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Remote Utilization Review Jobs in Washington, DC

VivSoft Technologies

Task Order Project Manager

Herndon, VA · Remote

$120K - $136K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Facilitate contract kick-off and transition-in activities; lead regular In-Process Reviews (IPRs ... Ensure accurate and timely reporting on task progress, risks, and resource utilization to the ...

Persado

Senior Account Manager

Washington, DC · On-site +1

$105K - $125K/yr

  • Retirement

... 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 ...

SOSi

DoD SkillBridge Logistics Manager

Reston, VA · On-site +1

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

Iridium Satellite, LLC

Senior Program Finance Analyst

Mclean, VA · Remote

$86K - $107K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... and remote operations all rely on Iridium to stay connected. We take our responsibility for ... program reviews that highlight funding status, unbilled analysis, aged receivables, utilization ...

Iridium Satellite, LLC

Senior Program Finance Analyst

Mclean, VA · Remote

$86K - $107K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... and remote operations all rely on Iridium to stay connected. We take our responsibility for ... program reviews that highlight funding status, unbilled analysis, aged receivables, utilization ...

Shield Consulting Solutions

Senior Network Engineer

Laurel, MD · On-site +1

$190K - $200K/yr

  • Medical

  • Retirement

  • PTO

... remote locations, and including operational international links. * Works with senior IT peers or ... Familiar with STE/STN requirements to meet STIG/Security mandates and the utilization of Nessus ...

Shield Consulting Solutions

Senior Network Engineer

Laurel, MD · On-site +1

$190K - $200K/yr

  • Medical

  • Retirement

  • PTO

... remote locations, and including operational international links. Works with senior IT peers or ... Familiar with STE/STN requirements to meet STIG/Security mandates and the utilization of Nessus ...

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All JobsUtilization Review JobsRemote Utilization Review JobsRemote Utilization Review Jobs in Washington, DC

Remote Utilization Review information

See Washington, DC salary details

$24

$47

$78

How much do remote utilization review jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for remote utilization review in Washington, DC 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, DC?

The most popular types of Utilization Review jobs in Washington, DC are:

What are popular job titles related to Remote Utilization Review jobs in Washington, DC?

For Remote Utilization Review jobs in Washington, DC, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review jobs in Washington, DC look for?

The top searched job categories for Remote Utilization Review jobs in Washington, DC are:

Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Washington, DC as of August 2026, with employment types broken down into 83% Full Time, 11% Part Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $99,608 per year, or $47.9 per hour.

Task Order Project Manager

VivSoft Technologies

Herndon, VA • Remote

$120K - $136K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago

Job description

About VivSoft:
VivSoft is a mission-driven technology company specializing in Cloud, DevSecOps, Artificial Intelligence, and Digital Experience. We are a diverse team of innovators dedicated to creating open, scalable, and automated solutions that drive digital transformation in the federal sector. Our work culture fosters collaboration, creativity, and continuous learning.
Job Summary:
The Task Order Project Manager is responsible for overseeing all aspects of the OneStream Functional Integrator support contract. This role manages scope, schedule, resources, and communications across stakeholders and ensures that all task order requirements are met through effective planning, execution, and monitoring.
Key Responsibilities:
  • Provide programmatic support to stakeholders and project teams for execution of assigned project schedules and deliverables.
  • Develop, update, and maintain project plans, schedules, and resource assignments aligned with performance work statement (PWS) requirements.
  • Facilitate contract kick-off and transition-in activities; lead regular In-Process Reviews (IPRs) and executive briefings.
  • Manage project documentation, meeting minutes, reports, and communication materials for internal and external stakeholders.
  • Coordinate non-disclosure agreements, monthly status reports, CAC accountability reports, and compliance with DoD 8570/8140 certification tracking.
  • Lead preparation and submission of transition plans in the event of follow-on contract transitions.
  • Ensure accurate and timely reporting on task progress, risks, and resource utilization to the Contracting Officer’s Representative (COR) and PMO.

Qualifications:
  • Bachelor’s degree in Project Management, Business Administration, Information Technology, or related field.
  • Must possess an active Secret security clearance.
  • Minimum of 7 years of experience managing large-scale federal IT programs or task orders, preferably in the DoD environment.
  • Proven track record managing Agile-based and multi-task project environments involving ERP or financial system implementations.
  • Proficient in project management tools and methodologies (e.g., Microsoft Project, Jira, Agile)
  • Strong understanding of federal contract and task order management processes
  • Familiarity with DOD 8570/8140 certification tracking and reporting
  • Experience in preparing transition plans and executing contract onboarding/offboarding
  • Excellent communication, reporting, and stakeholder engagement skills

Benefits: 
  • Comprehensive Medical, Dental, and Vision Plans (Healthcare benefits are 100% employer-paid for employees only) 
  • Life Insurance 
  • Paid Time Off (Flexible/Combined PTO, Bereavement Leave, 11 Company Paid Holidays) 
  • 401K Retirement Plan with employer match 
  • Professional Development Training Reimbursement 
  • Flexible/remote work schedules 

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