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Remote Hca Utilization Review Jobs in Washington

Persado

Senior Account Manager

Washington, DC · On-site +1

$105K - $125K/yr

... review of compliance risks. Used by 8 out of the top 10 US banks today, the Persado platform ... This is a remote role, but candidates should be located on the East Coast, preferably within the ...

Emmes

Safety Manager - Cell and Gene

Rockville, MD · On-site +1

Overview Safety Manager US Remote Emmes Group: Building a better future for us all. Emmes Group is ... Reviews safety events. * Oversees the collection, assessment, monitoring, review and reporting of ...

SOSi

DoD SkillBridge Logistics Manager

Reston, VA · On-site +1

... utilization of logistics support services. Responsibilities: * Foster a team-oriented work ... Reviews and analyzes reports, such as revenue and performance records to recommended process ...

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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.

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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.

Corporate Program Manager (Remote, must be local to the Maryland area)

Axiom Consultants

Rockville, MD • On-site, Remote

$95K - $135K/yr

Full-time

Medical, Dental, Life, Retirement

Re-posted yesterday

Job description

Corporate Program Manager, Scientific & Federal Programs
This position is remote, but the selected candidate must reside in the Maryland area.
Axiom has an opportunity for a Corporate Program Manager (CPM) to provide strategic leadership, operational oversight, and contract management support for a portfolio of federal scientific and technical programs. The CPM serves as the primary liaison between corporate leadership, program teams, federal clients, and subcontractors to ensure successful contract execution, workforce management, and delivery of high-quality technical and scientific support services.
The ideal candidate combines strong program management expertise with an understanding of scientific research environments and federal agencies. The CPM oversees contract performance, staffing, financial management, and customer relations while supporting multidisciplinary teams that provide scientific, technical, communications, and analytical services. This individual must be capable of translating complex technical information into actionable insights for diverse audiences and fostering collaboration among scientists, technical experts, and program stakeholders.
Essential Duties and Responsibilities
Program and Contract Management
  • Provide corporate oversight for federal contracts and task orders to ensure successful execution of technical, scientific, and administrative requirements.
  • Monitor contract performance against scope, schedule, budget, quality, and customer expectations.
  • Ensure compliance with Federal Acquisition Regulations (FAR), agency requirements, contract terms and conditions, and company policies.
  • Support proposal development, contract modifications, option year planning, and contract transition activities.
  • Manage corporate risk identification, mitigation planning, and performance improvement initiatives.
  • Develop and maintain strong relationships with Contracting Officers (COs), Contracting Officer Representatives (CORs), Program Managers, and agency stakeholders.

Scientific and Technical Program Support
  • Support programs that advance scientific research, environmental intelligence, decision-support tools, technology development, and science communication initiatives.
  • Facilitate communication between research communities, technical teams, federal leadership, and external stakeholders.
  • Monitor program outcomes and identify opportunities to enhance scientific impact, operational effectiveness, and stakeholder engagement.

Workforce Management and Staff Supervision
  • Provide direct supervision and leadership to program staff including project managers, analysts, communications specialists, scientists, and technical personnel.
  • Conduct employee performance management activities, including coaching, mentoring, professional development, and annual evaluations.
  • Lead recruiting, onboarding, workforce planning, and succession planning efforts.
  • Foster a collaborative, inclusive, and high-performing work environment focused on client service and mission success.
  • Resolve personnel issues and support employee engagement and retention initiatives.

Financial and Business Management
  • Monitor program budgets, labor utilization, indirect costs, subcontract expenditures, and overall contract financial performance.
  • Prepare and review financial reports, forecasts, staffing plans, and resource allocation strategies.
  • Support business development efforts by identifying opportunities for growth and client engagement.
  • Track key performance indicators and develop executive-level reports for senior leadership.

Quality Assurance and Continuous Improvement
  • Implement quality management processes that support technical excellence and customer satisfaction.
  • Identify opportunities to improve efficiency, communication, collaboration, and service delivery.
  • Lead corrective action planning and process improvement initiatives when necessary.
  • Ensure knowledge transfer, documentation, and lessons learned are incorporated into program operations.

Required Qualifications
  • Bachelor's degree in Science, Environmental Science, Engineering, Public Administration, Business Management, Program Management, Communications, or related field.
  • Minimum of 7 years of progressively responsible experience managing federal contracts, programs, or projects.
  • Minimum of 4 years supervising professional, technical, scientific, or multidisciplinary teams.
  • Demonstrated experience supporting federal agencies, research organizations, or scientific programs.
  • Experience managing multiple contracts, task orders, and geographically dispersed teams.
  • Strong understanding of federal contracting processes, contract compliance, and performance management.
  • Excellent written and verbal communication skills with the ability to communicate effectively with technical and non-technical audiences.

Axiom offers competitive compensation packages including comprehensive medical/dental/life insurance and matching 401(k) contribution.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

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