Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Policy Review Specialist

ouraocentral.com

Hobbs, NM
  • Remote job

Change of pace without leaving your living room.

You guide clients who already asked for help, explain options, and stay connected as their resource. Training and mentorship are included.

Perks

• 100% work from home via web conference

• Flexible full-time or part-time hours

• No cold calling

• Structured training and coaching

• Advancement for people who lead

A typical day

• Virtual meetings with families

• Explaining benefits in plain language

• Follow-up so relationships do not go cold

• Light admin: notes, scheduling, CRM

Ideal if you are coachable, dependable, people-focused, and comfortable on camera.

Apply for a Zoom overview.

Vacancy posted 4 hours ago
Similar jobs that could be interesting for youBased on the Remote Policy Review Specialist in Hobbs, NM vacancy
  •  ...is seeking a Behavioral Health Prior Authorization Utilization Review Consultant. The role focuses on monitoring, evaluating, and approving...  ...collaborating with providers and AHCCCS staff, reviewing policies, and supporting education for providers and tribal staff. #J-18... 
    Remote work
    Policy

    State of Arizona

    New York, NY
    3 days ago
  • $60k - $62k

     ...Job Description Remote- Work From Home, Jackson, Jackson, Michigan, United States...  ...Position Overview The Utilization Review Specialist is responsible for all aspects of the authorization...  .... Knowledge of Drug-Free Workplace Policies. Knowledge of Corporate Integrity &... 
    Remote work
    Policy
    Full time
    Part time
    Work from home
    Flexible hours

    Coronis Health

    Jackson, MI
    1 day ago
  • $57.51k

     ...Housing Authority Management and Occupancy Review Specialist Department: North Tampa Housing...  ...Ability to travel (up to 75%). This is a fully remote position. A home office is required in compliance with the Agency’s policies regarding telecommuting. Travel is within... 
    Remote work
    Policy
    Full time
    Work at office
    Home office

    Tampa Housing Authority

    Florida
    12 days ago
  •  ...Utilization Review Specialist The primary purpose of the Utilization Review Specialist is to...  ...Laws. Knowledge of Drug-Free Workplace Policies. Knowledge of Corporate Integrity...  ...CORI and background check. Satisfactory drug screen Part Time Remote Role... 
    Remote work
    Policy
    Part time
    Work at office
    Flexible hours

    Charles River Recovery

    United States
    3 days ago
  •  ...As Utilization Review Specialists, we are the liaisons between insurance payors and the treatment...  ...CompetenciesWorking knowledge of insurance companies and policies.Working knowledge of treatment center...  ...as "recovering".Benefits100% remote first company to foster flexibility,... 
    Remote work
    Policy
    Work at office

    Hansei Solutions

    Franklin, TN
    2 days ago
  • $18 - $20 per hour

     ...professional to join our Utilization Review department. At Camber, we...  ...As a Utilization Review Specialist, you serve as the vital link...  ...corporate office, 3 days remote. What You Will Do Act as...  ...systems. Navigate insurance policies and reimbursement procedures... 
    Remote work
    Policy
    Hourly pay
    Full time
    Work at office

    KVC Shared Services

    Olathe, KS
    2 days ago
  •  ...Utilization Review Specialist Ethos Risk Services is a leading insurance claims investigation...  ...full-time Utilization Review Specialist (REMOTE) to play a key role in ensuring the...  ...phone and email. Adhere to company policies, procedures, and turnaround time expectations... 
    Remote work
    Policy
    Full time
    Work at office

    Ethos Risk Services

    United States
    3 days ago
  • $90.9k - $129.9k

     ...learning, and career development. Summary Review and evaluate prior authorization...  ...to providers and members on new/revised policies. What we're looking for Master's degree...  ...you should expect in this role ~100% Remote home office. ~ Full-time position.... 
    Remote work
    Policy
    Full time
    Work experience placement
    Home office
    Flexible hours

    Gainwell Technologies LLC

    Seattle, WA
    3 days ago
  •  ...skilled and knowledgeable Constructability Review Specialist to provide advanced field oversight and...  ...functions. This position is primarily remote, with occasional field support as...  ...any other status protected by law. This policy applies to recruiting, hiring, transfers... 
    Remote work
    Policy
    Full time
    Temporary work
    Interim role

    Pride Resource Partners LLC

    Los Angeles, CA
    4 days ago
  •  ...Overview The Charge Review Specialist Senior works a part of a centralized Revenue Cycle team to process accurate code assignments for paper...  ...coding initiative guidelines. Adheres to internal coding policies and expectations set forth by leadership. Responsibilities... 
    Remote work
    Policy
    Full time
    Work at office

    CommUnityCare Health Centers

    Remote
    10 days ago
  • $62.4k - $72.8k

     ...Job Title: Utilization Review Specialist Location: Remote Schedule: Monday-Friday 8am-5pm MST Compensation: $30-35/hour Northpoint...  ...timely and clinically sound manner in accordance with policies and procedures. The UR Specialist will serve as a strong... 
    Remote work
    Policy
    Full time
    Temporary work
    Work at office
    Monday to Friday

    Northpoint Recovery Holdings, LLC

    Remote
    4 days ago
  •  ...System (DMC-ODS), including review of medical records to ensure...  ...behavioral health treatment. UR Specialists also interpret, advise and...  ...list. The option for hybrid remote work may be available based on...  ...- County paid $20,000 term policy. Employee may purchase additional... 
    Remote work
    Policy
    Contract work
    Local area
    Trial period
    Flexible hours

    santacruzcountyca.gov

    Santa Cruz, CA
    5 days ago
  • $60k - $70k

     ...process. Full Time Office/Clerical Remote, Birmingham, AL, US Salary Range: $6...  ...journey. We are seeking a Utilization Review Specialist to add to our dynamic team! The...  ...Follow standardized utilization review policies, workflows, escalation pathways, and documentation... 
    Remote work
    Policy
    Full time
    Part time
    Work at office

    Bradford Health Services

    Birmingham, AL
    1 day ago
  • $104k - $208k

     ...Conduct formal, end-to-end written privacy reviews for products, features, research...  ...consent flows, access controls, privacy policies, and user-facing privacy notices Help...  ...English level Advanced Work Type: Remote Location: United States Working Hours... 
    Remote work
    Policy
    Full time
    Contract work
    Work experience placement
    Local area

    Exadel

    Remote
    10 days ago
  •  ...United States is seeking a RunOps Support - Platform and Infra reviewer to assess AI outputs from our operations workflows. This remote contractor role focuses on grading workflow correctness, tone, policy adherence, and escalation logic. You will document next steps for... 
    Remote job
    Policy
    For contractors
    10 hours per week
    Flexible hours

    AuraOne

    New York, NY
    5 days ago
  • Federal Grants Management Specialist — AI Compliance Review is a remote review track for evaluating AI outputs in federal grants compliance workflows. Reviewers...  ...grade citation accuracy, statutory reasoning, and policy adherence; flag risk; and document the corrected... 
    Remote work
    Policy
    Hourly pay
    For contractors
    10 hours per week

    AuraOne Human Data

    New York, NY
    4 days ago
  • AuraOne is seeking remote reviewers for Moonlight MCQA - Chinese (Traditional) Law to evaluate AI outputs in legal review workflows. Reviewers grade citations, reasoning, and policy adherence; flag risk; and document corrected analysis for training. The role requires active... 
    Remote job
    Policy
    Hourly pay
    For contractors
    Freelance
    10 hours per week

    Auraone

    New York, NY
    4 days ago
  • AuraOne Human Data is seeking a Legal Specialist (Microsoft Office User) to remotely review AI-generated outputs for legal accuracy and policy alignment. You will annotate, cite authorities, and draft corrected reasoning to help train models. The role operates as a contractor... 
    Remote job
    Policy
    For contractors
    Work at office

    AuraOne Human Data

    New York, NY
    4 days ago
  • Case Manager - Utilization Review Specialist - Remote Full-Time Position You must reside in one of these states to be eligible for position: Arkansas...  ...with government and insurance company reimbursement policies: Analyzes insurance, governmental, and accrediting agency... 
    Remote work
    Policy
    Full time

    Quorum Health Corporate

    New York, NY
    4 days ago
  •  ...: This role can be performed remotely from an approved location, with...  ...experienced Senior Quoting Specialist to join our Switchgear team....  ...candidate will independently review customer specifications,...  ...individuals with disabilities or policy statement, please email Recruiting... 
    Remote work
    Policy
    Full time
    Contract work
    Work at office
    Worldwide

    Regal Rexnord

    Arlington, TX
    1 day ago
  • $27.86 - $43.46 per hour

     ...Plan is calling an Associate Utilization Review Specialist who will: Be responsible for all...  ...resources to support the review (Medical Policies, KMS, Benefit Grids, Handbooks, CES/JAMA...  ...resolutions) We welcome 100% remote work for residents who reside in the following... 
    Remote work
    Policy
    Full time
    Work at office
    Local area
    Shift work

    Providence Health Plan

    Oregon, OH
    2 days ago
  •  ...Responsible for reviewing and analyzing underpayment records and...  ...full-time Payment Integrity Specialist will ensure compliance with...  ...reimbursement while working remotely. Key responsibilities Review...  ...regarding payment processing policies and managed care issues with... 
    Remote work
    Policy
    Full time
    Contract work
    Work from home

    Virtual Vocations Inc

    United States
    3 days ago
  • $77.6k - $176k

     ...International Affairs Policy Specialist The Opportunity: Research and analyze data to inform...  ...Resource page on our Careers site and reviewing Our Employee Benefits page. Salary at...  ...have their cameras on during meetings. Remote : If this position is listed as remote... 
    Remote work
    Policy
    Full time
    Contract work
    Part time
    Local area

    Booz Allen

    Chantilly, Fairfax County, VA
    13 hours ago
  •  ...Description Summary As an ARO Specialist working for Taylor Morrison...  ...ARO report for management review · Perform other duties as assigned...  ...the essential functions. Remote opportunities available...  ...applicable Comply with company policies and procedure Physical... 
    Remote work
    Policy
    Full time
    Work at office
    Work from home
    Flexible hours

    Taylor Morrison

    Scottsdale, AZ
    1 day ago
  •  ...Federal Equal Employment Specialist — AI Compliance Reviewer is a remote review track for evaluating AI outputs across federal equal employment specialist...  ...operations workflows. Reviewers grade workflow correctness, policy adherence, and stakeholder fit; flag operational risk... 
    Remote job
    Policy
    Hourly pay
    For contractors
    Work experience placement
    10 hours per week

    AuraOne Human Data

    Remote
    2 days ago
  •  ...Federal Grants Management Specialist — AI Policy Reviewer is a remote review track for evaluating AI outputs in federal grants compliance workflows. Reviewers grade citation accuracy, statutory reasoning, and policy adherence; flag risk; and document the corrected analysis... 
    Remote job
    Policy
    Hourly pay
    For contractors
    10 hours per week

    AuraOne Human Data

    Remote
    2 days ago
  •  ...information, visit . Job Title: RCM Specialist- Vision Ophthalmology Must...  ...• Prepare, review, and transmit vision claims using...  ...standards of compliance with policies and procedures • Adheres to...  ...liability carrier standards. For remote team members, HIPAA compliant... 
    Remote work
    Policy
    Full time
    Work at office
    Home office
    Flexible hours
    Afternoon shift
    Early shift

    Eye Care Partners

    Wyandotte, MI
    6 days ago
  •  ...Expert Codebase Evaluation Specialist - Coding Agent Review is a remote evaluation track for reviewing codebase evaluation evaluation prompts and responses...  ...rationale. Tag an unsafe response with the correct policy category and severity. Audit a 50-row batch for... 
    Remote job
    Policy
    Hourly pay
    For contractors
    10 hours per week

    AuraOne Human Data

    Remote
    a month ago
  •  ...is a full-time (W-2), fully remote telehealth position designed...  ...As a Mental Health Group Specialist, you will work with a skilled...  ...curriculum. Curriculum Mastery: Review assigned curriculum prior to...  ...to Charlie Health's Privacy Policy and Terms of Service. For career... 
    Remote work
    Policy
    Full time

    Charlie Health

    Hillsboro, OR
    1 day ago
  •  ...Carolina.Prior administrative experience in a remote or hybrid work environment preferred but...  ...conditions to manager.Follow all company policies and procedures; ensure uniform and...  ...clear and professional language; prepare and review written documents accurately and... 
    Remote work
    Policy
    Work at office
    Worldwide
    Shift work

    Marriott Vacations Worldwide

    Florence, SC
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Policy Review Specialist. Be the first to apply!