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Remote Utilization Review Jobs in Reston, VA (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 ...

Senior Account Manager

Washington, DC · On-site +1

$105K - $125K/yr

... review of compliance risks. Used by 8 out of the top 10 US banks today, the Persado platform ... This is a remote role, but candidates should be located on the East Coast, preferably within the ...

Remote, United States About the Company Athena Technology Group, Inc. (ATG) is a Service-Disabled ... reviews, operational plans, governance reviews, and compliance materials. Collect, analyze ...

Remote, United States Employment Type: Full-Time Shift: Day Shift About the Company Athena ... Review, ITAM Operational Plan, and IT Governance and Compliance Review. Assess current ITAM ...

Financial Analyst

Herndon, VA · Remote

$119K - $199K/yr

Monitor financial performance and workforce utilization by tracking Minimum Standard Hours ... Experience supporting project closeouts and SLA reviews. Clearance Requirements: * Must have an ...

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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:
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.
Robotic Clinical Specialist - VA/DC/MD

Robotic Clinical Specialist - VA/DC/MD

Medtronic

Washington, DC • Remote

$88K - $96K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago


Medtronic rating

7.8

Company rating: 7.8 out of 10

Based on 174 frontline employees who took The Breakroom Quiz

178th of 534 rated manufacturers


Job description

We anticipate the application window for this opening will close on - 24 Jul 2026


Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first - developing innovative medical technologies that improve the lives of 72+ million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact.

A Day in the LifeWe are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role.

The Surgical Robotics Utilization Team manages all aspects of system installation, start-up, customer training, account analysis, drive and optimize the robotic program. Placement of a HUGO surgical robot in the hospital requires full-time support for an account specific period to ensure successful integration into the hospital's service lines. The utilization team members are seasoned professionals with in-depth knowledge of the healthcare value chain as well as a broad experience across multiple disciplines. They partner with all relevant hospital stakeholders to drive complex transformational changes, implement innovative growth strategies, streamline patient-focused care pathways and optimize operations.

Medtronic (NYSE: MDT), the largest and most successful medical technology company in the world is entering the market of Robotic Assisted Surgery (RAS). We are seeking talented individuals that are eager to use all their skills and competencies to quickly deploy our ground-breaking robotic assisted surgical therapies to patients, surgeons and hospitals in several countries in Europe, the Middle East and Africa (EMEA).

Territory: VA, Washington DC, and MD

As a Robotics Clinical Specialist you will be responsible for the successful integration of our HUGO RAS-system into a hospital. This might be an expansion of a current robotic surgery program, the creation of a new robotic surgery program or a shift from another platform to ourHUGO RAS-system. The main activities of a start-up specialist include:

  • Meet with the robotic program stakeholders and develop program goals and metrics for HUGO RAS-system. Conduct regular program review meetings to remain on-track

  • Develop a surgeon training plan, coordinate attendance at Medtronic's off-site training and arrange for proctored cases post-training as needed

  • Develop a training plan to support staff to include attendance at a Medtronic off-site training class and support staff through their learning curve

  • Support the technology adoption by attending to cases during a surgeon and staff member's learning sessions

  • Utilize change management techniques to engage clinical stakeholders and attain buy-in

  • Coach hospitals' staff to promote skill transfer and achieve self-sufficiency in operational excellence

  • Cooperate with Medtronic field service engineer (FSE) and the hospital staff to prepare the operating room to host the HUGO RAS-system.

  • Track milestones to demonstrate the value delivered for the pilot site

  • This is a fully remote role. It will be required to travel thought the country >75%.

Must Haves

  • Bachelor's Degree with 2 years of clinical, sales or related experience

OR

  • Advanced Degree with 0 years of related experience

  • Ability to relocate to a major implementation site is required

  • Willingness to travel throughout your country (>75%).

Nice to Haves

  • 12-18+ months clinical selling experience in an operating room environment

  • Knowledge and experience of operating rooms and surgery procedures.

  • Demonstrated ability to operate from idea generation and strategy development through detailed implementation and results in delivery.

  • Understanding the impact of quality and regulatory requirements.

  • Strong and demonstrable project management skills.

  • Ability to integrate a customer team and coach it to continuously improve its performance.

  • Experience in change management with the ability to standardize process optimization and change management activities into a reproducible package that could be deployed in different places by different people.

  • Strong analytical, excellent interpersonal and research skills.

  • Familiarity with hospital workflows and the ability to navigate complex healthcare environments.

  • Excellent communication and presentation skills, with the ability to convey technical information to non-technical stakeholders.

  • Proven track record of successfully managing multiple projects simultaneously.

For Baccalaureate degrees earned outside of the United States, a degree that satisfies the requirements of 8 C.F.R. 214.2(h)(4)(iii)(A) is required.

Physical Job Requirements

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position.

The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. For Office Roles: While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific to each role.

U.S. Work Authorization & Sponsorship

At Medtronic, we are committed to fostering an environment where employees can thrive and make a meaningful impact. In alignment with our enterprise-wide workforce planning approach, U.S. work authorization sponsorship (H-1B, TN, J, etc.) is offered exclusively for Principal-level roles and above, where specialized expertise aligns with long-term business needs. Roles below the Principal level require candidates to possess unrestricted U.S. work authorization at the time of hire and for the duration of employment.

Recruitment Fraud Alert

We are aware of phishing scams targeting job seekers. Please keep the following in mind:


Apply only through official Medtronic channels. All legitimate Medtronic recruiting communications come from approved Medtronic platforms and official @medtronic.com email addresses.


Medtronic will never ask for payment or sensitive personal information (such as bank account or Social Security details) during early stages of the hiring process. Any such requests are not legitimate.


If you receive a suspicious message claiming to be from Medtronic, do not respond, click links, or open attachments.


If you have any questions, concerns regarding the authenticity of a communication alleged to have been made by or on behalf of Medtronic, please contact us immediately at AskHR@medtronic.com.

Benefits & Compensation

Medtronic offers a competitive Salary and flexible Benefits Package
A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage.

Salary ranges for U.S (excl. PR) locations (USD):$128,000.00 - $128,000.00The base salary range is applicable across the United States, excluding Puerto Rico and specific locations in California. The offered rate complies with federal and local regulations and may vary based on factors such as experience, certification/education, market conditions, and location. Compensation and benefits information pertains solely to candidates hired within the United States (local market compensation and benefits will apply for others).
In addition to Base Salary, this position is eligible for a Sales Incentive Plan (SIP), which provides the opportunity to earn significant incentive compensation for achieving or exceeding your goals.

The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance,Health Savings Account,Healthcare Flexible Spending Account,Life insurance, Long-term disability leave,Dependent daycare spending account,Tuition assistance/reimbursement, andSimple Steps (global well-being program).

The following benefits and additional compensation are available to all regular employees:Incentive plans, 401(k) plan plus employer contribution and match,Short-term disability,Paid time off,Paid holidays,Employee Stock Purchase Plan,Employee Assistance Program,Non-qualified Retirement Plan Supplement (subject to IRS earning minimums), andCapital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums).

Regular employees are those who are not temporary, such as interns. Temporary employees are eligible for paid sick time, as required under applicable state law, and the Employee Stock Purchase Plan. Please note some of the above benefits may not apply to workers in Puerto Rico.

Further details are available at the link below:

Medtronic benefits and compensation plans

It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities.


If you are applying to perform work for Medtronic, Inc. ("Medtronic") in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can findhere a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment. Medtronic will consider for employment qualified job applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.


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