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Remote Hca Utilization Review Jobs in Washington

Capstone Search Group

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Small Group Employee Benefits Consultant - Remote (10269)

Washington, DC · Remote

$85K - $100K/yr

About the Role 100% remote opportunity for an insurance professional knowledgeable with group ... Review current programs, evaluate claims and utilization data * Take proposals to market to help ...

New

CBIZ

HR Solutions Sales Consultant

Columbia, MD · Remote

#LI-EL1 #LI-Remote #LI-MV1 #LI-Remote CBIZ, Inc. (NYSE: CBZ) is a leading professional services ... CBIZ CPAs is an independent CPA firm that provides audit, review and attest services, while CBIZ ...

Koniag, Inc.

FinOps Specialist (REMOTE)

Washington, DC · On-site +1

... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ... for review and disposition. * Participate in Agile or program-management ceremonies, including ...

kgs

FinOps Specialist (REMOTE)

Washington, DC · Remote

... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ... for review and disposition. * Participate in Agile or program-management ceremonies, including ...

kgs

FinOps Specialist (REMOTE)

Washington, DC · Remote

... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ... for review and disposition. * Participate in Agile or program-management ceremonies, including ...

Bcbsa

Director, Trade Client Relations

Gaithersburg, MD · Remote

$155K - $175K/yr

Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed

Ignite IT

Senior Network Security Engineer

Suitland, MD · Remote

$63 - $82.50/hr

... reviews, recertification, cleanup, and decommissioning. * Install, configure, maintain, patch ... remote users, certificates, authentication policies, availability, utilization, and user access ...

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Remote Hca Utilization Review information

What is the difference between Remote Hca Utilization Review vs Remote Hca Case Manager?

AspectRemote Hca Utilization ReviewRemote Hca Case Manager
CredentialsTypically requires healthcare-related certifications, such as RN or licensed healthcare professionalOften requires RN, social work, or case management certifications
Work EnvironmentPrimarily reviewing medical necessity and insurance coverage remotelyManaging patient cases, coordinating care, and discharge planning remotely
Employer & Industry UsageUsed by health insurance companies, healthcare providers, and utilization review organizationsEmployed by hospitals, insurance companies, and healthcare organizations

Remote Hca Utilization Review focuses on assessing medical necessity and insurance coverage, while Remote Hca Case Managers handle patient care coordination and discharge planning. Both roles require healthcare credentials and are integral to healthcare management, but they differ in daily responsibilities and focus areas.

How do I get into a remote HCA utilization review?

To become a remote HCA utilization review specialist, candidates typically need a healthcare background such as nursing or medical coding, along with knowledge of insurance policies and medical terminology. Relevant certifications like Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) can improve job prospects. Employers often require prior experience in medical review or utilization management and proficiency with electronic health record (EHR) systems, with many roles offering flexible or remote schedules.

Is remote HCA utilization review work from home?

Remote HCA utilization review jobs are often performed from home, allowing reviewers to assess healthcare claims and authorizations remotely. These roles typically require familiarity with healthcare software, strong communication skills, and adherence to confidentiality standards. Many employers offer flexible or fully remote schedules for this position.

What are popular job titles related to Remote Hca Utilization Review jobs in Washington?

For Remote Hca Utilization Review jobs in Washington, the most frequently searched job titles are:

What job categories do people searching Remote Hca Utilization Review jobs in Washington look for?

The top searched job categories for Remote Hca Utilization Review jobs in Washington are:

What cities in Washington are hiring for Remote Hca Utilization Review jobs?

Cities in Washington with the most Remote Hca Utilization Review job openings:

Remote Hca Utilization Review jobs near you
Infographic showing various Remote Hca Utilization Review job openings in Washington as of June 2026, with employment types broken down into 38% As Needed, 29% Full Time, 21% Part Time, 4% Temporary, 4% Contract, and 4% Nights. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution.

Small Group Employee Benefits Consultant - Remote (10269)

Capstone Search Group

Washington, DC • Remote

$85K - $100K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New

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Job description

About the Role

100% remote opportunity for an insurance professional knowledgeable with group medical and ancillary products to join an insurance agency as Small Group Employee Benefits Consultant. This is a sales role but requires no cold calling. The agency is owned by a larger business entity that generates a lot of warm, internal leads that you will consult with on employer health and welfare options. The average group is 20 employees.


Duties & Responsibilities

  • Work with internal partners to evaluate new business opportunities
  • Visit with prospective clients to evaluate their insurance needs
  • Review current programs, evaluate claims and utilization data
  • Take proposals to market to help determine the best carriers and coverage to recommend to clients
  • Help with presentations and secure the final sale
  • Ensure a smooth transition through the onboarding process to the account management team
  • Stay in touch with current clients, provide subject matter expertise as needed throughout the year, and assist with renewals if needed


Skills & Experience

  • At least 3-5 years of group employee benefits experience with client engagement, marketing, or sales responsibilities
  • Active L&H insurance license


Job Specs

100% remote for qualified applicants residing in EST or CST time zones. Some travel from time to time may be required.

Company Description

Capstone Search Group is an insurance recruiting firm that offers creative, unique staffing solutions for the insurance industry! Our clients include insurance companies, agencies, brokers and intermediaries. Our goal as insurance recruiters is to help insurance organizations identify, attract and retain experienced talent that impacts immediate openings and promotes future growth. We offer Direct Hire (Contingency Search, Engaged/Retained and Recruitment Process Outsourcing [RPO]) and Contract Solutions (long-term contract, 1099 and temp-to-perm). We work nationally with expertise that spans top executives, middle management and technical level positions. We are committed to providing recruiting services of the highest degree of confidentiality, professionalism and integrity.