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Remote Utilization Management Jobs in Virginia (NOW HIRING)

Maximus

Software Development Manager

VA · On-site +1

$124K - $163K/yr

This role is remote and requires a Public Trust security clearance. Maximus TCS (Technology and ... utilization, and forecasting of the development teams to determine a development and release ...

Ad Hoc

Sr. Program Manager

Mclean, VA · Remote

$117K - $117K/yr

Senior Program Manager Job number: 844 This is a remote position. Ad Hoc is a technology company ... Meet or exceed financial targets (margin, utilization, burn). * Keep staffing and team composition ...

CrewBloom

Licensed Practical Nurse (US)

Alexandria, VA · Remote

$27.50 - $37.50/hr

Proactively manage patient health by monitoring remote patient monitoring (RPM) dashboards and ... A deep commitment to preventive care and reducing hospital readmissions/ER utilization. * Ability ...

Sentara Healthcare

Nurse Case Manager

Newport News, VA · On-site +1

Position is remote but does require in person face-to-face assessments multiple times throughout ... efficient utilization of health benefits; conducts gap in care management for quality programs

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Remote Utilization Management information

How does a Remote Utilization Management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

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

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

What is the difference between Remote Utilization Management vs Remote Case Management?

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

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 Remote Utilization Management jobs in Virginia? For Remote Utilization Management jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Virginia look for? The top searched job categories for Remote Utilization Management jobs in Virginia are:
What cities in Virginia are hiring for Remote Utilization Management jobs? Cities in Virginia with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Virginia as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.
CI/CD Platform Engineer (Remote)

CI/CD Platform Engineer (Remote)

Oxley Enterprises®, Inc.

Stafford, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 10 days ago

Job description

The following states/districts are excluded from this job ad: AK, CA, CO, CT, DC, HI, LA, MA, MN, MO, NE, NV, NH, NJ, NM, NY, ND, OR, PR, RI, VT, WA, WY
Future Need - Actively Interviewing
Location: Remote in any United States jurisdiction not excluded from this job advertisement.
Power the delivery engine of a mission-critical VA cloud platform! As the CI/CD Platform Engineer, you will operate the CI/CD platform infrastructure including Jenkins, Bitbucket, Nexus, and Terraform Enterprise.
Position Description: The Continuous Integration / Continuous Delivery (CI/CD) Platform Engineer administers, maintains, and evolves the CI/CD toolchain including Jenkins, Bitbucket, Nexus artifact repository, and Terraform Enterprise for Infrastructure as Code (IaC) pipeline execution across 21,000+ pipelines.
Minimum/General Experience: 3 years of experience in CI/CD platform engineering and administration
Minimum Education: Bachelor's Degree in computer science, software engineering, information technology, or related field
Essential Skills/Qualifications:
  • Excellent experience administering Jenkins including master/agent architecture, shared pipeline libraries, plugin lifecycle management, and high-availability configuration for large-scale pipeline execution
  • Excellent knowledge of Nexus Repository Manager including hosted, proxy, and group repository configuration for Maven, npm, Docker, Helm, and raw artifact types
  • Excellent ability to manage Bitbucket Server/Data Center including repository administration, branch permissions, merge request workflows, webhook configuration, and Jenkins/Terraform Enterprise integration
  • Excellent experience administering Terraform Enterprise including workspace management, VCS integration, Sentinel policy-as-code enforcement, and team access controls
  • Excellent experience managing CI/CD pipelines at scale including performance optimization, agent capacity planning, and failure analysis across multiple environment tiers
  • Excellent knowledge of container image build pipelines including Docker builds, image signing, container registry management, and Kubernetes deployment pipeline integration
  • Above average experience integrating security scanning tools (SAST, DAST, SCA, container scanning, IaC scanning) into CI/CD pipelines and enforcing security gates
  • Working knowledge of Kubernetes/EKS deployment patterns including Helm chart management, GitOps workflows, and pipeline-driven deployment to multi-environment EKS clusters
  • Experience supporting a federal agency
  • Excellent verbal and written communication skills

General Physical Requirements needed to perform the essential functions of this job may vary based on the location of the assignment.
  • Assignment Location - Remote
  • Sedentary Work - Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
  • Typing, communicating, repetitive motions.
  • Close visual acuity to prepare and analyze data, view computer monitors and read. May need to view presentation screens and other visual aids in a virtual setting.
  • Inside environmental conditions with protection from outside elements.

Security: Active Federal Civilian Public Trust clearance
  • U.S. Citizenship or Permanent Resident that has lived in the United States for at least 3 years

Federal Civilian Public Trust Consists of a review of up to but not limited to:
  • Covers 10 year period and in some instances lifetime events
  • OPM Security Investigations Index (SII)
  • DOD Defense Central Investigations Index (DCII)
  • National Agency Check (NAC) records
  • FBI name check
  • FBI fingerprint check
  • Credit report check
  • Written inquiries to previous employers and references listed on the application for employment
  • Potential interviews with the subject, spouse, neighbors, supervisor, coworkers
  • Law enforcement check
  • Court records check
  • Education check - Attendance and Degrees

Tasks/activities include, but are not limited to:
  • Administers and maintains the CI/CD platform including Jenkins, Bitbucket, Nexus, and Terraform Enterprise
  • Manages Jenkins master/agent infrastructure including capacity planning, plugin lifecycle, shared library maintenance, and performance tuning
  • Administers Nexus Repository Manager for all artifact types, enforces retention policies, manages storage utilization, and ensures artifact integrity across the software supply chain
  • Manages Bitbucket repository infrastructure including branch permissions, merge request workflows, and webhook integrations triggering Jenkins and Terraform Enterprise pipelines
  • Administers Terraform Enterprise workspaces, VCS integrations, and Sentinel policy-as-code enforcement
  • Collaborates with DevSecOps Engineers to integrate SAST, DAST, SCA, container scanning, and IaC scanning into all pipeline templates
  • Enforces environment segregation through pipeline gate controls
  • Supports delivery of the Scheduling Event Bus within 180 days by providing CI/CD pipeline infrastructure for event bus component builds, testing, and deployment automation
  • Participates in daily Change Control Board (CCB) meetings for CI/CD platform changes and ensures all production changes have documented backout plans and post-implementation validation
  • Maintains CI/CD platform software on VA TRM-approved versions, tracks Jenkins, Nexus, Bitbucket, and Terraform Enterprise versions against end-of-support dates

Compensation & Benefits: The annual projected pay range for this position is $75,699 - $102,904 with consideration being given to various factors including but not limited to qualifications, experience, job responsibilities, and geographic location.
Oxley Enterprises, Inc. offers a full array of benefits including:
  • Medical, dental, vision and prescription drug coverage for you and your family.
  • Life Insurance, short-term disability and long-term disability paid for by the Company.
  • Supplemental coverages including Accident, Critical Illness, and Hospital.
  • Additional Life insurance coverage for you and your dependents.
  • 401k plan with various options to select based on your retirement goals.

Oxley Enterprises®, Inc. is a certified service-disabled veteran-owned (SDVOSB), veteran-owned (VOSB), and woman-owned small business (WOSB) that has 26 years of experience building and delivering quality IT systems and programs. Oxley is ranked in the INC 5000 7 times (2016, 2017, 2018, 2021, 2023, 2024, 2025). Oxley is a 2019 - 2025 Department of Labor HIRE Vets Medallion Award Winner. Oxley is Virginia Values Veterans certified.
All qualified applicants will receive consideration for employment without regard to any status protected by applicable federal, state, or local law.
If you require a reasonable accommodation to apply for a position at Oxley Enterprises, Inc., please send an email to our Human Resources Department at: with the following information:
Subject Line: Accommodation Request
Provide a description of your accommodation request
Include your contact information: Full name, Email address, Best number to reach you (optional)
We participate in the E-Verify program.

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