BCBA
Fairfax, VA · On-site +1
$90K - $110K/yr
Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ... Remote and in-clinic Job Types: Full-time
BCBA
Fairfax, VA · On-site +1
$90K - $110K/yr
Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ... Remote and in-clinic Job Types: Full-time
Remote- Entry Level Manager
Arlington, VA · On-site +1
Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ... Comprehensive health insurance * Professional development opportunities * Performance-based bonuses ...
Remote- Entry Level Manager
Arlington, VA · On-site +1
Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ... Comprehensive health insurance * Professional development opportunities * Performance-based bonuses ...
Remote- Entry Level Manager
Arlington, VA · On-site +1
Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ... Comprehensive health insurance * Professional development opportunities * Performance-based bonuses ...
Remote- Entry Level Manager
Arlington, VA · On-site +1
Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ... Comprehensive health insurance * Professional development opportunities * Performance-based bonuses ...
Remote- Entry Level Manager
Arlington, VA · On-site +1
Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ... Comprehensive health insurance * Professional development opportunities * Performance-based bonuses ...
Remote- Entry Level Manager
Arlington, VA · On-site +1
Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ... Comprehensive health insurance * Professional development opportunities * Performance-based bonuses ...
Remote- Entry Level Manager
Arlington, VA · On-site +1
Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ... Comprehensive health insurance * Professional development opportunities * Performance-based bonuses ...
Remote- Entry Level Manager
Arlington, VA · On-site +1
Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ... Comprehensive health insurance * Professional development opportunities * Performance-based bonuses ...
Remote- Entry Level Manager
Arlington, VA · On-site +1
Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ... Comprehensive health insurance * Professional development opportunities * Performance-based bonuses ...
Remote- Entry Level Manager
Arlington, VA · On-site +1
Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ... Comprehensive health insurance * Professional development opportunities * Performance-based bonuses ...
Remote- Entry Level Manager
Arlington, VA · On-site +1
Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ... Comprehensive health insurance * Professional development opportunities * Performance-based bonuses ...
Remote- Entry Level Manager
Arlington, VA · On-site +1
Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ... Comprehensive health insurance * Professional development opportunities * Performance-based bonuses ...
Psychiatric Nurse Practitioner (PMHNP) - Remote
Washington, DC · Remote
$73 - $160/hr
At the same time, only 30% of therapists accept insurance. UpLift acts as the bridge between ... utilization of add-on codes (such as 90833) when clinically appropriate and properly documented.
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Psychiatric Nurse Practitioner (PMHNP) - Remote
Washington, DC · Remote
$73 - $160/hr
At the same time, only 30% of therapists accept insurance. UpLift acts as the bridge between ... utilization of add-on codes (such as 90833) when clinically appropriate and properly documented.
Loan Review Senior Consultant
Mclean, VA · On-site +1
$98K - $163K/yr
Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays
Loan Review Senior Consultant
Mclean, VA · On-site +1
$98K - $163K/yr
Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays
Loan Review Managing Consultant
Washington, DC · On-site +1
$113K - $188K/yr
Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays
Loan Review Managing Consultant
Washington, DC · On-site +1
$113K - $188K/yr
Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays
Loan Review Senior Consultant
Washington, DC · On-site +1
$98K - $163K/yr
Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays
Loan Review Senior Consultant
Washington, DC · On-site +1
$98K - $163K/yr
Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays
Loan Review Senior Consultant
Mclean, VA · On-site +1
$98K - $163K/yr
Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays
Loan Review Senior Consultant
Mclean, VA · On-site +1
$98K - $163K/yr
Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays
Loan Review Managing Consultant
Mclean, VA · On-site +1
$113K - $188K/yr
Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays
Loan Review Managing Consultant
Mclean, VA · On-site +1
$113K - $188K/yr
Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays
Loan Review Managing Consultant
Mclean, VA · On-site +1
$113K - $188K/yr
Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays
Loan Review Managing Consultant
Mclean, VA · On-site +1
$113K - $188K/yr
Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays
Loan Review Managing Consultant
Washington, DC · On-site +1
$113K - $188K/yr
Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays
Loan Review Managing Consultant
Washington, DC · On-site +1
$113K - $188K/yr
Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays
Loan Review Senior Consultant
Washington, DC · On-site +1
$98K - $163K/yr
Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays
Loan Review Senior Consultant
Washington, DC · On-site +1
$98K - $163K/yr
Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays
FinOps Specialist (REMOTE)
Washington, DC · On-site +1
... vision insurance, 401K with company matching, flexible spending accounts, paid holidays, three ... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ...
FinOps Specialist (REMOTE)
Washington, DC · On-site +1
... vision insurance, 401K with company matching, flexible spending accounts, paid holidays, three ... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ...
... vision insurance, 401K with company matching, flexible spending accounts, paid holidays, three ... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ...
... vision insurance, 401K with company matching, flexible spending accounts, paid holidays, three ... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ...
... vision insurance, 401K with company matching, flexible spending accounts, paid holidays, three ... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ...
... vision insurance, 401K with company matching, flexible spending accounts, paid holidays, three ... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ...
... fully remote role offers the opportunity to work closely with experienced attorneys on insurance ... Draft, review, file, and serve pleadings, motions, and other litigation documents for attorney ...
... fully remote role offers the opportunity to work closely with experienced attorneys on insurance ... Draft, review, file, and serve pleadings, motions, and other litigation documents for attorney ...
Remote Insurance Utilization Review information
See Springfield, VA salary details
$22.35 - $26.87
2% of jobs
$26.87 - $31.39
9% of jobs
$34.48 is the 25th percentile. Wages below this are outliers.
$31.39 - $35.91
21% of jobs
The median wage is $39.56 / hr.
$35.91 - $40.43
23% of jobs
$40.43 - $44.94
13% of jobs
$48.46 is the 75th percentile. Wages above this are outliers.
$44.94 - $49.46
10% of jobs
$49.46 - $53.98
8% of jobs
$53.98 - $58.50
5% of jobs
$58.50 - $63.02
5% of jobs
$63.02 - $67.54
2% of jobs
$67.54 - $72.06
2% of jobs
$22
$44
$72
How much do remote insurance utilization review jobs pay per hour?
As of Aug 9, 2026, the average hourly pay for remote insurance utilization review in Springfield, VA is $44.16, according to ZipRecruiter salary data. Most workers in this role earn between $34.90 and $50.72 per hour, depending on experience, location, and employer.
What is the difference between Remote Insurance Utilization Review vs Remote Claims Reviewer?
| Aspect | Remote Insurance Utilization Review | Remote Claims Reviewer |
|---|---|---|
| Credentials | Typically requires nursing or healthcare-related certifications, such as RN or licensed healthcare professional | Usually requires insurance or claims processing knowledge, sometimes with certifications like CPC or CPC-H |
| Work Environment | Remote, healthcare or insurance company settings, reviewing medical necessity and appropriateness of services | Remote, insurance companies or third-party administrators, reviewing claims for accuracy and compliance |
| Industry Usage | Commonly used in healthcare insurance to evaluate medical necessity | Used across insurance sectors to process and validate claims |
Remote Insurance Utilization Review focuses on assessing the medical necessity of services, often requiring healthcare credentials. Remote Claims Reviewers handle claims processing and validation, emphasizing insurance knowledge. Both roles are remote and industry-specific but differ in their primary responsibilities and required qualifications.
How does a remote insurance utilization review professional collaborate with healthcare providers and insurance companies?
Remote insurance utilization review professionals regularly interact with healthcare providers to gather patient information, clarify treatment plans, and ensure that clinical documentation supports insurance requirements. They also communicate with insurance companies to advocate for patient care, provide necessary justifications, and resolve coverage issues. While the work is done remotely, collaboration typically occurs via secure email, phone calls, and virtual meetings, requiring strong communication and organizational skills to ensure timely and accurate exchange of information.
What is a remote insurance utilization review?
Remote insurance utilization review jobs involve evaluating medical records and treatment plans to determine whether healthcare services are medically necessary and covered by a patient’s insurance plan. Professionals in these roles, often nurses or other healthcare specialists, work from home and communicate with healthcare providers, insurance companies, and patients. Their main goal is to ensure that patients receive appropriate care while also helping insurance companies manage costs and comply with regulations.
What skills and qualifications are needed for a remote insurance utilization review specialist?
To thrive as a Remote Insurance Utilization Review Specialist, you need a strong understanding of medical terminology, clinical guidelines, and insurance policies—usually supported by a nursing or health-related degree and relevant licensure. Familiarity with electronic medical record (EMR) systems, insurance claims platforms, and utilization review software is essential. Strong analytical skills, attention to detail, and effective written communication are crucial soft skills for this role. These competencies ensure accurate case evaluations, compliance with regulations, and clear communication between healthcare providers and insurers.
What are popular job titles related to Remote Insurance Utilization Review jobs in Springfield, VA? For Remote Insurance Utilization Review jobs in Springfield, VA, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Utilization Review jobs in Springfield, VA look for? The top searched job categories for Remote Insurance Utilization Review jobs in Springfield, VA are:
What cities near Springfield, VA are hiring for Remote Insurance Utilization Review jobs? Cities near Springfield, VA with the most Remote Insurance Utilization Review job openings:
$90K - $110K/yr
Full-time, Part-time
Medical, Dental, Vision, Retirement, PTO
Posted 18 days ago
Job description
BCBA (Board Certified Behavior Analyst)
We're building a care delivery model that replaces fragmented services, inconsistent quality, and constant churn with clear clinical standards, measured outcomes, and sustainable staffing.
As our BCBA, you won't inherit someone else's broken playbook - you'll help write the first one. This role is designed to be flexible from the start: come in part-time and grow into full-time as the caseload builds, on your timeline. You'll work closely with our Clinical Advisors, so you'll have real mentorship and support - not just autonomy without a net.
What you'll do:
What's different here:
Compensation & Growth:
What you bring:
Benefits:
Work Location (Hybrid): Remote and in-clinic
Job Types: Full-time
We're building a care delivery model that replaces fragmented services, inconsistent quality, and constant churn with clear clinical standards, measured outcomes, and sustainable staffing.
As our BCBA, you won't inherit someone else's broken playbook - you'll help write the first one. This role is designed to be flexible from the start: come in part-time and grow into full-time as the caseload builds, on your timeline. You'll work closely with our Clinical Advisors, so you'll have real mentorship and support - not just autonomy without a net.
What you'll do:
- Contribute to clinical program design as we build out our service model from the ground up
- Carry and manage a client caseload, serving as the clinical standard-bearer for the organization
- Own documentation quality, utilization reviews, and oversight of treatment plans
- Supervise RBTs across active cases, ensuring treatment fidelity and consistent skill-building
- Partner directly with the founding team on clinical hiring decisions and onboarding as we grow
What's different here:
- Clinical Director track: this role is built to grow into clinical leadership as the organization scales
- Mentorship: work directly alongside our Clinical Advisors - you'll be supported, not thrown in the deep end
- Reasonable workload: proper caseload sizing and RBT ratios from day one - no heroics required
- Mission: serve families who've been let down by fragmented, impersonal care
Compensation & Growth:
- Compensation ranges from $90,000-$110,000 annually
- Quarterly performance bonuses
What you bring:
- Active BCBA certification in good standing (Required)
- NJ BCBA licensure (Required)
- Experience in a clinic setting (a plus)
Benefits:
- Health, dental, and vision from day one
- 401(k) with matching
- PTO that you'll actually use
- Referral bonuses when you bring great people in
- CEU support - staying current matters here
- Relocation Assistance
- Parental leave
- Monday-Friday daytime hours, no weekends
Work Location (Hybrid): Remote and in-clinic
Job Types: Full-time