2

Remote Utilization Management Jobs in Reston, VA

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 ...

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 ...

Be Seen First

Conduct workflow assessments and recommend best practices to maximize software utilization. * Lead ... Comfortable conducting remote training using Microsoft Teams, Zoom, or similar platforms. * Self ...

This is a remote Sales role that requires the employee to be located within the Northeastern United ... Daily utilization of SCJP support tools, reports and CRM system to optimize time, communication and ...

Route Optimization Specialist

Washington, DC · On-site +1

$92K - $170K/yr

Do you enjoy coordinating resources, improving asset utilization, and ensuring seamless execution ... Collaborating closely with AMO teams, Service Delivery Coordinators, and Material Management teams

next page

Showing results 1-20

Remote Utilization Management information

See Reston, VA salary details

$22

$43

$71

How much do remote utilization management jobs pay per hour?

As of Jul 22, 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 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 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:
Infographic showing various Remote Utilization Management job openings in Reston, VA as of July 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.
CRM Business Analyst (Salesforce)

CRM Business Analyst (Salesforce)

Pure Integration

Reston, VA • Remote

$60 - $70/hr

Contractor

Medical

Re-posted 9 days ago


Job description

Company Description

pureIntegration is a technology consulting firm with 22 years of experience servicing Fortune 100 clients headquartered in the DC area. We serve clients in the fastest-growing industry of communications, media, and entertainment. 

Job Description

We are looking for a CRM Business Analyst to support CRM (SFDC) Operations in scaling the systems, workflows, and data infrastructure that power our client's Ads Sales. This role sits at the intersection of sales operations, CRM administration, and business analysis - translating field sales needs into structured, documented requirements and supporting the execution of CRM enhancements across global markets. 

The right candidate is analytically rigorous, highly organized, and comfortable working in a fast-moving environment where priorities shift and ambiguity is the norm. They bring a practitioner's understanding of CRM systems and sales workflows, and they know how to work cross-functionally to get things done without direct authority. 

This position is fully remote within the U.S. and is a W-2 hourly engagement for 6 months, with a likelihood of extension.

The hourly rate is $60 -$70/hr. Candidates will be paid based on their work experience and skills. Candidates are also eligible for limited benefits such as health insurance, professional development, training, our referral bonus program, and our wellness program.

Responsibilities 

Requirements & Documentation 

  • Gather, validate, and document business requirements from regional teams, translating local market needs into structured, scalable enhancement requests 
  • Maintain the CRM workflow documentation library, ensuring it reflects current system state and is accessible to field teams and stakeholders 
  • Support the development and maintenance of CRM policies and governance documentation 

CRM Operations Support 

  • Serve as a day-to-day operational resource for CRM workflow execution, supporting the vendor operations team and handling escalated issues requiring deeper system knowledge 
  • Assist in the administration and configuration of CRM workflows, fields, and integrations under the direction of the CRM Operations Manager 
  • Monitor data quality, flag anomalies, and support the resolution of CRM data integrity issues across regions 

Analysis & Insights 

  • Analyze seller behavior and CRM utilization data to identify friction points, adoption gaps, and opportunities to improve workflow effectiveness 
  • Build and maintain reports and dashboards that surface CRM performance metrics for operational and leadership audiences 
  • Support pre- and post-launch analysis for CRM enhancements, measuring adoption and impact against defined success metrics 

Cross-Functional Collaboration 

  • Partner with regional teams to understand local workflows and surface patterns that can be codified into global solutions 
  • Coordinate with readiness and enablement teams on the rollout of CRM updates, supporting training materials and field communications 
  • Participate in sprint reviews, UAT cycles, and release planning with the Product & Technology team 
Qualifications
  • 3-5 years of experience in sales operations, revenue operations, business analysis, or a related function in a media, technology, or high-growth environment.
  • Hands-on experience with SFDC - including reporting, workflow configuration, and data management.
  • Strong analytical skills with the ability to work with large datasets, identify trends, and present findings clearly to non-technical audiences.
  • Proven ability to gather and document business requirements and translate them into actionable, structured specifications.
  • Excellent written and verbal communication skills; comfortable working across time zones with global stakeholders.
  • Detail-oriented with strong project management instincts - able to manage multiple workstreams simultaneously without dropping threads.
  • Comfortable with ambiguity and the hands-on nature of building operations in a scaling environment.
  • Familiarity with sales methodologies and how CRM systems support the end-to-end seller workflow is a plus.
Additional Information

pureIntegration is an Equal Opportunity Employer (EOE), qualified applicants are considered for employment without regard to age, race, color, religion, sex, national origin, sexual orientation, disability, or veteran status. All your information will be kept confidential according to EEO guidelines.

Disability Accommodation for Applicants to pureIntegration

pureIntegration provides reasonable accommodation for qualified individuals with disabilities and disabled veterans in job application procedures. For reasonable accommodation requests, please contact us by email at [email protected] or by mail to: pureIntegration, Human Resources Department, 1801 Robert Fulton Dr, Suite 450, Reston, VA 20191. Please indicate the position you are applying for.

EEO is the Law
EEO is the Law Supplement
Right to work (English/Spanish)
E-Verify Participation (English/Spanish)

pureIntegration would love to hear from you - your career journey starts here!Â