Top 65 Utilization remote Jobs in Columbus

Appeals Nurse Consultant (Remote)
CVS Health —Columbus, OH
- $60,522 - $129,615 a year
- Weekends as needed
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
5d
Remote Processing Specialist
CLEAResult Consulting Inc. —Columbus, OH
- $16 an hour
- Full-time
- Remote
- US work authorization
- Organizational skills
- Entry level
- Health insurance
- Dental insurance
Quick Apply
3d
Group Air Agent - Dedicated
ADTRAV Travel Management —Columbus, OH
- $25 - $26 an hour
- Overtime
- Remote
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
4d
Group Air Coordinator – Dedicated (Team Lead)
ADTRAV Travel Management —Columbus, OH
- $28 - $29 an hour
- Overtime
- Remote
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
4d
Operations Training Manager (Remote)
SOLV Energy, LLC —Columbus, OH
- $106,669 - $128,003 a year
- Full-time
- Remote
- Construction site
- ERP systems
- Project management
- Paid holidays
- Disability insurance
Quick Apply
11d
End User Support Specialist
FST Logistics, Inc. —Dublin, OH
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
10d
Licensed Clinical Social Worker (EST)
Tuesday Health —Ohio
- Up to $90,000 a year
- Full-time
- Remote
- Master of Social Work
- Licensed Clinical Social Worker
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Multi Line Licensed Insurance Agent (Remote - P&C Required)
RELI Exchange —Ohio
- $45,000 - $90,000 a year
- Full-time
- Remote
- Business development
- US work authorization
- Marketing
- Work from home
- Flexible schedule
Quick Apply
11d
Senior Accountant – Global BPO Operations (US)
Compass Experience Labs —Ohio
- Full-time
- Remote
- Management
- 5 years
- Finance
Quick Apply
Marketing Operations Analyst
AssetWatch, Inc. —Columbus, OH
- $95,000 - $124,000 a year
- Remote
- Mid-level
- 3 years
- Communication skills
- Flexible schedule
- Retirement plan
Quick Apply
Specialty Account Manager - Columbus, OH
TerSera Therapeutics LLC —Columbus, OH
- $180,000 a year
- Remote
- Hospital
- 5 years
- Bachelor of Science
Solution Outcome Manager @Advizex (Remote)
Myriad360 —Columbus, OH
- $110,000 - $130,000 a year
- Remote
- Computer Science
- Master's degree
- 8 years
- Profit sharing
- Disability insurance
Quick Apply
Product Owner, FMS/Financial Intermediary Svc
Benelynk —Columbus, OH
- $120,000 - $125,000 a year
- Full-time
- Remote
- Pass drug screening
- Analysis skills
- Continuous improvement
- Health insurance
- Dental insurance
Transportation Senior Continuous Improvement Engineer (remote)
Ryder System —Columbus, OH
- $90,000 - $100,500 a year
- Remote
- 5 years
- Engineering
- Dry van
- Disability insurance
- Health insurance
1d
Lead Sales Planning Analyst
Black Duck Software, Inc. —Columbus, OH
- $122,600 - $183,900 a year
- Remote
- Finance
- 8 years
- Analysis skills
Cryo Nerve Block Clinical Specialist-Columbus
AtriCure —Columbus, OH
- $70,000 - $125,000 a year
- Remote
- Mid-level
- Bachelor's degree
- Operating room
- Paid parental leave
- Health savings account
Program Manager, Delivery - CCaaS
TELUS Digital —Columbus, OH
- $124,800 - $156,000 a year
- Full-time
- Remote
- 7 years
- Continuous improvement
- Travel
Service Delivery Manager – Unified Communications & Video Conferencing
New Era Technology —New Albany, OH
- Remote
- 5 years
- Analysis skills
- Bachelor's degree
Quick Apply
9d
Infrastructure Verification Engineer
TechBiz Global GmbH —Columbus, OH
- Full-time
- Remote
- Mid-level
- Analysis skills
- Linux
Quick Apply
Associate Director, Consulting (Ohio Medicaid financing, policy & reimbursement)
Sellers Dorsey —Columbus, OH
- $116,000 - $145,000 a year
- Remote
- Microsoft Word
- Microsoft Excel
- Analysis skills
- Paid parental leave
- Paid holidays

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utilization remote jobs near columbus

Appeals Nurse Consultant (Remote)

CVS Health -
Columbus, OH

Apply Now

Job Details

Full-time
$60,522 - $129,615 a year
5 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

RN License
Patient care
Associate's degree

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

CVS Aetna is seeking a dedicated Appeals Nurse Consultant to join our remote team. In this role, you will play a critical role in ensuring fair and accurate resolution of clinical appeals by applying sound clinical judgment and regulatory knowledge.

Key Responsibilities

Responsible for the review and resolution of clinical appeals.
Reviews documentation and interprets data obtained from clinical records to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and provider issues.
Independently coordinates the clinical resolution with internal/external clinician support as required.
This position may support UM (includes expedited), MPO, Coding, or Behavioral Health appeals.
This is a full-time telework position with standard hours of Monday–Friday, 8:00 AM to 5:00 PM (local time).
Occasional weekend and holiday on-call coverage may be required.

Remote Work Expectations

This is a 100% remote role; candidates must have a dedicated workspace free of interruptions.
Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.

Required Qualifications

Must have active and unrestricted RN licensure in state of residence.
3+ years clinical experience.

Preferred Qualifications

Appeals, Managed Care, or Utilization Review experience.
Proficiency with computer skills including navigating multiple systems.
Exceptional communication skills.
Time efficient, highly organized, and ability to multitask.

Education

Associate's Degree minimum.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,522.00 - $129,615.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/03/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

utilization remote jobs in columbus

Appeals Nurse Consultant (Remote)

Remote Processing Specialist

Group Air Agent - Dedicated

Group Air Coordinator – Dedicated (Team Lead)

Operations Training Manager (Remote)

End User Support Specialist

Licensed Clinical Social Worker (EST)

Multi Line Licensed Insurance Agent (Remote - P&C Required)

Senior Accountant – Global BPO Operations (US)

Marketing Operations Analyst

Specialty Account Manager - Columbus, OH

Solution Outcome Manager @Advizex (Remote)

Product Owner, FMS/Financial Intermediary Svc

Transportation Senior Continuous Improvement Engineer (remote)

Lead Sales Planning Analyst

Cryo Nerve Block Clinical Specialist-Columbus

Program Manager, Delivery - CCaaS

Service Delivery Manager – Unified Communications & Video Conferencing

Infrastructure Verification Engineer

Associate Director, Consulting (Ohio Medicaid financing, policy & reimbursement)

I want to receive the latest job alert for utilization remote in columbus

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