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Remote Utilization Review Jobs in Frederick, MD (NOW HIRING)

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 ...

Remote Utilization Review information

See Frederick, MD salary details

$21

$42

$68

How much do remote utilization review jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for remote utilization review in Frederick, MD is $42.04, according to ZipRecruiter salary data. Most workers in this role earn between $33.22 and $48.27 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Remote Utilization Review position, and why are they important?

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 typical day look like for someone in a Remote Utilization Review role?

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 job?

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 Frederick, MD? The most popular types of Utilization Review jobs in Frederick, MD are:
What are popular job titles related to Remote Utilization Review jobs in Frederick, MD? For Remote Utilization Review jobs in Frederick, MD, the most frequently searched job titles are:
What cities near Frederick, MD are hiring for Remote Utilization Review jobs? Cities near Frederick, MD with the most Remote Utilization Review job openings:
Infographic showing various Remote Utilization Review job openings in Frederick, MD as of July 2026, with employment types broken down into 70% Full Time, 14% Part Time, and 16% Contract. Highlights an 43% Physical, 3% Hybrid, and 54% Remote job distribution, with an average salary of $87,442 per year, or $42 per hour.

Corporate Program Manager (Remote, must be local to the Maryland area)

Axiom Consultants, Inc.

Rockville, MD • Remote

Full-time

Medical, Dental, Life, Retirement

Posted 7 days ago


Job description

Corporate Program Manager, Scientific & Federal Programs

This position is remote, but the selected candidate must reside in the Maryland area.

Axiom has an opportunity for a Corporate Program Manager (CPM) to provide strategic leadership, operational oversight, and contract management support for a portfolio of federal scientific and technical programs. The CPM serves as the primary liaison between corporate leadership, program teams, federal clients, and subcontractors to ensure successful contract execution, workforce management, and delivery of high-quality technical and scientific support services.

The ideal candidate combines strong program management expertise with an understanding of scientific research environments and federal agencies. The CPM oversees contract performance, staffing, financial management, and customer relations while supporting multidisciplinary teams that provide scientific, technical, communications, and analytical services. This individual must be capable of translating complex technical information into actionable insights for diverse audiences and fostering collaboration among scientists, technical experts, and program stakeholders.

Essential Duties and Responsibilities

Program and Contract Management

  • Provide corporate oversight for federal contracts and task orders to ensure successful execution of technical, scientific, and administrative requirements.
  • Monitor contract performance against scope, schedule, budget, quality, and customer expectations.
  • Ensure compliance with Federal Acquisition Regulations (FAR), agency requirements, contract terms and conditions, and company policies.
  • Support proposal development, contract modifications, option year planning, and contract transition activities.
  • Manage corporate risk identification, mitigation planning, and performance improvement initiatives.
  • Develop and maintain strong relationships with Contracting Officers (COs), Contracting Officer Representatives (CORs), Program Managers, and agency stakeholders.

Scientific and Technical Program Support

  • Support programs that advance scientific research, environmental intelligence, decision-support tools, technology development, and science communication initiatives.
  • Facilitate communication between research communities, technical teams, federal leadership, and external stakeholders.
  • Monitor program outcomes and identify opportunities to enhance scientific impact, operational effectiveness, and stakeholder engagement.

Workforce Management and Staff Supervision

  • Provide direct supervision and leadership to program staff including project managers, analysts, communications specialists, scientists, and technical personnel.
  • Conduct employee performance management activities, including coaching, mentoring, professional development, and annual evaluations.
  • Lead recruiting, onboarding, workforce planning, and succession planning efforts.
  • Foster a collaborative, inclusive, and high-performing work environment focused on client service and mission success.
  • Resolve personnel issues and support employee engagement and retention initiatives.

Financial and Business Management

  • Monitor program budgets, labor utilization, indirect costs, subcontract expenditures, and overall contract financial performance.
  • Prepare and review financial reports, forecasts, staffing plans, and resource allocation strategies.
  • Support business development efforts by identifying opportunities for growth and client engagement.
  • Track key performance indicators and develop executive-level reports for senior leadership.

Quality Assurance and Continuous Improvement

  • Implement quality management processes that support technical excellence and customer satisfaction.
  • Identify opportunities to improve efficiency, communication, collaboration, and service delivery.
  • Lead corrective action planning and process improvement initiatives when necessary.
  • Ensure knowledge transfer, documentation, and lessons learned are incorporated into program operations.

Required Qualifications

  • Bachelor's degree in Science, Environmental Science, Engineering, Public Administration, Business Management, Program Management, Communications, or related field.
  • Minimum of 7 years of progressively responsible experience managing federal contracts, programs, or projects.
  • Minimum of 4 years supervising professional, technical, scientific, or multidisciplinary teams.
  • Demonstrated experience supporting federal agencies, research organizations, or scientific programs.
  • Experience managing multiple contracts, task orders, and geographically dispersed teams.
  • Strong understanding of federal contracting processes, contract compliance, and performance management.
  • Excellent written and verbal communication skills with the ability to communicate effectively with technical and non-technical audiences.

Axiom offers competitive compensation packages including comprehensive medical/dental/life insurance and matching 401(k) contribution.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)