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Remote Utilization Management Jobs in Washington, DC

Ad Hoc

Senior Program Manager

Mclean, VA · Remote

$117K - $117K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... 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

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... 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

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... 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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All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Washington, DC

Remote Utilization Management information

See Washington, DC salary details

$24

$47

$78

How much do remote utilization management jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for remote utilization management in Washington, DC is $47.89, according to ZipRecruiter salary data. Most workers in this role earn between $37.84 and $55.00 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 Washington, DC?

The most popular types of Utilization Management jobs in Washington, DC are:

What are popular job titles related to Remote Utilization Management jobs in Washington, DC?

For Remote Utilization Management jobs in Washington, DC, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Management jobs in Washington, DC look for?

The top searched job categories for Remote Utilization Management jobs in Washington, DC are:

Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Washington, DC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $99,608 per year, or $47.9 per hour.

Workforce and Reporting Manager

SYS Integration

Washington, DC • Remote

Full-time

Re-posted 12 days ago

Job description

Location: Remote

Workforce and Reporting Manager

Systems Integration, Inc. (SII) is a leading provider of customer experience, cloud-based services and managed IT solutions. We are seeking a Workforce and Reporting Manager to support a governmentcontracted call center by overseeing forecasting, staffing, scheduling, and performance reporting. This role ensures efficient use of Customer Service Representatives (CSRs), meets servicelevel requirements, and provides accurate operational reporting to internal leadership and government program officials.

Key Responsibilities:

  • Manage forecasting and staffing processes to ensure efficient, costeffective CSR utilization.
  • Develop and maintain annual, weekly, and daily staffing and scheduling plans.
  • Work closely with Program Manager and Operations Manager to determine future staffing needs and balance workload across locations.
  • Monitor performance against targets, identify gaps, and implement corrective actions.
  • Review workforce management tools and recommend improvements to enhance accuracy and efficiency.
  • Conduct ongoing assessments to improve forecasting, scheduling, and staffing processes.
  • Produce and manage required reports, including:
    • Daily and weekly performance reports
    • Monthly invoice progress reports
    • Quarterly work breakdown structure (WBS) reports
    • Annual summaries
    • Ad hoc and specialrequest reports
  • Coordinate with government program officials regarding reporting requirements and status updates.

Qualifications:

  • Experience in workforce management within a call center environment.
  • Strong analytical skills with proficiency in Excel and reporting tools.
  • Familiarity with workforce management systems (e.g. Genesys).
  • Ability to interpret data, identify trends, and recommend operational improvements.
  • Strong communication skills and experience supporting government contracts is preferred.
  • Bachelor's degree in Business Administration, Operations Management, Statistics, Data Analytics, or a related field

Must be able to pass a federal  background check going back 7 years without felonies. Must be able to pass a federal credit check. 

Apply