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Remote Utilization Review Jobs in Virginia (NOW HIRING)

TS/SCI Potential for Remote Work: ORA_ON_SITE Description SAIC is seeking experienced Principal ... Support readiness reviews and major program reviews to evaluate ground system readiness.

Medical Case Manager

Glen Allen, VA · On-site +1

$62K - $96K/yr

... s) through utilization of established guidelines to determine appropriate medical treatment ... to review and research conducted utilizing nationally accepted practice parameters. This position ...

Case Intake Manager

Henrico, VA · Remote

$87K - $115K/yr

This sworn position ensures the timely and accurate review of allegations of misconduct through ... Must be willing to perform mobile work and to maintain a remote office with high speed Internet ...

... utilization of logistics support services. Responsibilities: * Foster a team-oriented work ... Reviews and analyzes reports, such as revenue and performance records to recommended process ...

Showing results 21-40

Remote Utilization Review information

See Virginia salary details

$21

$41

$68

How much do remote utilization review jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for remote utilization review in Virginia is $41.92, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in remote utilization review?

To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.

What does a remote utilization review do?

A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.

What is a remote utilization review?

A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.

What are the most commonly searched types of Utilization Review jobs in Virginia?

The most popular types of Utilization Review jobs in Virginia are:

What job categories do people searching Remote Utilization Review jobs in Virginia look for?

The top searched job categories for Remote Utilization Review jobs in Virginia are:

What cities in Virginia are hiring for Remote Utilization Review jobs?

Cities in Virginia with the most Remote Utilization Review job openings:

Infographic showing various Remote Utilization Review job openings in Virginia as of August 2026, with employment types broken down into 86% Full Time, 11% Part Time, and 3% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,192 per year, or $41.9 per hour.

Principal Ground Systems Integrator

SAIC

Chantilly, VA • On-site, Remote

$120K - $160K/yr

Full-time

Posted 11 days ago


SAIC rating

7.9

Company rating: 7.9 out of 10

Based on 79 frontline employees who took The Breakroom Quiz

79th of 224 rated it services


Job description

Job ID: 2615236

Location: Chantilly, VA, US

Date Posted: 2026-08-04

Category: Engineering and Sciences

Subcategory: Systems Engineer

Schedule: Full-Time

Shift: Day Job

Travel: No

Minimum Clearance Required: Secret

Clearance Level Must Be Able to Obtain: TS/SCI

Potential for Remote Work: ORA_ON_SITE


Description

SAIC is seeking experienced Principal Ground Systems Integrator to support the Space Development Agency (SDA) Tranche 3 Program Integration (T3PI) program. This position requires an active Secret security clearance. 

SAIC will be overseeing the Systems Engineering and Integration of the Tranche 3 space vehicle constellations, hundreds of satellites accomplishing multiple mission areas, including missile warning, tracking and defense.  We work with the SDA, end users, space vehicle contractors, and ground segment contractors to ensure the architecture, requirements, implementation, integration and testing are executed successfully. Consistent with the SDA’s approach, the program will be fast-paced, dynamic, highly exciting and uniquely rewarding for the right candidate.

This position can be onsite in Chantilly, VA or remote from Colorado Springs, CO or Denver, CO. 

Responsibilities:

  • Act as Program Integrator Liaison to the Ground Segment development contractor.
  • Monitor key interface development, testing, and software deployment and advise the T3PI team and Government Systems Engineering Team on progress. 
  • Proactive mindset to dig in and figure out technical solutions.
  • Energetic and clear communicator, able to collaborate with key stakeholders on ICDs, interface maturation, and inclusion of new interfaces in support of mission closure.
  • Identify and assess emerging technical and programmatic risks related to the ground systems and collaborate with system contractor team(s) to develop and evaluate mitigation strategies.
  • Support verification, validation, and deployment of ground solutions to operations.
  • Support readiness reviews and major program reviews to evaluate ground system readiness.

Qualifications

Required Qualifications:

  • Active Secret clearance; TS/SCI preferred.
  • Bachelor's degree in STEM discipline and 9 years of relevant experience OR Master's degree and 7 years of relevant experience.
  • Experience in development or operation of software-intensive classified systems. 
  • Excellent communication, interpersonal, and collaborative skills with a demonstrated ability to be effective in a government/contractor team environment.
  • Experience with Cloud-based systems deployed in Amazon Commercial Cloud Services (C2S) such as the Secret Commercial Cloud Services (SC2S).
  • Ability to work in a very dynamic environment and effectively interact with numerous DOD, military/civilian personnel and industry partners.
  • Ability to facilitate technical discussions with SMEs.
  • Demonstrated success applying systems engineering principles and practices across complex technical programs.
  • Ability to work in a fast paced, dynamic, and team environment with little or no supervision.
  • Experienced with fast-paced, space or ground system programs.
  • Experience in Agile methods for program management or software development.

Desired Qualifications:

  • Experience developing and testing software with heavy utilization of REST and ESB, including testing tools such as SoapUI, Fortify, SSH, LoadRunner, Swagger, Parasoft, Fiddler, etc.
  • Experience with space-sector technologies and protocols used for COMSEC, time sync, and communicating with antenna services
  • Experience with advanced networking capabilities such as HAIPE, MPLS, SDN, and CCSDS. 
  • Experience related to cloud operations, DevSecOps, CI/CD, PKI, landing zones, and interfaces.
  • Familiarity with Information Assurance, cybersecurity, and Risk Management Framework (RMF) processes.
  • Experience supporting formal program reviews such as SRR, SDR, PDR, CDR, TRR, and PMRs.
  • Experience evaluating Engineering Change Proposals, requirements changes, discrepancy reports, and contractor technical deliverables.
  • Experience with payload, satellite, mission system, or ground segment data products.
  • Experience with space systems; ability to conduct trade studies, define interfaces, and work with the developer to mature interface requirements. 
  • Ability to absorb extensive technical detail and logically formulate solutions for execution on an inflexible schedule, often requiring integration of conflicting and, at times, incomplete data.

Target salary range: $120,001 - $160,000. The estimate displayed represents the typical salary range for this position based on experience and other factors.

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