Baltimore, MD · Remote
$64.50 - $88.50/hr
This is a remote position. Residency Requirement: Candidates MUST have lived in the U.S. for at ... Review solution designs, code, infrastructure, and deployment strategies. * Establish reusable ...
Baltimore, MD · Remote
$64.50 - $88.50/hr
This is a remote position. Residency Requirement: Candidates MUST have lived in the U.S. for at ... Review solution designs, code, infrastructure, and deployment strategies. * Establish reusable ...
Hunt Valley, MD · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
Overview This is a full-time career opportunity that can be remote or hybrid. This role is ... Analyze client utilization, profitability, and pricing trends to recommend revenue enhancement ...
Hunt Valley, MD · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
Overview This is a full-time career opportunity that can be remote or hybrid. This role is ... Analyze client utilization, profitability, and pricing trends to recommend revenue enhancement ...
$20.56 - $24.72
2% of jobs
$24.72 - $28.88
9% of jobs
$31.72 is the 25th percentile. Wages below this are outliers.
$28.88 - $33.03
21% of jobs
The median wage is $36.40 / hr.
$33.03 - $37.19
23% of jobs
$37.19 - $41.35
13% of jobs
$44.58 is the 75th percentile. Wages above this are outliers.
$41.35 - $45.51
10% of jobs
$45.51 - $49.67
8% of jobs
$49.67 - $53.82
5% of jobs
$53.82 - $57.98
5% of jobs
$57.98 - $62.14
2% of jobs
$62.14 - $66.30
2% of jobs
$20
$40
$66
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.
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.
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.
$64.50 - $88.50/hr
Full-time
Re-posted 5 hours ago
ArcheSys is a technology consulting firm delivering innovative cloud, AI, DevSecOps, and digital modernization solutions to Federal, State, and Commercial customers. We help organizations accelerate mission outcomes through cloud-native engineering, intelligent automation, secure software development, and AI-driven digital transformation.
We are seeking an experienced Cloud Solutions Architect (AWS & AI) to lead the design and delivery of secure, scalable, and intelligent cloud solutions. This role combines AWS cloud architecture, Generative AI, modern application development, and customer engagement to help organizations adopt innovative technologies while meeting security, compliance, and operational requirements.
This is a strategic, customer-facing role that partners with executive stakeholders, engineers, and delivery teams to design next-generation cloud and AI solutions from concept through production.
Location: This is a remote position.
Residency Requirement: Candidates MUST have lived in the U.S. for at least 3 of the past 5 years and be authorized to work in the U.S. (Citizen, Permanent Resident, or EAD).
Sponsorship: This position does not offer any type of sponsorship. Candidates must already be authorized to work in the U.S. (e.g., Citizen, Permanent Resident, or EAD).
Clearance: Public Trust Clearance (or ability to obtain)
Key ResponsibilitiesCloud Solution Architecture
AI & Intelligent Solutions
Technical Leadership
Customer Engagement
Cloud Engineering & DevSecOps
Documentation & Governance
Education & Experience Bachelor's degree in Computer Science, Information Technology, Engineering, or related discipline (or equivalent professional experience). 8+ years of experience designing enterprise software and cloud solutions. 3+ years of hands-on AWS architecture experience. 2+ years designing or implementing Generative AI solutions.
Technical Skills
Preferred Qualifications
What We're Looking For
Eligibility to Work at ArcheSys
What We Offer
Join us at Archesys and be part of a team dedicated to delivering cutting-edge cloud solutions for clients in the public sector. Your expertise and passion for technology will help us continue to innovate and grow. We look forward to welcoming you to our team and supporting your success as Cloud Solutions Architect.
Archesys participate in E-Verify. Upon hire, we will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
Archesys is an equal opportunity employer committed to creating a diverse and inclusive workplace. We welcome applications from all qualified candidates, regardless of race, color, religion, sex.
