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Remote Prior Authorization Jobs in Reston, VA (NOW HIRING)

kgs

Senior Technology Developer (REMOTE)

Chantilly, VA · On-site +1

This position may be filled prior to the posted deadline. Interested candidates are encouraged to ... Authentication & Authorization: Support authentication implementation and Salesforce security model ...

Koniag, Inc.

Migration Engineer (REMOTE)

Chantilly, VA · On-site +1

$130K - $158K/yr

This position may be filled prior to the posted deadline. Interested candidates are encouraged to ... authorization, including recommendations for implementing Role-Based Access Control (RBAC) and ...

kgs

Migration Engineer (REMOTE)

Chantilly, VA · Remote

This position may be filled prior to the posted deadline. Interested candidates are encouraged to ... authorization, including recommendations for implementing Role-Based Access Control (RBAC) and ...

kgs

Migration Engineer (REMOTE)

Chantilly, VA · Remote

This position may be filled prior to the posted deadline. Interested candidates are encouraged to ... authorization, including recommendations for implementing Role-Based Access Control (RBAC) and ...

kgs

Triage & Assessment Analyst (REMOTE)

Chantilly, VA · Remote

This position may be filled prior to the posted deadline. Interested candidates are encouraged to ... mechanisms, authorization frameworks, and technical readiness for integration with the ICAM ...

kgs

Triage & Assessment Analyst (REMOTE)

Chantilly, VA · Remote

This position may be filled prior to the posted deadline. Interested candidates are encouraged to ... mechanisms, authorization frameworks, and technical readiness for integration with the ICAM ...

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Showing results 21-40

All JobsPrior Authorization JobsRemote Prior Authorization JobsRemote Prior Authorization Jobs in Reston, VA

Remote Prior Authorization information

See Reston, VA salary details

$14

$21

$33

How much do remote prior authorization jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for remote prior authorization in Reston, VA is $21.74, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $23.99 per hour, depending on experience, location, and employer.

What is a remote prior authorization job?

Remote prior authorization jobs involve reviewing and processing requests from healthcare providers to determine if specific medical treatments, medications, or procedures are covered by a patient's insurance plan. Employees in these roles work from home, utilizing online systems to evaluate clinical information, communicate with providers, and ensure compliance with insurance policies. This position requires a strong understanding of medical terminology, insurance guidelines, and attention to detail to facilitate timely and accurate approvals or denials. Remote prior authorization specialists help streamline patient care by acting as a liaison between healthcare providers and insurance companies.

What is a remote prior authorization job?

Remote prior authorization jobs focus on working with insurance companies to coordinate benefit coverage and get approval to provide care for a patient. In this pre-authorization role, you may collect documentation and proof of insurance, perform data entry, help evaluate the need for a particular process, and otherwise work from home to help manage the prior authorization process. Remote prior authorization personnel often answer telephone calls to provide consultations, perform initial benefit verification, document case status, actions, and outcomes in a database, and use customer service skills to help expedite cases as needed. Since this is a remote call center-style job, you may be asked to arrange for a quiet office in your house that is free of distractions.

What are the key skills and qualifications needed to thrive as a remote prior authorization specialist, and why are they important?

To thrive as a Remote Prior Authorization Specialist, you need a solid understanding of medical terminology, insurance processes, and healthcare regulations, often supported by experience in medical billing or coding. Familiarity with electronic health record (EHR) systems, insurance portals, and prior authorization software is typically required. Attention to detail, strong organizational skills, and effective communication are crucial soft skills in this role. These skills ensure timely and accurate processing of authorizations, reducing claim denials and supporting efficient patient care.

What are some common challenges faced by remote prior authorization specialists, and how can they be addressed?

Remote Prior Authorization specialists often encounter challenges such as navigating complex insurance requirements, managing high volumes of requests, and maintaining clear communication with healthcare providers and payers. Staying organized and up-to-date on payer policies is crucial, as requirements can vary widely between insurers. Utilizing workflow management tools and fostering strong collaboration with clinical and administrative teams can help streamline processes and reduce delays, ultimately ensuring patients receive timely care.

What is the difference between Remote Prior Authorization vs Remote Medical Coder?

AspectRemote Prior AuthorizationRemote Medical Coder
Required CredentialsMedical credentials, insurance knowledgeMedical coding certification (CPC, CCS)
Work EnvironmentHealthcare offices, insurance companies, remoteHealthcare facilities, remote coding jobs
Industry UsageInsurance, healthcare providersHospitals, clinics, billing companies
Job FocusReviewing and approving insurance requestsTranslating medical records into codes

Remote Prior Authorization and Remote Medical Coder roles both operate within the healthcare industry but focus on different tasks. Remote Prior Authorization involves reviewing insurance requests for coverage approval, requiring insurance and medical knowledge. Remote Medical Coders translate medical records into standardized codes, primarily focusing on billing and documentation. Both roles can be performed remotely and require healthcare-related credentials, but their daily responsibilities and skill sets differ significantly.

Are remote prior authorization jobs in high demand?

Remote prior authorization jobs are in moderate to high demand due to the increasing need for efficient healthcare administration and insurance processing. These roles often require knowledge of healthcare policies, strong communication skills, and familiarity with electronic health record systems. The demand is expected to grow as healthcare providers and insurers continue to prioritize remote and streamlined authorization processes.
More about Remote Prior Authorization jobs

What are the most commonly searched types of Prior Authorization jobs in Reston, VA?

The most popular types of Prior Authorization jobs in Reston, VA are:

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For Remote Prior Authorization jobs in Reston, VA, the most frequently searched job titles are:

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The top searched job categories for Remote Prior Authorization jobs in Reston, VA are:

What cities near Reston, VA are hiring for Remote Prior Authorization jobs?

Cities near Reston, VA with the most Remote Prior Authorization job openings:

Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Reston, VA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $45,213 per year, or $21.7 per hour.

Senior Technology Developer (REMOTE)

Chantilly, VA • On-site, Remote

kgs
See more jobs at kgsexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 24 days ago

Job description

This position may be filled prior to the posted deadline.  Interested candidates are encouraged to apply as soon as possible.

Kadiak, LLC, a Koniag Government Services company, is seeking a Senior Technology Developer to support Kadiak and our government customer. The position is remote. This position requires the candidate to be able to obtain a Public Trust.

We offer competitive compensation and benefits include medical, dental, and vision insurance, 401(k) retirement plan, paid time off, paid parental leave, life and disability insurance, flexible spending accounts, commuter benefits and tuition reimbursement.

 

We are seeking a Senior Technology Developer to join the team in direct support in a hybrid role that combines advanced technical expertise with strategic program management capabilities. The aim is to drive innovation across multiple technology platforms. The successful candidate will lead cross-functional teams, facilitate technology adoption, and deliver mission-critical solutions including ServiceNow Enterprise Platform, AI-driven initiatives, and Salesforce implementations.

Key Responsibilities:

Technology Leadership & Development

  • ServiceNow Platform Excellence: Develop and maintain high-quality ServiceNow applications that meet consumers' needs and enable mission outcomes
  • Artificial Intelligence Integration: Lead AI/ML initiatives to enhance enterprise platforms, automate processes, and improve user experience across DOE systems
  • Multi-Platform Architecture: Orchestrate technology solutions across ServiceNow, Salesforce, AI platforms, and emerging technologies

Program Management & Strategic Facilitation

  • Cross-Platform Project Management: Lead complex, multi-technology projects involving ServiceNow, Salesforce, AI implementations, and system integrations
  • Resource Coordination: Act as technical facilitator connecting business requirements with appropriate technical resources and subject matter experts
  • Stakeholder Management: Interface with executive leadership, technical teams, and end-users to ensure alignment between technology solutions and mission objectives
  • Technology Roadmap Development: Create and maintain strategic technology roadmaps incorporating AI, Salesforce, ServiceNow, and emerging platform capabilities

Mission-Critical Application Support

  • Support enterprise applications including:AI-powered analytics and automation solutions
  • Stand up and integrate both ServiceNow and other applications including FreshWorks, Rocket Lane, and AI-enhanced tools.
  • Ensure delivery of solutions that advance the client’s mission through effective information management

Excelling as Stewards of Enterprise IT Resources:

  •  AI-Driven Optimization: Implement artificial intelligence solutions for platform consolidation, predictive analytics, and automated resource management
  • Cross-Platform Efficiency: Support efficient management across hundreds of active applications through intelligent automation and streamlined workflows
  • Zero-Downtime Migrations: Lead application migration projects while maintaining 100% operational continuity

Enhancing Information Security

  • Enterprise Security Architecture: Implement security measures across ServiceNow, Salesforce, AI platforms, and integrated systems
  • AI Security & Ethics: Ensure responsible AI implementation with appropriate governance, bias mitigation, and security controls
  • Authentication & Authorization: Support authentication implementation and Salesforce security model optimization
  • Compliance Leadership: Ensure federal standards adherence across all technology platforms and AI implementations

Investing in Our Workforce and Partners

  • Technical Mentorship: Provide guidance across ServiceNow, Salesforce, AI technologies, and project management methodologies
  •  Knowledge Transfer Programs: Establish centers of excellence for emerging technologies and cross-platform integration
  •  Partner Ecosystem Management: Foster relationships with technology vendors, integration partners, and federal agencies
  • Innovation Culture:Champion adoption of AI, advanced analytics, and next-generation platform capabilities

Preferred Qualifications:

Technical Expertise:

  •  Bachelor's degree in Computer Science, Information Technology, Data Science, or related field
  •  ServiceNow Mastery: 5+ years of ServiceNow development experience with proven enterprise-scale implementations
  • AI/ML Proficiency: 3+ years implementing AI solutions, machine learning models, or intelligent automation in enterprise environments
  • Programming & Integration: Proficiency in JavaScript, Python, REST/SOAP APIs, and multi-platform integration architectures

Program Management:

  • Project Leadership: 5+ years leading cross-functional technology projects with budgets exceeding $1M
  • Agile/Hybrid Methodologies: Certified in PMP, Agile, Scrum, or equivalent project management frameworks
  • Stakeholder Management: Proven experience managing executive-level stakeholders and technical teams simultaneously
  • Federal Compliance: Experience with federal requirements, cybersecurity frameworks, and government IT governance
  • Advanced Certifications: ServiceNow CSA/CAD, Salesforce Platform Developer/Administrator, AI/ML certifications (AWS, Azure, Google Cloud)
  • Federal AI Experience: Experience implementing AI solutions in government environments with appropriate governance and ethical considerations
  • Large-Scale Implementations: Experience supporting 1,000+ user environments across multiple technology platforms
  • Energy Sector Knowledge: Familiarity with government operations, energy initiatives, or federal agency digital transformation
  • Advanced Degree: Master's in Technology Management, Data Science, or MBA with technology focus

Performance Expectations:

  • Platform Excellence: Maintain 100% uptime across ServiceNow, Salesforce, and AI-powered systems
  • User Experience: Support 1.4+ million user interactions with enhanced functionality through AI and automation
  •  Innovation Delivery: Successfully implement at least 2 AI initiatives and 1 major Salesforce integration annually
  • Cost Optimization: Demonstrate measurable ROI improvements through intelligent automation and platform optimization
  •  Team Development: Establish technical excellence programs and mentor 5+ team members in emerging technologies
  • Compliance & Security: Maintain federal compliance across all technology platforms while strengthening cybersecurity posture

Security Requirement:

  • Ability to obtain a public trust 

Our Equal Employment Opportunity Policy

The company is an equal opportunity employer. The company shall not discriminate against any employee or applicant because of race, color, religion, creed, ethnicity, sex, sexual orientation, gender or gender identity (except where gender is a bona fide occupational qualification), national origin or ancestry, age, disability, citizenship, military/veteran status, marital status, genetic information or any other characteristic protected by applicable federal, state, or local law. We are committed to equal employment opportunity in all decisions related to employment, promotion, wages, benefits, and all other privileges, terms, and conditions of employment.

The company is dedicated to seeking all qualified applicants. If you require an accommodation to navigate or apply for a position on our website, please get in touch with Heaven Wood via e-mail at accommodations@koniag-gs.com or by calling 703-488-9377 to request accommodations.

 

Koniag Government Services (KGS) is an Alaska Native Owned corporation supporting the values and traditions of our native communities through an agile employee and corporate culture that delivers Enterprise Solutions, Professional Services and Operational Management to Federal Government Agencies. As a wholly owned subsidiary of Koniag, we apply our proven commercial solutions to a deep knowledge of Defense and Civilian missions to provide forward leaning technical, professional, and operational solutions. KGS enables successful mission outcomes for our customers through solution-oriented business partnerships and a commitment to exceptional service delivery. We ensure long-term success with a continuous improvement approach while balancing the collective interests of our customers, employees, and native communities. For more information, please visit www.koniag-gs.com.

Equal Opportunity Employer/Veterans/Disabled. Shareholder Preference in accordance with Public Law 88-352

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