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Utilization Review Specialist Remote Jobs in Springfield, MO

micro1 AI

Regulatory Affairs Specialist

Springfield, MO · Remote

$50 - $80/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

Compliance Officers

Springfield, MO · Remote

$50 - $80/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 ...

New Day Admin

Payroll Manager

Springfield, MO · On-site +1

Our workforce includes caregivers, clinicians, administrative teams, and remote workers nationwide ... Lead, supervise, mentor, and develop the payroll specialist team, ensuring high performance ...

micro1 AI

Medical Billing Specialist

Springfield, MO · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

micro1 AI

Pharmacovigilance Expert

Springfield, MO · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

All JobsUtilization Review Specialist JobsUtilization Review Specialist Remote JobsUtilization Review Specialist Remote Jobs in Springfield, MO

Utilization Review Specialist Remote information

See Springfield, MO salary details

$14

$29

$48

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

As of Sep 6, 2026, the average hourly pay for utilization review specialist remote in Springfield, MO is $29.05, according to ZipRecruiter salary data. Most workers in this role earn between $20.34 and $36.97 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, MO?

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

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

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

Utilization Review Specialist Remote jobs near you
Infographic showing various Utilization Review Specialist Remote job openings in Springfield, MO as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $60,432 per year, or $29.1 per hour.

Regulatory Affairs Specialist

micro1 AI

Springfield, MO • Remote

$50 - $80/hr

Part-time

Re-posted 3 days ago

Job description

Role Title: Regulatory Affairs Specialist


Role Type: Contractor


Location: Remote


micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project focused on AI innovation in regulatory documentation. In this role, you'll apply your expertise to help train next-generation AI systems. Your work will shape how models learn, reason, and perform through high-quality, real-world input. No prior experience in AI is required — your domain knowledge is what matters.


Scope of Work

  1. Author and review evaluation tasks inspired by real-world agency requests and sponsor response threads, determining if drafted responses meet regulatory expectations.
  2. Apply expert judgment to review clinical documentation, assessing whether conclusions are substantiated, commitments are properly scoped, and records can withstand regulatory scrutiny.
  3. Distinguish between substantively adequate and superficially polished responses, articulating clear rationales for any deficiencies.
  4. Assess consistency across comprehensive document sets, identifying unsupported or conflicting claims within or between documents.
  5. Provide structured, well-reasoned written feedback grounded in applicable regulatory guidelines rather than subjective impressions.
  6. Collaborate asynchronously and communicate complex regulatory concepts clearly in both written and verbal form.


Preferred Qualifications

  1. 5+ years of direct regulatory affairs experience at a sponsor, CRO, or consultancy, with responsibility for clinical submissions.
  2. Documented experience drafting or leading responses to health authority information requests, particularly for ongoing regulatory filings.
  3. Demonstrated working knowledge of the ICH framework, CTD/eCTD structure, and practical expectations of at least one major regulatory body (FDA, EMA, MHRA, PMDA, or Health Canada).
  4. Proven ability to critically read clinical or safety documents to identify regulatory risks, unsupported statements, and potential reviewer concerns.
  5. Exceptional written communication skills, with the capability to convey regulatory reasoning clearly, concisely, and defensibly.
  6. Degree in life sciences, pharmacy, medicine, or a related field; RAC certification is an advantage.
  7. Experience engaging with multiple regions or agencies, prior health authority reviewer/assessor background, or familiarity with AI-assisted regulatory tools (all considered valuable).

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