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Supervisor Utilization Review Remote Jobs in Washington

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

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

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

Senior Network Security Engineer

Suitland, MD · Remote

$63 - $82.50/hr

... reviews, recertification, cleanup, and decommissioning. * Install, configure, maintain, patch ... remote users, certificates, authentication policies, availability, utilization, and user access ...

Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed

New

The Loan Advisor must immediately notify their supervisors and the Licensing Department if there is ... review reasonable accommodations on a case-by-case basis in accordance with applicable law. Job ...

Showing results 21-40

Supervisor Utilization Review Remote information

What are the key skills and qualifications needed to thrive as a supervisor utilization review remote?

To thrive as a Supervisor Utilization Review Remote, you need a solid background in clinical healthcare (often as an RN or similar), experience with utilization management, and knowledge of regulatory guidelines. Familiarity with utilization review software, electronic medical records (EMR), and certifications like CCM or URAC accreditation are typically required. Strong leadership, critical thinking, and effective communication skills help in managing teams and collaborating across departments. These skills ensure efficient review processes, compliance with regulations, and high-quality patient care management in a remote setting.

What is the difference between Supervisor Utilization Review Remote vs Utilization Review Nurse?

AspectSupervisor Utilization Review RemoteUtilization Review Nurse
CredentialsRN license, possibly supervisor certificationRN license, certification in utilization review often preferred
Work EnvironmentRemote, supervisory role overseeing review teamsRemote or onsite, performing case assessments
Employer & IndustryHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare providers

The Supervisor Utilization Review Remote typically oversees review teams and manages processes, requiring leadership skills and certifications. In contrast, Utilization Review Nurses focus on case assessments and approvals, often with similar certifications but less managerial responsibility. Both roles are essential in healthcare utilization management, often working remotely within the same industry.

What are some common challenges faced by remote supervisor utilization review professionals, and how can they be effectively managed?

Remote Supervisor Utilization Review professionals often encounter challenges such as coordinating with distributed team members, ensuring consistent application of review criteria, and maintaining clear communication with both clinical staff and payers. To manage these, it's important to establish regular virtual meetings, utilize secure and efficient digital platforms for case tracking, and foster a culture of transparency and accountability. Additionally, investing time in ongoing training and encouraging peer collaboration can help supervisors stay updated on regulatory changes and best practices.

What does a supervisor utilization review remote do?

A Supervisor Utilization Review (Remote) oversees a team responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients—often for insurance or healthcare organizations. This role ensures that utilization review processes comply with regulatory requirements and organizational standards, while also guiding and supporting staff in their daily activities. Working remotely, the supervisor collaborates with clinicians, case managers, and other stakeholders to facilitate quality patient care and manage healthcare costs. The supervisor may also handle escalated cases and ensure timely completion of reviews.
What job categories do people searching Supervisor Utilization Review Remote jobs in Washington look for? The top searched job categories for Supervisor Utilization Review Remote jobs in Washington are:
What cities in Washington are hiring for Supervisor Utilization Review Remote jobs? Cities in Washington with the most Supervisor Utilization Review Remote job openings:

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

Axiom Consultants, Inc.

Rockville, MD • Remote

Full-time

Medical, Dental, Life, Retirement

Posted 14 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)