098 per year, or $29.9 per hour.

Utilization Review Specialist

Umpqua Health

Winston, OR • On-site

$41K - $47K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago


Job description

Utilization Review Specialist
HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470
EMPLOYMENT TYPE- Full-Time, Exempt
About Umpqua Health
At Umpqua Health, we're more than a healthcare organization we're a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and well-being of individuals and families throughout Douglas County, Oregon. We provide integrated, whole-person care through primary care, specialty care, behavioral health services, and care coordination. Our collaborative approach ensures members receive high-quality, personalized care while supporting a stronger, healthier community.
POSITION PURPOSE
The Utilization Review Specialist supports Umpqua Health Alliance by coordinating the intake, review, processing, and completion of prior authorization requests within Medical Management. This role is responsible for ensuring accurate and timely handling of authorizations, maintaining compliance with regulatory and organizational requirements, supporting communication with providers and members, and assisting with workflow coordination to promote efficient utilization management operations.
ESSENTIAL JOB RESPONSIBILITIES
  • Support Utilization Review activities related to the prior authorization process.
  • Manage intake, tracking, and routing of prior authorization requests and supporting documentation.
  • Review requests for completeness and ensure appropriate routing for processing.
  • Communicate with healthcare providers to obtain additional information and resolve documentation issues.
  • Track prior authorization requests using established systems to ensure timely processing.
  • Support timely notification of prior authorization determinations.
  • Coordinate daily workflow and telephone coverage with team members.
  • Respond to internal and external inquiries regarding prior authorizations and route as appropriate.
  • Monitor and report on turnaround times to ensure compliance with requirements.
  • Maintain knowledge of applicable regulations, policies, and procedures.
  • Comply with organizational policies and applicable to federal, state, and local regulations.
CHALLENGES
  • Strong organizational skills with the ability to stay organized and productive in a remote, independent work environment
  • Proactive communication with internal and external stakeholders
  • Consistent ability to meet Oregon Health Plan (OHA) timeline and turnaround requirements
  • Ability to manage shifting priorities in a fast-paced environment
  • Ability to coordinate tasks and resources to meet operational goals and objectives
MINIMUM QUALIFICATIONS
  • High school diploma or equivalent.
  • Proficient computer skills, including Microsoft Office Suite (Word, Excel, Outlook, Teams), data entry, and internet research.
  • Experience using standard office equipment and systems, including keyboarding, web-based phone systems, and cloud-based document storage.
  • Ability to type a minimum of 45 words per minute with a high degree of accuracy.
  • Strong attention to detail.
  • No suspension, exclusion, or debarment from participation in federal healthcare programs (e.g., Medicare/Medicaid)
PREFERRED QUALIFICATIONS
  • 1+ years of experience in healthcare, managed care, medical coding, claims processing, or a related field
  • Knowledge of medical terminology, procedure codes, and diagnosis codes
  • Familiarity with Oregon Health Plan (OHP) and Coordinated Care Organizations (CCO), including applicable regulations (OAR, ORS, CFR, CMS, DMAP)
  • Strong organizational skills with the ability to manage multiple priorities in a fast-paced environment
  • Ability to meet deadlines while maintaining accuracy and attention to detail
  • Strong communication and customer service skills (written, verbal, and interpersonal)
  • Ability to work independently and collaboratively with sound judgment and confidentiality
  • Strong critical thinking and time management skills
  • Self-motivated with ability to follow policies, procedures, and workflows in a remote environment
  • Flexible and adaptable in a changing work environment
  • Willingness to learn and take on additional responsibilities as needed
  • Ability to work a standard schedule: Monday-Friday, 8:00 AM-5:00 PM PST
  • Experience working in diverse teams and with varied communication styles
  • Experience considering the impact of work on diverse communities, including communities of color
  • Bilingual or translation skills preferred

SCHEDULE
Monday through Friday - 8:00am - 5:00pm; standard business hours with flexibility to meet service timelines.
SALARY
Wage Band : $41,600- $47,000
BENEFITS
  • Salary is dependent on skills, experience, and education
  • Generous benefits package including vacation PTO, sick leave, federal holidays, and birthday leave
  • Medical, dental, and vision insurance
  • 401(k) with company match (fully vested immediately)
  • Company-sponsored life insurance and additional benefits
  • Fitness reimbursement program
  • Tuition reimbursement and more

Why Umpqua Health?
We are committed to advancing health equity by collaborating across communities, addressing systemic barriers, and ensuring fair access to care and resources. At Umpqua Health, every team member plays a vital role in making a meaningful impact, empowering healthier lives and strengthening the communities we serve.
Inclusive Culture
We foster a respectful, inclusive environment where employees feel valued, supported, and empowered.
Growth & Development
We support ongoing learning through mentorship, clear career pathways, and professional development opportunities.
Work/Life Balance
We promote flexibility and well-being so employees can thrive both professionally and personally.
Equal Opportunity
Umpqua Health is an equal opportunity employer that embraces individuals from all backgrounds. We prohibit discrimination and harassment of any kind, ensuring that all employment decisions are based on qualifications, merit, and the needs of the business. Our dedication to fairness and equality extends to all aspects of employment, including hiring, training, promotion, and compensation, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected category under federal, state, or local law.