ZipRecruiter

Log In

1

Manager Utilization Management Jobs in Virginia (NOW HIRING)

Deloitte

Epic Tapestry Sr Analyst

Mclean, VA · On-site +1

Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to manage multiple projects and ...

Deloitte

Epic Tapestry Sr Analyst

Rosslyn, VA · On-site +1

Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to manage multiple projects and ...

Inova

Registered Nurse (RN) Case Manager

Fairfax, VA · On-site

Uses utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities. Responsible for the timely ...

Inova

Registered Nurse (RN) Case Manager

Fairfax, VA · On-site

Uses utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities. Responsible for the timely ...

Sentara Health

Medical Director Physician

Suffolk, VA · On-site

Additional responsibilities include the assurance that the Performance Improvement, Quality, and Utilization Management plans of the Hospital meet the requirements of the DNV Accreditation of Health ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Ashburn, VA · On-site +1

$58.50 - $71.25/hr

Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:

Pharmacy Careers

Appeals Pharmacist (Remote)

Annandale, VA · On-site +1

$57 - $69.50/hr

Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:

UHS

UTILIZATION COORDINATOR

Danville, VA

... managing timely transitions through the phases of residential care. Key Responsibilities: · Facilitates communication regarding resident treatment process and needs with referral sources and payor ...

GQR

RN - Case Manager

Falls Church, VA

$2.5K - $2.6K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Falls Church, Virginia Start Date: April 6, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care ...

Inova

Director, Case Management

Leesburg, VA

Leads all utilization review, social work and discharge planning activities within assigned operating unit. * Oversees the day to day operation of all Case Management related activities to include ...

next page

Showing results 1-20

All JobsManager Utilization Management JobsManager Utilization Management Jobs in Virginia

Manager Utilization Management information

See Virginia salary details

$38.7K

$90.2K

$166.1K

How much do manager utilization management jobs pay per year?

As of Jun 17, 2026, the average yearly pay for manager utilization management in Virginia is $90,231.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,000.00 and $108,600.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Manager Utilization Management, and why are they important?

To thrive as a Manager Utilization Management, you need a thorough understanding of healthcare regulations, utilization review processes, and case management, often supported by a clinical degree (such as RN) and relevant experience. Familiarity with utilization management software, claims processing systems, and potentially certifications like CCM (Certified Case Manager) or ACM (Accredited Case Manager) is important. Strong leadership, analytical thinking, and effective communication help you guide teams and collaborate with providers and payers. These skills ensure efficient resource use, compliance, and quality patient care within managed care organizations.

What is the difference between Manager Utilization Management vs Utilization Review Nurse?

AspectManager Utilization ManagementUtilization Review Nurse
CredentialsRN, often with management or utilization review certificationsRN, with certifications in utilization review or case management
Work EnvironmentSupervises teams, manages policies, oversees utilization review processesPerforms patient chart reviews, assesses medical necessity, collaborates with providers
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare organizations
Search & Comparison IntentYesYes

While both roles focus on utilization review, the Manager Utilization Management oversees teams and policies, ensuring efficient resource use, whereas the Utilization Review Nurse conducts patient-specific reviews to determine medical necessity. The manager role involves leadership and strategic planning, while the nurse role is more clinical and review-focused.

What are some common challenges faced by a Manager in Utilization Management, and how can they effectively address them?

Managers in Utilization Management often encounter challenges such as balancing quality patient care with cost containment, navigating evolving healthcare regulations, and managing diverse teams. To effectively address these issues, successful managers develop strong communication skills, stay updated on industry standards, and foster collaboration between clinical and administrative staff. Implementing robust training programs and utilizing data-driven decision-making can also help ensure compliance and improve overall team performance.

What does a Manager of Utilization Management do?

A Manager of Utilization Management oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead a team that reviews medical claims and care plans to ensure compliance with clinical guidelines and regulatory requirements. Their role often involves collaborating with physicians, nurses, insurance companies, and other stakeholders to optimize patient outcomes while managing healthcare costs. Additionally, they are responsible for implementing policies, training staff, and ensuring that utilization management activities align with organizational goals.
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 Manager Utilization Management jobs in Virginia? For Manager Utilization Management jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Manager Utilization Management jobs in Virginia look for? The top searched job categories for Manager Utilization Management jobs in Virginia are:
What cities in Virginia are hiring for Manager Utilization Management jobs? Cities in Virginia with the most Manager Utilization Management job openings:
Manager Utilization Management jobs near you
Epic Tapestry Sr Analyst

Epic Tapestry Sr Analyst

Deloitte

Mclean, VA • On-site, Remote

Other

This job post has expired today. Applications are no longer accepted.

Deloitte rating

8.1

Company rating: 8.1 out of 10

Based on 86 frontline employees who took The Breakroom Quiz

58th of 138 rated financial services

Job description

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Tapestry Sr Analyst you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery.

Recruiting for this role ends on 6/11/2026

Work you'll do/Responsibilities

Build and configure for the enhancements and capital projects within the Tapestry UM module area across all client regions, specifically Service Authorizations.

The Team 

AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements

Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.

Qualifications Required

  • Must have a current Epic Tapestry Certification (any of these Claims, Membership, Enrollment & Eligibility, CRM, Utilization Management)
  • 3-6 years of recent build and configuration experience on any of the Epic Tapestry modules
  • Experience in application build and go-live, along with extensive experience in Service Authorization implementation, workflows, troubleshooting, testing, and support
  • Good interpersonal and communication skills
  • Demonstrative understanding of technical documentation
  • Bachelor's degree, preferably in information technology, business, or healthcare related field; or equivalent experience 
  • Limited immigration sponsorship may be available
  • Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve
  • Role is remote

Preferred

  • Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build
  • Analytical/ Decision Making Responsibilities
  • Analytical ability to manage multiple projects and prioritize tasks into manageable work products
  • Can operate independently or with minimum supervision
  • Excellent Written and Communication Skills
  • Ability to deliver technical demonstrations

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $85,000 - $110,000.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

Qualifications:

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Tapestry Sr Analyst you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery.

Recruiting for this role ends on 6/11/2026

Work you'll do/Responsibilities

Build and configure for the enhancements and capital projects within the Tapestry UM module area across all client regions, specifically Service Authorizations.

The Team 

AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements

Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.

Qualifications Required

  • Must have a current Epic Tapestry Certification (any of these Claims, Membership, Enrollment & Eligibility, CRM, Utilization Management)
  • 3-6 years of recent build and configuration experience on any of the Epic Tapestry modules
  • Experience in application build and go-live, along with extensive experience in Service Authorization implementation, workflows, troubleshooting, testing, and support
  • Good interpersonal and communication skills
  • Demonstrative understanding of technical documentation
  • Bachelor's degree, preferably in information technology, business, or healthcare related field; or equivalent experience 
  • Limited immigration sponsorship may be available
  • Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve
  • Role is remote

Preferred

  • Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build
  • Analytical/ Decision Making Responsibilities
  • Analytical ability to manage multiple projects and prioritize tasks into manageable work products
  • Can operate independently or with minimum supervision
  • Excellent Written and Communication Skills
  • Ability to deliver technical demonstrations

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $85,000 - $110,000.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

Education:Bachelor's DegreeEmployment Type:

What Deloitte employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply