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Utilization Review Specialist Remote Jobs in Springfield, MA

micro1 AI

Regulatory Affairs Specialist

Springfield, MA · Remote

$50 - $70/hr

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... Author and review evaluation tasks inspired by real-world agency requests and sponsor response ...

micro1 AI

Regulatory Affairs Specialist

Hartford, CT · Remote

$50 - $70/hr

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... Author and review evaluation tasks inspired by real-world agency requests and sponsor response ...

JLL

PDS Strategic Sourcing Specialist

Hartford, CT · On-site +1

Participate and provide leadership to Preferred Supplier performance review meetings. * Support JLL ... Location: Remote -Boston, MA, Hartford, CT, New York, NY, Pittsburgh, PA, Providence, RI ...

JLL

PDS Strategic Sourcing Specialist

Springfield, MA · On-site +1

Participate and provide leadership to Preferred Supplier performance review meetings. * Support JLL ... Location: Remote -Boston, MA, Hartford, CT, New York, NY, Pittsburgh, PA, Providence, RI ...

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$15

$31

$53

How much do utilization review specialist remote jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for utilization review specialist remote in Springfield, MA is $31.83, according to ZipRecruiter salary data. Most workers in this role earn between $22.26 and $40.48 per hour, depending on experience, location, and employer.

What is a utilization review specialist?

Utilization Review Specialists (Remote) are healthcare professionals who work from home to evaluate the necessity, appropriateness, and efficiency of medical treatments and services. They review patient records, medical documentation, and insurance information to ensure healthcare services meet established guidelines and regulations. Their goal is to help manage healthcare costs while ensuring patients receive appropriate care, often acting as a liaison between healthcare providers, insurance companies, and patients.

How does a utilization review specialist typically collaborate with healthcare providers and insurance companies?

As a remote Utilization Review Specialist, you’ll frequently interact with healthcare providers and insurance representatives via phone, email, and secure digital platforms. Collaboration often involves reviewing patient records, clarifying clinical details, and ensuring documentation meets payer requirements. Maintaining clear, timely communication is crucial for resolving discrepancies and facilitating care authorizations. Most organizations utilize electronic health record (EHR) systems and case management software to streamline these interactions and support remote teamwork.

What are the key skills and qualifications needed to thrive as a utilization review specialist?

To thrive as a Utilization Review Specialist (Remote), you need expertise in clinical guidelines, medical terminology, and case management, often backed by a nursing or healthcare-related degree and relevant licensure. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance policies or regulatory compliance is typically required. Strong analytical thinking, attention to detail, and effective communication are crucial soft skills for this role. These skills ensure accurate case evaluations, regulatory adherence, and effective collaboration with healthcare providers and payers.

What are popular job titles related to Utilization Review Specialist Remote jobs in Springfield, MA?

For Utilization Review Specialist Remote jobs in Springfield, MA, the most frequently searched job titles are:

What job categories do people searching Utilization Review Specialist Remote jobs in Springfield, MA look for?

The top searched job categories for Utilization Review Specialist Remote jobs in Springfield, MA are:

What cities near Springfield, MA are hiring for Utilization Review Specialist Remote jobs?

Cities near Springfield, MA with the most Utilization Review Specialist Remote job openings:

Utilization Review Specialist Remote jobs near you
Infographic showing various Utilization Review Specialist Remote job openings in Springfield, MA as of August 2026, with employment types broken down into 82% Full Time, and 18% Part Time. Highlights an 100% Remote job distribution, with an average salary of $66,204 per year, or $31.8 per hour.

Casting Specialist - REMOTE

Triumph Group, Inc.

West Hartford, CT • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 2 days ago

Triumph Group rating

8.7

Company rating: 8.7 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

16th of 72 rated aerospace companies

Job description

Based in West Hartford, CT, Triumph Systems, Electronics and Controls is a leading independent aerospace system supplier for the commercial and military helicopter and business jet markets and employs approximately 500 employees. The Company’s key products and services include electronic engine controls, fuel metering units, main fuel pumps and environmental control systems for both the OE and aftermarket/spares end markets.

Responsibilities

REMOTE POSITION

Triumph is seeking a  Casting Specialist to be responsible for leading casting design reviews, producibility assessments, and technical oversight of manufacturing processes, with deep knowledge of sand casting, investment casting, materials, and tooling.This role supports technical and producibility reviews at supplier locations and Triumph sites as required, ensuring high-quality, manufacturable casting solutions.

Responsibilities Include:

  • Design reviews with Engineering and Suppliers
  • Cast source selection and capabilities to manufacture product
  • Provide inputs to cast design guides
  • Advise on material selection and cast method
  • Drawing reviews, including tolerancing and GD&T recommendations
  • Quality/producibility review (i.e. Pressure Test, NDT inspection, Weld Repair…etc.)
  • Support Material Review Board (MRB) decisions
  • Support Triumph Work Transfers as assigned
  • Evaluate new cast sources and their capability
  • Review tooling, tooling condition/life of tool
  • Review process sheets
  • Review part complexity
  • Conduct conformity reviews onsite at the supplier or Triumph site
  • Technical assessments of design and process
  • Cast Specialist will report into the Supplier Development team within Supply Chain
  • Regular reports on activities are expected.
  • Assist with supplier tooling and process reviews
  • Energetic and enthusiastic person willing to lead, promote and drive process control and improvement methodologies for assigned suppliers.
Qualifications
  • B.S/M.S. in Mechanical Engineering Degree Preferred 
  • Aerospace experience required
  • Ability to travel up to 40%

Benefits:

  • Comprehensive medical, dental and vision coverage with plan options that provide flexibility and choice (including telehealth options)
  • Healthcare spending accounts
  • Paid parental leave
  • Paid/flexible time off in addition to paid company holidays
  • 401(k) with company match
  • Disability and life insurance
  • Incentives and performance-based rewards
  • Exciting growth and development opportunities empowered by our TRIUMPH Transformation and an entrepreneurial environment that encourages innovation and creativity

Work Environment and Physical Demands:

The work environment characteristics and physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, talk, or hear. The employee frequently is required to stand, walk, and use hands to finger, handle, or feel objects, tools, or controls. The employee is occasionally required to reach with hands and arms: stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 50 pounds.

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