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Remote Utilization Review Jobs in Washington (NOW HIRING)

AvantGarde, LLC

Program Manager

Washington, DC · On-site +1

Remote work options are available after a brief acclimation period. Essential Duties and ... reviews, and governance audits to identify risks, trends, and opportunities for improvement. · ...

AvantGarde, LLC

Program Manager

Washington, DC · On-site +1

Remote work options are available after a brief acclimation period. Essential Duties and ... reviews, and governance audits to identify risks, trends, and opportunities for improvement. · ...

SAIC

Principal Ground Systems Integrator

Chantilly, VA · On-site +1

$120K - $160K/yr

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.

New

ICF

Enterprise Architect (MD DC VA) NI

Rockville, MD · On-site +1

$70.25 - $90.75/hr

* We are open to supporting 100% remote work anywhere within MD DC VA area * Local candidates may be ... Advisory & Governance Reviews * Provide strategic technical advisory services to programs and ...

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Remote Utilization Review information

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$24

$47

$78

How much do remote utilization review jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote utilization review in Washington 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.

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 Washington? The most popular types of Utilization Review jobs in Washington are:
What are popular job titles related to Remote Utilization Review jobs in Washington? For Remote Utilization Review jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Washington look for? The top searched job categories for Remote Utilization Review jobs in Washington are:
What cities in Washington are hiring for Remote Utilization Review jobs? Cities in Washington with the most Remote Utilization Review job openings:
Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Washington as of July 2026, with employment types broken down into 78% Full Time, 12% Part Time, and 10% Contract. Highlights an 100% Remote job distribution, with an average salary of $99,608 per year, or $47.9 per hour.

Program Manager

AvantGarde, LLC

Washington, DC • On-site, Remote

Other

Posted 9 days ago

Job description

POSITION SUMMARY

AvantGarde, LLC (AG) seeks an experienced Program Manager to provide program management and operational support to the United States Capitol Police (USCP), Office of Information Services (OIS) Project Management Office (PMO). The Program Manager supports the establishment, implementation, management, and continuous maturation of OIS project management standards, governance processes, portfolio reporting, and project management practices. Working closely with OIS leadership, project managers, technical teams, governance stakeholders, and business partners, the Program Manager provides consultative support for PMO governance, portfolio performance, organizational project management maturity, and continuous improvement initiatives. The incumbent supports selected high-priority initiatives while providing consulting, facilitation, and project management expertise to promote consistent project delivery, transparency, and informed decision-making.

Remote work options are available after a brief acclimation period.

Essential Duties and Responsibilities

PMO Governance & Organizational Maturity

· Develop and maintain PMO policies, procedures, templates, governance frameworks, and project management standards.

· Lead continuous improvement initiatives that strengthen PMO governance, improve organizational project management maturity, standardize delivery practices, and increase organizational adoption.

· Monitor compliance with PMO methodologies, documentation standards, SDLC stage gates, and governance requirements across the project portfolio.

· Conduct project health assessments, quality reviews, and governance audits to identify risks, trends, and opportunities for improvement.

· Support organizational adoption of PMO standards, tools, and governance processes through stakeholder engagement, communication, and change management activities.

Portfolio & Executive Management

· Monitor the health of the OIS project portfolio by evaluating priorities, dependencies, resource constraints, organizational impacts, and strategic alignment.

· Coordinate portfolio planning activities, including project intake, prioritization, sequencing, governance reviews, and resource considerations.

· Produce executive-level portfolio dashboards, performance metrics, compliance reports, and portfolio health summaries.

· Support the continuous improvement and effective utilization of Project Portfolio Management (PPM) tools and technologies by identifying opportunities to enhance portfolio visibility, reporting, governance, and decision support capabilities.

· Provide recommendations and consultative support to OIS leadership regarding portfolio priorities, governance improvements, organizational risks, and PMO performance.

· Coordinate with Enterprise Architecture, Capital Planning, Finance, IT Operations, and governance stakeholders to ensure portfolio alignment with organizational priorities.

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