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163 remote Utilization Management jobs

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

UM Prior Authorization Nurse, RNAug 30, 2026

NeueHealth·United States·USD 74,286.15 - 111,429.23 / annual

prior-authorizationsutilization-managementregistered-nursinghealthcare-administrationclinical-performanceprior-authorization-nurse

Utilization Management CoordinatorAug 30, 2026

Devoted Health·United States·USD 21.7 - 27 / hourly

utilization-managementhealthcare-coordinatorprior-authorization-specialistclinical-operationshealthcare-administrationutilization-management-coordinator

Utilization Management Specialist IIAug 29, 2026

Trillium Health Resources·United States·USD 56,270 - 69,898 / annual

utilization-managementhealthcare-administrationclinical-review-specialistmanaged-carebehavioral-health-administrationutilization-management-specialist

Corporate Medical Director G&AAug 29, 2026

Humana·United States·USD 246,100 - 344,200 / annual

medical-directorappeals-and-grievances-managementmanaged-carehealthcare-complianceutilization-managementcorporate-medical-officer

Utilization Review Nurse/ RN for Imaging/Commercial- Remote!Aug 29, 2026

Sentara Health·Holy See (Vatican City State)·USD 66,830.4 - 111,384 / annual

utilization-review-nurseregistered-nursehealth-plan-nursemanaged-care-nurseutilization-managementutilization-review-rn

Medical Director - Radiation Oncology – Evicore - RemoteAug 24, 2026

The Cigna Group·United States·USD 207,800 - 346,300 / annual

medical-directorradiation-oncologyutilization-managementmedical-review-physicianhealthcare-administrationphysician-medical-director-remote

Clinical APP Manager, OncologyAug 23, 2026

Evolent·United States·USD 160,000 - 174,000 / annual

clinical-operations-managementoncology-managementutilization-managementhealthcare-administrationapplication-leadershipclinical-applications-manager

Clinical Quality ReviewerAug 23, 2026

Virtix Health LLC·United States

clinical-reviewhealthcare-quality-assuranceprior-authorizationsutilization-managementmedical-reviewclinical-quality-reviewer

FairosRx Prior Authorizations Pharmacist (Full-Time)Aug 23, 2026

The OccuNet Company·United States

prior-authorization-pharmacistclinical-pharmacypharmacy-operationsutilization-managementpharmacy-benefit-managementremote-pharmacy-prior-authorization-specialist

Grievance and Appeals Nurse (State)Aug 23, 2026

Centene Corporation·Canada·USD 27.02 - 48.55 / hourly

grievance-and-appeals-nurseclinical-nursingutilization-managementhealth-servicesmedical-review-nursegrievance-and-appeals-specialist

Managed Care Coordinator IAug 23, 2026

Horizon Blue Cross Blue Shield of New Jersey·United States·USD 44,600 - 59,745 / annual

managed-care-coordinatorhealthcare-administrationcase-managementutilization-managementhealth-insurance-coordinatorcare-coordinator-i-(client-care-specialist)

Manager of Clinical Appeals and GrievancesAug 23, 2026

Healthfirst·United States·USD 88,700 - 149,430 / annual

clinical-appeals-managementgrievance-managementhealthcare-operations-managementutilization-managementhealth-insurance-compliancehealthcare-administration

Medical Director II, Utilization ManagementAug 23, 2026

Devoted Health·United States·USD 280,000 - 345,000 / annual

medical-directorutilization-managementhealthcare-administrationhealth-plan-operationsclinical-managementmedical-director-utilization-management

Physician Reviewer - Utilization ManagementAug 23, 2026

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

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

Clinical Care Reviewer II(Must Have - Unrestricted Massachusetts RN License)Aug 22, 2026

CareSource·United States·USD 62,700 - 100,400 / annual

utilization-review-nurseutilization-managementcare-coordination-nurseclinical-review-nursehealthcare-utilization-specialistclinical-review-rn

Clinical Review Specialist - Fully Remote | Upto $105/hrAug 22, 2026

mercor·United States

prior-authorisation-managerclinical-review-specialistutilization-managementhealthcare-administrationprior-authorization-directorremote-final-medical-review-specialist

Manager, Utilization ManagementAug 22, 2026

Centene Corporation·United States·USD 87,000 - 161,300 / annual

utilization-managementclinical-managementnursing-managementhealth-services-managementutilization-management-managerutilization-manager

Medical DirectorAug 22, 2026

Centene Corporation·Azerbaijan·USD 225,700 - 428,900 / annual

medical-directorclinical-leadershiputilization-managementquality-improvementmedical-directorshipexecutive-medical-director

Medical DirectorAug 22, 2026

The Cigna Group·United States·USD 207,800 - 346,300 / annual

medical-directorutilization-managementhealthcare-administrationclinical-quality-reviewphysician-advisory-servicesmedical-directorship

Medical Director, Post Acute CareAug 22, 2026

The Cigna Group·United States·USD 207,800 - 346,300 / annual

medical-directorpost-acute-careutilization-managementmedical-reviewhealthcare-administrationpost-acute-care-specialist

RN Appeals Analyst (Must Reside in SC)Aug 22, 2026

BlueCross BlueShield of South Carolina·United States

rn-appeals-analysthealthcare-appeals-reviewutilization-managementmedical-review-nursequality-assurance-nursern-appeals-specialist

Senior Clinical Review Nurse - Prior AuthorizationAug 22, 2026

Centene Corporation·United States·USD 31 - 55 / hour

clinical-review-nurseprior-authorization-nursemedical-managementhealthcare-servicesutilization-managementprior-authorization-reviewer

Utilization Review Nurse RN Part-TimeAug 22, 2026

Personify Health·United States·USD 3,000 - 3,800/hour

care-managementutilization-review-nursingutilization-managementregistered-nursehealthcare-administrationutilization-review-rn

Utilization Review SpecialistAug 22, 2026

Compass Health Center·United States·USD 45,000 - 55,000 / annual

utilization-reviewutilization-managementcase-managementbehavioral-healthhealthcare-administrationutilization-review-specialist

Care Coordinator - Clinical Appeals RNAug 21, 2026

Premera Blue Cross·United States·USD 80,200 - 125,600 / annual

care-coordinationclinical-appeals-rnutilization-managementhealthcare-nursinghealth-plan-operationsclinical-appeals-coordinator

Clinical Operations Manager, Utilization ReviewAug 21, 2026

Dane Street·United States

utilization-review-managementclinical-operationshealthcare-administrationutilization-managementutilization-review-managerclinical-operations-manager

Health Care Professional – Utilization Review / First-Level ReviewerAug 21, 2026

Encompass Health Solutions·United States·USD 4,200 - 4,500/hour

utilization-reviewutilization-managementfirst-level-reviewerhealthcare-administrationworkers'-compensation-healthcaremedical-utilization-reviewer

Appeals and Grievances Clinical Specialist/ Quality Of CareAug 20, 2026

Healthfirst·United States·USD 83,100 - 120,360 / annual

appeals-and-grievancesquality-of-careclinical-specialisthealthcare-administrationutilization-managementregistered-nurse

Backend UM CoordinatorAug 20, 2026

Humana·United States·USD 39,000 - 49,400 / annual

healthcare-administrationutilization-managementmedical-records-administrationhealthcare-operationsadministrative-supportum-coordinator

Medical Director-Medicaid (ABH VA)Aug 20, 2026

Lifelancer·United States·USD 174,070 - 374,920 / annual

medical-directormedicaid-healthutilization-managementmedical-managementmedicaid-program-directormanaged-care-medical-director

Utilization Management Clinical Dental ProcessorAug 20, 2026

Avēsis·United States

utilization-managementclinical-dental-reviewprior-authorizationsdental-claims-processinghealthcare-administrationdental-utilization-review

Utilization Management Registered NurseAug 20, 2026

Humana International Group·United States·USD 71,100 - 97,800 / annual

registered-nurseutilization-managementcase-managementnursingutilization-reviewutilization-management-nurse

Associate Medical Director-Health Services UM & Virtual Support (Remote, Part-TiAug 19, 2026

American Specialty Health, Inc.·United States

medical-directorhealth-servicesutilization-managementclinical-quality-managementassociate-medical-directorphysician-medical-director-remote

Field Medical Director, Radiology (Neurology)Aug 18, 2026

Evolent·United States

medical-directorfield-medical-directorradiologyutilization-managementhealthcare-administrationradiology-medical-director

Medical Director - Inpatient ReviewAug 18, 2026

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

medical-directorutilization-managementinpatient-reviewutilization-reviewhealth-claims-analysismedical-review-physician

Utilization Management Nurse - LPN/LVNAug 18, 2026

Integra Partners·United States·USD 60,000 - 60,001 / annual

utilization-managementutilization-management-nursemanaged-care-nursinglpn-lvnhealthcare-authorizationutilization-management-nursing

Case ReviewerAug 17, 2026

Integrated Management Strategies·United States

healthcare-consultingutilization-managementmedical-reviewcase-managementhealthcare-administrationmedical-case-reviewer

Registered Nurse (RN) Care ManagerAug 17, 2026

Alternate Solutions Health Network·United States·USD 70,000 / annual

care-managerregistered-nursecase-managementutilization-managementregistered-nurse-care-managerrn-care-manager

RN - Registered Nurse - Clinical Access Specialist - Per DiemAug 17, 2026

Geisinger·United States

registered-nursingclinical-access-specialistutilization-managementhealthcare-nursingmedical-review-specialistper-diem-registered-nurse

Utilization Management CoordinatorAug 17, 2026

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

utilization-managementhealthcare-administrationmedical-records-coordinatorprior-authorization-specialisthealth-services-administrationutilization-management-coordinator

Project Manager, Utilization ReviewAug 16, 2026

Med-Metrix·Worldwide·USD 100,000 - 125,000 / annual

utilization-review-managementhealthcare-project-managementhealthcare-operationsproject-managementutilization-managementutilization-review-manager

Remote Medical Director, Inpatient MedicareAug 16, 2026

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

medical-directorhealth-servicesutilization-managementquality-improvementphysician-medical-director-remoteremote-medical-director

Registered Nurse (RN) Lead, Home Health Utilization ManagementAug 15, 2026

Clover Health·United States·USD 130,800 - 170,000 / annual

utilization-managementregistered-nursehome-health-nursingnursing-leadershiphealthcare-administrationhome-health-rn

Utilization Management Behavioral Health ProfessionalAug 15, 2026

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

utilization-managementbehavioral-healthcare-managementclinical-social-workhealthcare-administrationbehavioral-health-utilization-management

Physician Advisor IIAug 14, 2026

Med-Metrix·United States

physician-advisorutilization-managementhealthcare-quality-assurancecase-managementur-um-medical-directorphysician-medical-advisor

Business Finance Revenue Cycle Utilization ManagerAug 12, 2026

Sevita·United States

revenue-cycle-managementhealthcare-financeutilization-managementfinancial-managementhealthcare-administrationrevenue-cycle-management-manager

Medical Director – Sleep Medicine – Evicore - RemoteAug 12, 2026

The Cigna Group·United States·USD 207,800 - 346,300 / annual

medical-directorsleep-medicine-physicianmedical-reviewutilization-managementhealthcare-consultingphysician-medical-director-remote

Coordinator, Managed Care II/UM-1Aug 9, 2026

BlueCross BlueShield of South Carolina·United States

managed-careutilization-managementhealthcare-administrationcase-managementhealth-managementmanaged-care-coordinator

Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN/LSATP for SuAug 8, 2026

Sentara Health·Holy See (Vatican City State)

behavioral-health-clinicianutilization-managementclinical-social-worksubstance-abuse-counselinghealthcare-utilization-reviewbehavioral-health-utilization-management

Manager Registered Nurse - Utilization ManagementAug 8, 2026

SSM Health·Moldova

rn-managementutilization-managementnursing-leadershipcase-managementutilization-management-managerutilization-management-nurse

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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