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Remote Utilization Management Jobs in Reston, VA

Clarest Health

Account Manager (Remote Eligible)

Vienna, VA · On-site +1

$86K - $138K/yr

Exempt Reports To: VP, Account Management and Implementations Travel Requirement: Up to 20% What We ... Tracks utilization, service adoption, and client feedback; flags issues early and addresses routine ...

Clarest Health

Account Manager (Remote Eligible)

Vienna, VA · Remote

$86K - $138K/yr

Exempt Reports To: VP, Account Management and Implementations Travel Requirement: Up to 20% What We ... Tracks utilization, service adoption, and client feedback; flags issues early and addresses routine ...

Ad Hoc

Program Manager

Washington, DC · Remote

Program Manager This is a remote position. Ad Hoc is a technology company that empowers ... utilization, and gross margin achievement * Exhibits stakeholder management skills, with the ...

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Ad Hoc

Senior Program Manager

Washington, DC · Remote

$130.90K - $131.50K/yr

Senior Program Manager This is a remote position. Ad Hoc is a technology company that empowers ... Experienced in the ability to manage planned contract revenue, billable utilization, and gross ...

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Remote Utilization Management information

See Reston, VA salary details

$22

$43

$71

How much do remote utilization management jobs pay per hour?

As of May 30, 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.

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.

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 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 May 2026, with employment types broken down into 5% As Needed, 15% Full Time, 70% Part Time, and 10% Contract. Highlights an 89% Physical, and 11% Remote job distribution, with an average salary of $91,496 per year, or $44 per hour.
Commercial Lines Account Manager (NC hybrid/remote)

Commercial Lines Account Manager (NC hybrid/remote)

National Financial Partners

Reston, VA • On-site, Remote

Full-time

Medical, Retirement, PTO

Posted 16 hours ago

Job description

Who We Are:
NFP, an Aon company, is a multiple Best Places to Work award winner in Business Insurance who has also earned the WORK180 employer endorsement. We are an organization of consultative advisors and problem solvers. We help companies and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through custom solutions and a people-first approach. To learn more, please visit: https://www.NFP.com.
Job Summary:
This is a full-time, exempt, support position assisting the Account Team in the management of the existing BOB with emphasis in full retention responsibility. The primary function of this position is to provide quality service to clients and cross-sell/account-round within the existing book of business. The Account Manager (AM) will be the day-to-day liaison between the insurance company and designated middle-market accounts. You will manage and control relationships with clients in collaboration with Producers and/or Account Executives. Daily servicing of clients will include contract analysis, coverage and exposure analysis, endorsement activity, routine coverage and billing questions, problem-solving, renewal control, preparation of quotes/proposals, binding coverage, and claim reporting and follow-up. You will assist Producer(s) with the above functions as needed. You should have P&C experience and an active P&C license. Have knowledge and experience in select commercial insurance including, but not limited to, commercial auto, property, general liability, umbrella, inland marine, workers compensation, and flood.
This is a full-time position, ideally working hybrid from either our Charlotte, NC office. We will consider a remote option for well-experienced Commercial Lines candidates able to work on an EST schedule. When working from home, you must maintain a private workspace to secure company equipment and correspondence; maintain high-speed internet, be present and responsive online and minimize personal interruptions during your work shift
Job Goals:
  • Give the most prompt, accurate, and courteous service that customers have ever received...anywhere.
  • Increase revenue by rounding out commercial lines accounts. Negotiate pricing and coverage terms in the client's best interest.
  • Develop relationships that lead to new business sales.
Essential Core Duties and Responsibilities
  • Build and maintain constructive and effective relationships with clients by meeting and exceeding expectations.
  • Provide consistent, accurate, timely, and pertinent communication to clients.
  • Resolve/assist with any service issues/questions.
  • Assist clients in making appropriate coverage changes, making each contact a marketing opportunity.
  • Inform and educate clients about coverage, exclusions and exposures and document electronic files accordingly.
  • Respond to clients' needs by providing/producing binders, certificates, policies, auto id cards, evidence of insurance, and other related items accurately and on time.
  • Monitor and review client satisfaction.
  • Electronically document all communication with clients.
  • As appropriate, market, negotiate, prepare and analyze alternative renewal options.
  • Develop written, graphic, and electronic renewal materials as appropriate.
  • Follow established agency procedures for effective utilization of agency management system.
  • Take advantage of personal and professional development opportunities such as continuing education, professional designations, and in-house training.
  • Adhere to all state laws and regulations regarding insurance agents (licensing, continuing education, etc).
  • Assist with or complete other tasks as directed by agency management.
Job Specifications/Requirements:
  • Property and casualty insurance license upon hire is required.
  • At least 2 years of experience in commercial lines insurance, with an understanding of underwriting, coverage and rate analysis.
  • In-depth knowledge of insurance coverages and an ability to communicate this knowledge clearly to clients and underwriters.
  • Strong written and verbal communication skills.
  • Ability to prioritize and self-manage workload.
  • Proficiency in Microsoft Word and Excel.
  • EPIC experience is preferred, but will consider other agency management system experience.
  • If not experienced with EPIC and seeking a remote role, on-site training may be required in one of our select East Coast offices.
  • When working from home, you must maintain a private workspace to secure company equipment and correspondence; maintain high-speed internet, be present and responsive online and minimize personal interruptions during your work shift.
What We Offer:
We're proud to offer a competitive salary, PTO & paid holidays, 401(k) with match, exclusive discount programs, health & wellness programs, and more. Our PeopleFirst culture focuses on building and nurturing lifelong relationships with our employees because, at the end of the day, we exist to be there for others. The base salary range for this position is $60,000 $95,000. The base salary offered will be determined by factors including, but not limited to, experience, credentials, education, certifications, skill level required for the position, the scope of the position, and geographic location. Actual base salary offered will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.
NFP and You... Better Together!
NFP is an inclusive Equal Employment Opportunity employer.

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