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Remote Utilization Management Jobs in Reston, VA

Ad Hoc

Senior Program Manager

Mclean, VA · Remote

$117K - $117K/yr

Senior Program Manager This is a remote position. JOB ID #923 Ad Hoc is a technology company that ... Manage program financial performance, including planned contract revenue, billable utilization ...

Posted today

Koniag, Inc.

FinOps Specialist (REMOTE)

Washington, DC · On-site +1

... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ... Partner with procurement and vendor-management teams to evaluate cloud pricing agreements ...

kgs

FinOps Specialist (REMOTE)

Washington, DC · Remote

... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ... Partner with procurement and vendor-management teams to evaluate cloud pricing agreements ...

kgs

FinOps Specialist (REMOTE)

Washington, DC · Remote

... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ... Partner with procurement and vendor-management teams to evaluate cloud pricing agreements ...

Thriveworks

Senior Financial Analyst - Remote

Reston, VA · On-site +1

$89K - $111K/yr

Analyze clinic level and provider level economics, including utilization, revenue per visit, and ... Detail-oriented with the ability to manage multiple priorities to meet deadlines. Why This Role ...

AvantGarde, LLC

Program Manager

Washington, DC · On-site +1

Remote work options are available after a brief acclimation period. Essential Duties and ... utilization of Project Portfolio Management (PPM) tools and technologies by identifying ...

AvantGarde, LLC

Program Manager

Washington, DC · On-site +1

Remote work options are available after a brief acclimation period. Essential Duties and ... utilization of Project Portfolio Management (PPM) tools and technologies by identifying ...

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Showing results 21-40

All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Reston, VA

Remote Utilization Management information

See Reston, VA salary details

$22

$43

$71

How much do remote utilization management jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for remote utilization management in Reston, VA is $43.99, according to ZipRecruiter salary data. Most workers in this role earn between $34.76 and $50.53 per hour, depending on experience, location, and employer.

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 in remote utilization management?

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 Reston, VA?

The most popular types of Utilization Management jobs in Reston, VA are:

What are popular job titles related to Remote Utilization Management jobs in Reston, VA?

For Remote Utilization Management jobs in Reston, VA, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Management jobs in Reston, VA look for?

The top searched job categories for Remote Utilization Management jobs in Reston, VA are:

What cities near Reston, VA are hiring for Remote Utilization Management jobs?

Cities near Reston, VA with the most Remote Utilization Management job openings:

Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management 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 $91,496 per year, or $44 per hour.

Site Reliability Engineer (OpenSearch) - Remote

Information Consulting Services

Herndon, VA • Remote

$58.50 - $78/hr

Full-time

Posted 8 days ago

Job description

Contract Details

  • Work Mode: 100% Remote (US-based)
  • Location: Herndon, VA
  • Schedule: 40 hours/week
  • Duration: 08/17/2026 08/16/2027
  • Type: Contract with potential to convert to full-time after ~12 months (not guaranteed)

About the Opportunity

Seeking a Site Reliability Engineer to ensure availability, performance, scalability, and security for mission-critical, cloud-hosted search and analytics services built on OpenSearch. You will focus on reliability engineering, operations, automation, and continuous improvement for distributed platforms, working within a diverse, globally distributed team.

Key Responsibilities

  • Provision, build, deploy, monitor, operate, and support cloud services in a global team environment.
  • Architect, build, deploy, and maintain high performance OpenSearch clusters and platforms from the ground up.
  • Optimize OpenSearch for high availability, resiliency, scalability, security, and performance.
  • Monitor and troubleshoot cluster health, node performance, indexing throughput, search latency, shard allocation/replication, and storage utilization.
  • Analyze and resolve operational issues across infrastructure, platform, and application layers; lead incident response, RCA, and remediation.
  • Maintain integrity and security of servers, systems, and OpenSearch platform infrastructure.
  • Support lifecycle activities: installation, configuration, upgrades/patching, backup/restore, and disaster recovery.
  • Develop and maintain monitoring policies, alerting standards, runbooks, and support procedures.
  • Automate testing, deployment, scaling, recovery, and operational workflows for OpenSearch and related cloud services.
  • Plan capacity for compute, memory, storage, and network; partner with engineering to enhance reliability and operational readiness.
  • Support log ingestion, index management, lifecycle/retention, and search performance tuning.
  • Participate in an on-call rotation; support occasional weekend/after-hours needs.

Required Qualifications

  • US citizenship required; dual citizenship not permitted.
  • 8 years of experience in SRE/DevOps/cloud operations with distributed systems.
  • Proven, hands-on experience designing, building, deploying, operating, and optimizing OpenSearch clusters from scratch in production.
  • Expert-level Kubernetes experience (operations, troubleshooting, management, configuration of complex services).
  • Deep OpenSearch administration: cluster architecture, performance tuning, scaling, upgrades, and troubleshooting; index/shard/replica strategy; sizing; snapshot/restore; backup/DR.
  • Strong Linux expertise (SUSE and Ubuntu).
  • Expertise with Git and Concourse (pipeline setup, management, troubleshooting).
  • Experience with Kafka and Zookeeper; strong automation for testing, deployment, scalability, and cloud service management.
  • Experience building/implementing/supporting cloud monitoring and observability; solid knowledge of cloud computing, infrastructure operations, databases, web services, networking, virtualization, and internet protocols.
  • Security fundamentals for SaaS multi-tenant application systems; excellent communication and prioritization skills; ability to multitask.

Preferred Qualifications

  • AWS experience (e.g., Route 53, EC2, S3, CloudWatch, DynamoDB, RDS, IAM, ACM, KMS, VPC); experience deploying/operating OpenSearch in AWS.
  • Experience with Cloud Foundry environments.
  • Experience with Jenkins, Chef, and/or Terraform.
  • Experience with Prometheus and Grafana.
  • Background with log ingestion pipelines, index lifecycle management, retention strategies, and search platform security controls.
  • Familiarity with capacity forecasting, performance benchmarking, and resilience testing for distributed search platforms.

Work Environment

  • Collaborative, globally distributed team with cross-training opportunities.
  • Participation in an on-call rotation and occasional after-hours/weekend support.
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