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Remote Utilization Review Jobs in Reston, VA (NOW HIRING)

Centerbrite

BCBA (Part-time) (Remote)

Fairfax, VA · Remote

$80 - $110/hr

BCBA (Board Certified Behavior Analyst) - Part-time $80110/hr Flexible Schedule Hybrid (Remote + In ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...

Koniag, Inc.

FinOps Specialist (REMOTE)

Washington, DC · On-site +1

... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ... for review and disposition. * Participate in Agile or program-management ceremonies, including ...

kgs

FinOps Specialist (REMOTE)

Washington, DC · Remote

... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ... for review and disposition. * Participate in Agile or program-management ceremonies, including ...

kgs

FinOps Specialist (REMOTE)

Washington, DC · Remote

... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ... for review and disposition. * Participate in Agile or program-management ceremonies, including ...

VivSoft Technologies

Salesforce Administrator

Herndon, VA · Remote

$105K - $125K/yr

Remote Clearance Required: Public Trust Clearance Position Type: Full-Time About the company: At ... reviews and test sessions * Monitor org health: Storage utilization, API call limits, BRE ...

Lucyrx

Clinical Strategy Pharmacist

Bethesda, MD · On-site +1

$126K - $151K/yr

Lead formulary strategy development, including formulary design, tiering, utilization management ... Serve as a subject matter expert for P&T materials, clinical reviews, and formulary change ...

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

See Reston, VA salary details

$22

$43

$71

How much do remote utilization review jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for remote utilization review 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 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 Reston, VA? The most popular types of Utilization Review jobs in Reston, VA are:
What are popular job titles related to Remote Utilization Review jobs in Reston, VA? For Remote Utilization Review jobs in Reston, VA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Reston, VA look for? The top searched job categories for Remote Utilization Review jobs in Reston, VA are:
What cities near Reston, VA are hiring for Remote Utilization Review jobs? Cities near Reston, VA with the most Remote Utilization Review job openings:
Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Reston, VA as of July 2026, with employment types broken down into 74% Full Time, 9% Part Time, and 17% Contract. Highlights an 52% Physical, 3% Hybrid, and 45% Remote job distribution, with an average salary of $91,496 per year, or $44 per hour.

BCBA (Part-time) (Remote)

Centerbrite

Fairfax, VA • Remote

$80 - $110/hr

Full-time, Part-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 5 days ago

Job description

BCBA (Board Certified Behavior Analyst) - Part-time

$80110/hr Flexible Schedule Hybrid (Remote + In-person)

A rare opportunity to join a growing ABA practice as an early team member, with a real voice in shaping how we care for children and families - and the culture we build together.

The role is flexible from the start: come in part-time and grow into full-time if and when it works for you. You'll work closely with experienced clinical advisors, backed by a leadership team that's built and run ABA organizations before - real mentorship and support, not autonomy without a net.

What you'll do:

  • Carry and manage a client caseload, serving as the clinical standard-bearer for the organization
  • Own documentation quality, utilization reviews, and oversight of treatment plans
  • Supervise RBTs across active cases, ensuring treatment fidelity and consistent skill-building

What's different here:

  • Mentorship: work directly alongside our Clinical Team you'll be supported, not thrown in the deep end
  • Flexibility: start at 1020 hours/week and grow into full-time if and when it works for you
  • Reasonable workload: proper caseload sizing and RBT ratios from day one no heroics required
  • Mission: serve families who've been let down by fragmented, impersonal care

Compensation & Growth:

  • Base compensation ranges from $80-110 per hour, plus quarterly performance bonuses
  • $5,000 sign-on bonus

What you bring:

  • Active BCBA certification in good standing (Required)
  • Virginia BCBA licensure (Required)

    Benefits:

    • Health, dental, and vision from day one
    • 401(k) with matching
    • PTO that you'll actually use
    • Referral bonuses when you bring great people in
    • CEU support staying current matters here
    • Parental leave
    • MondayFriday daytime hours, no weekends

    Work Location (Hybrid)

    Job Types: Part-time