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Utilization Review Jobs in Rochester, NH (NOW HIRING)

Quality Assurance/Control Manager

Kittery, ME ยท On-site

$105K - $135K/yr

... reviewing and approving all subcontractor related quality assurance programs with project management team; * Support specialty vendor Factory Acceptance Tests (FAT's) and field material utilization ...

Utilization management, care coordination, discharge planning, revenue integrity Best personality Fit: * Leadership qualities Dress Code : * Business 1012058 Must have: candidates without these ...

Review resource utilization, resolve potential over/under-capacity bottlenecks, and balance supply with demand. * Collaboration & Alignment: Partner with the mammalian scheduling team, participate in ...

... utilization of community resources in order to assure the highest quality of care and achieve cost ... Works in close collaboration with Social Work; reviews cases with social work team members to ...

Review resource utilization, resolve potential over/under-capacity bottlenecks, and balance supply with demand. * Collaboration & Alignment: Partner with the mammalian scheduling team, participate in ...

... utilization of community resources in order to assure the highest quality of care and achieve cost ... Works in close collaboration with Social Work; reviews cases with social work team members to ...

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Utilization Review information

See Rochester, NH salary details

$20

$41

$67

How much do utilization review jobs pay per hour?

As of Jul 6, 2026, the average hourly pay for utilization review in Rochester, NH is $41.38, according to ZipRecruiter salary data. Most workers in this role earn between $32.69 and $47.50 per hour, depending on experience, location, and employer.

What jobs make $3,000 a day?

High-paying jobs that can reach $3,000 a day include specialized roles such as senior physicians, anesthesiologists, or surgeons, often requiring advanced certifications and extensive experience. Certain executive positions, like CEOs or investment bankers, may also earn this level of daily income, especially through bonuses or profit sharing. These roles typically involve high responsibility, expertise, and demanding schedules.

What jobs pay 4000 a week without a degree?

Utilization Review specialists typically do not earn $4,000 per week without a degree; most roles in this field require healthcare-related certifications or experience. High-paying jobs that can reach this level without a degree include certain sales positions, real estate brokers, or specialized trades like commercial pilots or skilled trades, which often rely on experience, licensing, or certifications rather than formal degrees. These roles may involve commission, bonuses, or overtime to achieve such weekly earnings.

What does a typical day look like for someone working in Utilization Review?

A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.

What skills do you need for utilization review?

Utilization review professionals need strong analytical skills to assess medical necessity and appropriateness of care, attention to detail, and knowledge of healthcare regulations and insurance policies. Good communication skills are essential for coordinating with healthcare providers and explaining decisions. Familiarity with electronic health records (EHR) systems and relevant certifications, such as Certified Professional in Healthcare Quality (CPHQ), can also be beneficial.

What is a Utilization Review job?

A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.

What are the key skills and qualifications needed to thrive in the Utilization Review position, and why are they important?

To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.

How do I get into a utilization review?

To become a utilization review specialist, typically a healthcare professional such as a registered nurse, licensed social worker, or physician completes relevant education and gains experience in healthcare or insurance. Certification in utilization review or case management, such as the Certified Professional in Healthcare Quality (CPHQ), can improve job prospects. Strong analytical skills and knowledge of medical coding and insurance policies are also important.
What are popular job titles related to Utilization Review jobs in Rochester, NH? For Utilization Review jobs in Rochester, NH, the most frequently searched job titles are:
What cities near Rochester, NH are hiring for Utilization Review jobs? Cities near Rochester, NH with the most Utilization Review job openings:
Infographic showing various Utilization Review job openings in Rochester, NH as of July 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $86,075 per year, or $41.4 per hour.
AIA SNOWFLAKE ETL ONSITE LEAD

AIA SNOWFLAKE ETL ONSITE LEAD

Avani Technology Solutions, Inc.

Dover, NH โ€ข On-site

Contractor

Posted 6 days ago


Job description

1.Job title SNOWFLAKE ETL ONSITE LEAD 2.Job summary Snowflake ETL conversion 3.Experience 12to16yrs 4.Required Skills Technical Skills- PL/SQL Snowflake Domain Skills- Property & Casualty Insurance 5.Nice to have skills Techincal Skills- Snowflake Admin Domain Skills- 6.Technology Data Management 7.Shift Day REGULAR 8.Roles & Responsibilities Technical Lead Bachelors in science engineering or equivalent.Interact with clients and internal stakeholders provide guidance to team members and execute projects through the course of coding quality control deployment maintenance and support in order to deliver the project on time by ensuring maximum application uptime WITHIN the limits of SLAs Cognizant and clients standards processes and policies..Project Planning and Set-up- Understand project scope Based on the analysis of the type of the project provide inputs on project methodology to senior stakeholders (Project Manager / Architects etc.) Consolidate inputs from developers and collectively provide inputs on activities/ tasks task level estimates schedule dependencies risks etc. Consolidate inputs from developers and collectively provide inputs to testing strategy configuration deployment hardware/software requirement etc. Analyze in detail resources required for every phase conduct estimation of time utilization of different resources and activities prepare resource and development plan or provide inputs and review with PM Participate in KT sessions conducted by customer/ other business teams Requirement Understanding and Analysis- Along with the Business Analyst gather requirements (functional and non-functional) from customer Analyze requirements for feasibility with regards to testing and implementation Provide inputs for requirements prioritization Debrief team on the requirements gathered and seek feedback Participate in client calls and seek clarifications if any Create and maintain requirements traceability matrix along with BA Provide inputs during creation of operational concepts and scenarios Work with administrators to setup security requirements Design- Understand various functional and non functional requirements and HLD in order to provide inputs to create LLD and review Recommend make/ buy or alternate solutions Provide inputs in designing end to end solutio 9.Job Location Primary: USNHDOVC01-Dover - NH USA CLT Alternate: 10.Job Type 50CW00 Business Associate 11.Demand Requires Travel? N 12.Certification(s) Required RECOMMENDED
Hours : 8:00am to 5:00pm
Education :
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