ZipRecruiter

Log In

1

Director Utilization Management Jobs in Virginia

Wexford Health Sources

VA · On-site

Medical Director - Full or part time * Flexible - work around your current schedule (Mon-Friday ... utilization management, provider contracting, claims processing, and quality management services.

Mainspring Recovery

Clinical Director

Dumfries, VA · On-site

$125 - $135/hr

... discharge planning, and utilization management processes as needed * Assists with audits ... Direct care and administrative leadership role * Full-time on-site position with flexibility based ...

Evolent

Cardiology Physician

Arlington, VA · On-site

$407K - $460K/yr

As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...

Evolent

Cardiology Physician

Arlington, VA · On-site

$407K - $460K/yr

As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...

Mainspring Recovery

Clinical Director

Dumfries, VA · On-site

$125K - $135K/yr

... discharge planning, and utilization management processes as needed * Assists with audits ... Direct care and administrative leadership role * Full-time on-site position with flexibility based ...

Sentara Healthcare Inc

Director, Actuarial

Norfolk, VA · On-site

$120 - $150/hr

The Director, Actuarial - Government Programs will lead actuarial pricing, financial performance ... Cost of care and utilization management strategies * Align actuarial assumptions with operational ...

Evolent

Internal Medicine Physician

Arlington, VA · On-site

May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * Participates in on-going ...

previous pagenext page

Showing results 21-40

All JobsUtilization Management JobsDirector Utilization Management JobsDirector Utilization Management Jobs in Virginia

Director Utilization Management information

See Virginia salary details

$17.8K

$51.9K

$83.3K

How much do director utilization management jobs pay per year?

As of Aug 16, 2026, the average yearly pay for director utilization management in Virginia is $51,873.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,700.00 and $59,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the director utilization management position, and why are they important?

To thrive as a Director Utilization Management, you need a strong background in healthcare administration, case management, and data-driven decision-making, often supported by a clinical degree and several years of management experience. Familiarity with utilization management software, electronic health records (EHRs), and certifications such as CCM or ACM are typically valued. Exceptional leadership, communication, and problem-solving skills distinguish top performers in this role. These competencies are vital for optimizing resource use, ensuring regulatory compliance, and leading teams to meet quality care standards.

What is a director utilization management?

A Director of Utilization Management oversees the review and approval of medical services to ensure they are necessary, efficient, and cost-effective. They develop strategies to improve care quality while managing healthcare costs, working closely with providers, payers, and regulatory bodies. Their responsibilities include policy development, compliance with healthcare regulations, and leading a team of utilization review professionals. This role is common in hospitals, insurance companies, and managed care organizations.

What are the typical daily responsibilities of a director utilization management?

A Director Utilization Management generally oversees a team responsible for reviewing patient care to ensure appropriate resource use and compliance with payer requirements. Daily tasks may include analyzing utilization data, developing policy and process improvements, collaborating with clinical and administrative staff, and addressing escalated cases or issues. Directors frequently attend strategy meetings, conduct staff training, and engage with external partners like insurance providers. This role requires balancing administrative oversight with hands-on problem solving to support both cost efficiency and quality patient care.

What are the most commonly searched types of Utilization Management jobs in Virginia?

The most popular types of Utilization Management jobs in Virginia are:

What are popular job titles related to Director Utilization Management jobs in Virginia?

For Director Utilization Management jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Director Utilization Management jobs in Virginia look for?

The top searched job categories for Director Utilization Management jobs in Virginia are:

What cities in Virginia are hiring for Director Utilization Management jobs?

Cities in Virginia with the most Director Utilization Management job openings:

Director Utilization Management jobs near you
Infographic showing various Director Utilization Management job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $51,873 per year, or $24.9 per hour.

Full or part time; Medical Director - Multiple sites in West Virginia

Wexford Health Sources

VA • On-site

Other

Re-posted 27 days ago

Wexford Health Sources rating

6.4

Company rating: 6.4 out of 10

Based on 30 frontline employees who took The Breakroom Quiz

641st of 887 rated healthcare providers

Job description


Medical Director - Full or part time
  • Flexible - work around your current schedule (Mon-Friday)
  • Solid, established supportive team
  • Wide variety of unique and interesting cases
  • No insurance; billing issues
Wexford Health Sources, the nation's leading innovative correctional health care company, provides clients with experienced management and technologically advanced services, combined with programs that control costs while ensuring quality. For nearly three decades, Wexford Health has consistently delivered proven staffing expertise and a full range of medical, behavioral health, pharmacy, utilization management, provider contracting, claims processing, and quality management services.
At Wexford Health our philosophy is that health care should not be considered a luxury for anyone.  We simply care for those in need and the corrections environment is our venue.
Wexford Health has an exceptional opportunity for a Part-time Medical Director to join our team of healthcare professionals at Correctional Centers in WV:
Martinsburg, Grafton, Welch, Augusta, West Columbia, Parkersburg, Belington, 
**This is a full or part-time position (8-40 hours per week) offering a flexible schedule. Ideal candidates will have Family Practice or Internal Medicine background and an active WV medical license, controlled substance and DEA licenses**

What Wexford Health Sources employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply