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Utilization Management Assistant Jobs in Virginia

Neurology Physician

Woodbridge, VA

$317K - $395K/yr

Physician's Assistant or Nurse Practitioner experience preferred. The APP maintains continuing ... utilization management activities; and assists with risk management functions.

Neurology Physician

Woodbridge, VA

$317K - $395K/yr

Physician's Assistant or Nurse Practitioner experience preferred. The APP maintains continuing ... utilization management activities; and assists with risk management functions.

Gynecology Physician

Dumfries, VA

$246K - $266K/yr

Physician's Assistant or Nurse Practitioner experience preferred. The APP maintains continuing ... utilization management activities; and assists with risk management functions.

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Utilization Management Assistant information

See Virginia salary details

$28.8K

$48K

$68.9K

How much do utilization management assistant jobs pay per year?

As of Jun 9, 2026, the average yearly pay for utilization management assistant in Virginia is $47,981.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,600.00 and $48,100.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Utilization Management Assistant, and why are they important?

To thrive as a Utilization Management Assistant, you need a solid understanding of healthcare processes, medical terminology, and administrative procedures, often supported by a high school diploma or associate's degree. Familiarity with electronic health records (EHR) systems, insurance verification tools, and Microsoft Office Suite is typically required. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing documentation and collaborating with clinical teams. These skills ensure accurate data handling, efficient workflow, and compliance with healthcare regulations, all of which are vital for successful utilization management operations.

What are some common challenges Utilization Management Assistants face when working with insurance pre-authorizations?

Utilization Management Assistants often encounter challenges such as navigating complex insurance requirements, meeting tight deadlines for pre-authorization requests, and communicating effectively with both healthcare providers and insurance representatives. Staying organized and detail-oriented is essential to ensure all documentation is accurate and submitted promptly. Additionally, adapting to frequent changes in insurance policies and maintaining strong problem-solving skills are key to overcoming these obstacles.

What is a Utilization Management Assistant?

A Utilization Management Assistant is a healthcare administrative professional who supports the utilization management team by handling clerical tasks, coordinating communications, and organizing patient documentation. They often help ensure that medical services are used efficiently and that insurance requirements are met by gathering information, processing authorizations, and maintaining records. This role is essential in facilitating collaboration between healthcare providers, insurance companies, and patients, ultimately helping to optimize the quality and cost-effectiveness of patient care.
What are the most commonly searched types of Utilization Management jobs in Virginia? The most popular types of Utilization Management jobs in Virginia are:
Infographic showing various Utilization Management Assistant job openings in Virginia as of June 2026, with employment types broken down into 100% Full Time. Highlights an 91% In-person, and 9% Hybrid job distribution, with an average salary of $47,981 per year, or $23.1 per hour.
Physician Gynecology - Competitive Salary

Physician Gynecology - Competitive Salary

Sentara Health

Dumfries, VA • On-site

Full-time

Posted 2 days ago


Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 383 frontline employees who took The Breakroom Quiz

484th of 870 rated healthcare providers


Job description

The Advanced Practice Provider (APP) is responsible for the provision of health care services to individuals, families, and/or groups who receive their care under the auspices of the medical group. Health care services include conducting health assessments, prescribing/providing treatments/interventions, promoting health, and providing disease prevention and management. Health care services are provided under the direction and supervision of assigned primary care physician (collaborative agreement).

The APP is expected to participate in quality assurance and improvement activities, engage in member of the team activities, and use resources (human and material) appropriately. The APP will also complete telehealth visits for the Community Based/Palliative Care program.Physician's Assistant or Nurse Practitioner experience preferred. The APP maintains continuing education credits of as prescribed by licensing body and the medical group and maintains prescriptive authority; acquires special clinical competencies as required by the group; participates in quality assurance and utilization management activities; and assists with risk management functions.


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