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163 remote Utilization Management jobs

163 open remote Utilization Management roles from top companies and boards — updated hourly.

Specialist Case Manager RN18d ago

Highmark Health·United States·USD 86,400 - 138,600 / annual

case-managementregistered-nursehealthcare-case-managementutilization-managementhealth-insurance-nursingrn-case-manager

Utilization Review Clinician - ABA18d ago

Centene Corporation·Gabon·USD 27.02 - 48.55 / hourly

utilization-review-clinicianaba-therapistbehavioral-health-clinicianutilization-managementclinical-review-specialistbehavioral-health-utilization-reviewer

Care Manager, BH - Remote PA19d ago

Magellan Health·United States·USD 64,285 - 102,855 / annual

care-managerbehavioral-health-care-managerutilization-managementmental-health-case-managerremote-care-managerremote-care-coordinator

Clinical Appeals Nurse19d ago

Netsmart·United States

clinical-appeals-nurseutilization-managementcase-managementhealthcare-appealsmedical-review-nurseclinical-appeals-nursing

LPN Utilization Management Coordinator I19d ago

BlueCross BlueShield of South Carolina·United States

utilization-managementlvn-utilization-managementmedical-review-coordinatorhealthcare-administrationutilization-management-coordinatorlpn-coordinator

Managed Care Case Manager19d ago

Touch Support·Colombia·USD 665 / monthly

managed-care-case-managerhealthcare-case-managercase-managementutilization-managementclinical-case-managercase-care-manager

Medical Director19d ago

Highmark Health·United States·USD 227,600 - 385,000 / annual

medical-directorutilization-managementhealthcare-administrationclinical-quality-managementmanaged-caremedical-directorship

Physical Health Medical Director19d ago

Humana·United States·USD 223,800 - 313,100 / annual

medical-directormedicaid-health-servicesutilization-managementhealthcare-administrationclinical-operations-directorhealthcare-medical-director

Physical Therapist - UM19d ago

Trillium Health Resources·United States·USD 80,000 - 113,000 / annual

physical-therapistutilization-managementutilization-reviewhealthcareclinical-care-coordinationmusculoskeletal-physical-therapist

Prior Authorization Psychiatrist (Part-Time Contractor) (Any city, AZ, US, 9999919d ago

Gainwell Technologies·United States·USD 234,000 - 280,000 / annual

prior-authorizationsutilization-managementpsychiatrymedical-reviewhealthcare-administrationprn-psychiatrist

Process Improvement Professional - National Clinical Ops Medicaid19d ago

Humana·United States·USD 65,000 - 88,600 / annual

process-improvement-specialistclinical-operationshealthcare-administrationmedicaid-operationsutilization-managementquality-improvement-professional

Senior Medical Reviewer (Behavioral Health Focused)19d ago

BlueCross BlueShield of South Carolina·United States

medical-reviewbehavioral-healthutilization-managementcase-managementhealthcare-administrationsenior-medical-reviewer

Utilization Management Coordinator - Remote19d ago

Astrana Health·United States·USD 22 - 24 / hourly

utilization-management-coordinatorhealthcare-administrationmedical-authorization-specialisthealth-plan-operationsutilization-managementutilization-management-specialist

Utilization Mgmt Specialist19d ago

Blue Cross and Blue Shield of Nebraska·United States

utilization-managementprior-authorization-specialisthealthcare-administrationhealth-insurancemedical-authorizationutilization-management-specialist

(Electrophysiologist)Field Medical Director, Cardiology22d ago

Evolent·United States·USD 120 - 135 / hourly

medical-directorelectro-physiologycardiologyutilization-managementhealthcare-administrationfield-medical-director

Authorization Coordinator22d ago

Sentara Health·Holy See (Vatican City State)

authorization-coordinatorutilization-managementhealthcare-administrationclinical-reviewmanaged-careauthorization-representative

Physician Reviewer - Utilization Management22d ago

Oscar·United States·USD 219,000 - 286,902 / annual

physician-reviewerutilization-managementmedical-reviewhealthcare-utilizationclinical-reviewutilization-review-physician

Remote Care Review Clinician (RN) - Illinois license Required23d ago

Molina Healthcare·United States

prior-authorizationsutilization-managementmanaged-care-nursingclinical-reviewhealthcare-quality-managementremote-healthcare-reviewer

Medical Director (Utilization Management)24d ago

HJ Staffing·United States

medical-directorutilization-managementhealthcare-administrationmanaged-careutilization-review-physicianmedical-director-utilization-management

Clinical Denial/Utilization Management Assistant25d ago

Carle Health·United States·USD 17.12 - 27.73 / hourly

clinical-denials-managementutilization-managementhealthcare-administrationrevenue-cycle-managementsupport-servicesclinical-denials-specialist

Physician Advisor Peer to Peer25d ago

R1 RCM·Gabon·USD 150,075 - 199,070.29 / annual

physician-advisorrevenue-cycle-managementhealthcare-administrationutilization-managementmedical-reviewpeer-to-peer-physician

Senior Manager, Behavioral Health Utilization Management25d ago

Centene Corporation·United States·USD 102,900 - 190,500 / annual

behavioral-health-managementclinical-operationsutilization-managementhealthcare-leadershipsenior-behavioral-health-strategy-managerbehavioral-health-manager

UM Administration Coordinator25d ago

Humana·United States·USD 40,000 - 52,300 / annual

healthcare-administrationutilization-managementum-coordinatoradministrative-coordinatorltssum-administration

Medical Director - Benefit/Utilization Management26d ago

CareOregon, Inc.·United States·USD 294,570 - 360,030 / annual

medical-directorutilization-managementhealthcare-administrationclinical-leadershipquality-managementbenefits-management

Pharmacy Technician (Seasonal)26d ago

SmithRx·United States·USD 22 / hourly

pharmacy-technicianprior-authorizationsutilization-managementpharmacy-benefit-managementhealthcare-technologypharmacy-technician-(entry-level)

Utilization Management Clinical Consultant (Remote-Arizona)26d ago

Lifelancer·United States·USD 29.1 - 62.32 / hourly

utilization-managementclinical-consultingregistered-nursinghealthcare-utilization-reviewcase-managementutilization-management-clinician

Utilization Management Clinical Reviewer (California) - Remote26d ago

The Cigna Group·United States·USD 31 - 52 / hourly

utilization-managementclinical-reviewregistered-nursingcase-managementmedical-utilization-reviewerutilization-review-specialist

Utilization Workflow Manager26d ago

Graham Healthcare Group·United States·USD 70,000 - 90,000 / annual

utilization-managementhealthcare-complianceclinical-documentation-specialisthealthcare-administrationhome-health-managementutilization-manager

Manager, Utilization Management - Must have a MA RN License27d ago

CareSource·United States·USD 83,000 - 132,800 / annual

utilization-managementcase-managementnursing-managementquality-improvementutilization-management-managerutilization-management-supervisor

Medical Director, Utilization Management-Remote27d ago

Alignment Health·United States·USD 262,145 - 393,217 / annual

medical-directorphysician-advisorutilization-managementhealthcare-administrationclinical-operationsphysician-medical-director-remote

Supervisor, Utilization Management27d ago

Centene Corporation·Macao·USD 75,300 - 135,400 / annual

utilization-managementclinical-operationsprior-authorizationsnursing-supervisionutilization-management-supervisorutilization-management-manager

UM Operations Strategy Implementation Lead27d ago

CareSource·United States·USD 83,000 - 132,800 / annual

utilization-managementoperations-strategyhealthcare-complianceprocess-improvementhealthcare-administrationoperations-strategy-manager

Utilization Management Specialist27d ago

Paradigm Treatment·United States·USD 31.25 / hourly

utilization-managementhealthcare-administrationmedical-necessity-reviewbehavioral-health-administrationcare-coordinationutilization-management-specialist

Managed Care Specialist28d ago

Caron Treatment Centers·United States

managed-carehealthcare-administrationutilization-managementmedical-billinghealthcare-supportmanaged-care-consultant

Medical Director -Pharmacy Appeals28d ago

Humana·United States·USD 223,800 - 313,100 / annual

medical-directorpharmacy-appeals-specialistutilization-managementmedicare-advantagehealthcare-appealsmedicare-pharmacy-medical-director

Prior Authorization Pharmacy Technician (Seasonal)28d ago

SmithRx·United States·USD 28.5 / hourly

prior-authorization-pharmacy-technicianprior-authorization-reviewpharmacy-technicianutilization-managementpbm-operationsprior-authorization-technician

Registered Nurse - Utilization Management - 8 Hour Per Deim28d ago

Cedars-Sinai Medical Center·United States

utilization-managementutilization-reviewcase-managementregistered-nursehealthcare-administrationrn-utilization-management

Analyst, Appeals29d ago

Palmetto GBA·United States

appeals-analystclinical-review-specialisthealthcare-appealsmedical-review-analystutilization-managementappeals-specialist

Behavioral Health Medical Director29d ago

Centene Corporation·Canada·USD 236,500 - 449,300 / annual

medical-directorbehavioral-health-administrationpsychiatry-leadershiputilization-managementbehavioral-health-medical-directorbehavioral-health-director

Manager, Clinical Review and Quality Assurance29d ago

SmithRx·United States·USD 136,000 - 192,000 / annual

utilization-managementclinical-pharmacyquality-assurancepharmacy-benefit-managementprior-authorizationsclinical-quality-assurance-manager

RN Managed Care Coordinator I29d ago

BlueCross BlueShield of South Carolina·United States

managed-care-coordinatorcare-coordinationutilization-managementregistered-nursehealthcare-administrationrn-care-coordinator

Utilization Management Coordinator29d ago

Altais Health Solutions·United States·USD 25 - 30 / hourly

utilization-managementhealthcare-administrationmedical-records-administrationhealth-insurance-authorizationmedical-office-coordinatorutilization-management-coordinator

Vice President, Utilization ManagementAug 30, 2026

Centene Corporation·United States·USD 188,900 - 359,800 / annual

vice-presidentutilization-managementmedical-managementhealthcare-administrationhealthcare-leadershiputilization-management-leadership

Medical Director - Outpatient MedicareAug 30, 2026

Humana·United States·USD 223,800 - 313,100 / annual

medical-directorutilization-managementmedicare-administrationhealthcare-administrationclinical-reviewmedicare-pharmacy-medical-director

Case Manager RNAug 30, 2026

Highmark Health·United States·USD 72,700 - 116,600 / annual

case-managementregistered-nursehealthcare-case-managerutilization-managementhealth-insurance-case-managementcase-manager-(rn)

Clinical Pharmacy TechnicianAug 30, 2026

Medical Review Institute of America·United States

clinical-pharmacyprior-authorizationspharmacy-technicianhealthcare-administrationutilization-managementclinical-pharmacy-technician

Clinical Review Nurse - Prior AuthorizationAug 30, 2026

Centene Corporation·United States·USD 27.02 - 48.55 / hourly

clinical-review-nursingprior-authorizationsutilization-managementhealthcare-nursingmedical-reviewprior-authorization-nurse

Remote Clinical Validation Reviewer ( Coding RN)Aug 30, 2026

Molina Healthcare·United States

clinical-coding-specialistmedical-claims-reviewclinical-documentation-improvementhealthcare-claims-reviewutilization-managementremote-drg-clinical-validation-lead

Spine Surgery ReviewerAug 30, 2026

Managed Medical Review Organization·United States

medical-peer-reviewindependent-medical-reviewutilization-managementhealthcare-consultingsenior-neurosurgical-medical-reviewersurgical-medical-reviewer

Supervisor, Behavioral Health Utilization ManagementAug 30, 2026

Centene Corporation·United States·USD 75,300 - 135,400 / annual

behavioral-health-managementutilization-managementhealthcare-supervisionclinical-operationsmental-health-servicesutilization-management-supervisor

Remote utilization management jobs: what to know

RemoShift tracks 163 live remote Utilization Management roles across 6 different employers, refreshed every 30 minutes. The roles on this page come from Himalayas and include openings at Centene Corporation, Humana, The Cigna Group — click through to the original posting to apply.

The jobs tagged utilization management are open to candidates in the USA, MO, AZ. Each listing notes the location, salary (where disclosed) and remote setup, so you can filter by what suits you. We list only roles that link to a live original posting — no dead applications.

Live roles

163 remote utilization management jobs

Top employers

Centene Corporation, Humana, The Cigna Group

Common locations

the USA, MO, AZ

Data sources

Himalayas

Frequently asked questions

How many remote utilization management jobs are there right now?

There are 163 live remote utilization management roles on RemoShift as of today. The count updates every 30 minutes as we re-pull company boards and partner feeds.

Can I work remotely in a utilization management role from anywhere?

Many utilization management roles are fully remote and open to candidates in the USA, MO, AZ. Some are remote-within-a-region or require timezone overlap with the employer's team — each original posting states the exact arrangement. Use the Work-from-anywhere filter to narrow to truly location-independent roles.

Which companies hire remote utilization management staff?

Current remote utilization management openings include roles at Centene Corporation, Humana, The Cigna Group, Providence, Highmark Health and other employers. The list changes constantly as new roles are posted — browse the page above for the live set.

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