Top 70 Medical prior authorization remote Jobs in Atlanta, Ga

Nurse Annotator (Prior Auth) Remote in US
UnitedHealthcare —Atlanta, GA
- $29 - $52 an hour
- Full-time
- Remote
- Nursing
- RN License
- Pass drug screening
2d
Radiology Patient Scheduling Representative
T2 Group —Conyers, GA
- $18 an hour
- Full-time
- Remote
- Background check
- Microsoft Excel
- Microsoft Outlook
- 401(k)
- Work from home
Quick Apply
Remote Medical Assistant- Healthguide
Guidehealth —Atlanta, GA
- $21 - $24 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Primary Care
- Paid training
- Paid parental leave
Manager of Clinical Annotation - Remote
UnitedHealthcare —Atlanta, GA
- $91,700 - $163,700 a year
- Full-time
- Remote
- Nursing
- RN License
- 5 years
Claims Specialist, Commercial Casualty - Remote
CSAA Insurance Services, Inc. —Kennesaw, GA
- $62,460 - $83,400 a year
- Weekends as needed
- Remote
- Bachelor of Science
- Mid-level
- High school diploma or GED
- 401(k) matching
3d
Field Reimbursement & Payer Relations Manager - Remote
Avanos Medical —Georgia
- $135,000 - $157,000 a year
- Full-time
- Up to 50% travel
- HIPAA
- Bachelor's degree
- Health insurance
- 401(k) matching
Lead Building Engineer
Lincoln Property Company —Atlanta, GA
- Weekends as needed
- Background check
- Writing skills
- English
- AD&D insurance
- Paid holidays
Quick Apply
Building Engineer
Lincoln Property Company —Sandy Springs, GA
- On call
- Background check
- Microsoft Outlook
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
6d
Assistant Chief Building Engineer
Lincoln Property Company —Atlanta, GA
- Microsoft Word
- Background check
- Office
- AD&D insurance
- Paid holidays
Quick Apply
Building Engineer
Lincoln Property Company —Atlanta, GA
- On call
- Background check
- Microsoft Outlook
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
14d
Building Engineer II
Lincoln Property Company —Atlanta, GA
- Weekends as needed
- Background check
- Microsoft Outlook
- Computer literacy
- AD&D insurance
- Paid holidays
Quick Apply
14d
Building Engineer
Lincoln Property Company —Atlanta, GA
- Weekends as needed
- Background check
- Microsoft Outlook
- Computer literacy
- AD&D insurance
- Paid holidays
Quick Apply
Senior Specialist, Process Improvement
Oscar Health —Atlanta, GA
- $67,813.20 - $89,004.83 a year
- Overtime
- Remote
- Mid-level
- Presentation skills
- Leadership
- Paid parental leave
- Paid holidays
Quick Apply
2d
Remote Medical Assistant - Healthguide - Bilingual (Arabic)
Guidehealth —Atlanta, GA
- $21 - $23 an hour
- Full-time
- Remote
- English
- Medical terminology
- 2 years
- Paid parental leave
- Disability insurance
9d
Field Access Manager - Atlanta, Georgia
Merck —Atlanta, GA
- $117,000 - $184,200 a year
- Full-time
- Clean driving record
- 7 years
- HIPAA
- Paid holidays
- Health insurance
7d
Specialty Pharmacy Technician
Shields Health Solutions —Atlanta, GA
- Monday to Friday
- Microsoft Outlook
- Hospital
- 5 years
- Paid parental leave
- Paid holidays
Quick Apply
Healthguide - Community Resource
Guidehealth —Atlanta, GA
- $19.00 - $20.50 an hour
- Full-time
- Remote
- Bilingual
- HIPAA
- Mid-level
- Paid parental leave
- Disability insurance
Associate Director, Market Access & Reimbursement - Alpharetta, GA or Remote (6896)
Avanos —Alpharetta, GA
- $160,000 - $185,000 a year
- Remote
- Windows
- Analysis skills
- Bachelor's degree
- Health insurance
- 401(k) matching
Medical Biller
Georgia Pain and Spine Institute —Decatur, GA
- Full-time
- Word processing
- Writing skills
- In-person
- Paid time off
Quick Apply
Medical Practice Office Manager (Interventional Pain Management)
Georgia Pain and Spine Institute —Decatur, GA
- Full-time
- Background check
- Private practice
- OSHA
Quick Apply

I want to receive the latest job alert for medical prior authorization remote in atlanta, ga

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

medical prior authorization remote jobs near atlanta, ga

Building Engineer jobs in Atlanta, GA

Medical Assistant jobs in Atlanta, GA

Director Of Process Improvement jobs in Atlanta, GA

Community Resource Specialist jobs in Atlanta, GA

Nurse jobs in Atlanta, GA

Assistant Chief Engineer jobs in Atlanta, GA

Clinic Manager jobs in Atlanta, GA

Medical Office Manager jobs in Decatur, GA

Claims Specialist jobs in Kennesaw, GA

Building Engineer jobs in Sandy Springs, GA

Liaison jobs in Atlanta, GA

Building Engineer jobs in Tacoma, WA

Building Engineer jobs in Milwaukee, WI

Building Automation Controls jobs in Boston, MA

Building Engineer jobs in Cook County, IL

Building Engineer jobs in Lakeville, MN

Pc Building jobs in California

Medical Assistant jobs in Prince George's County, MD

Speech Language Pathology Assistant jobs in Denton, TX

Medical Assistant jobs in Dublin, GA

Nurse Annotator (Prior Auth) Remote in US

UnitedHealthcare -
Atlanta, GA

Apply Now

Job Details

Full-time
$29 - $52 an hour
2 days ago

Qualifications

Electronic health records (EHR) management
RN License
Professional ethics
HIPAA
Care documentation
Evidence-based practice
Pre-authorization review for utilization management
Utilization management
Healthcare privacy protection
Health information regulatory compliance
Clinical documentation improvement
Health information management
Clinical documentation standards
Medical terminology

Full Job Description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The Registered Nurse Clinical Annotator plays a critical role in supporting the development of artificial intelligence models designed to streamline and automate prior authorization processes in healthcare. This position leverages clinical expertise to interpret, annotate, and validate medical documentation, ensuring that AI systems are trained on accurate, contextually relevant, and policy-compliant data.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Review medical records and interpret clinical documentation with accuracy and clinical judgment
Apply guideline-based criteria to annotate, categorize, and label case data used for AI model training
Ensure annotations are clinically sound, consistent, and aligned with established utilization management (UM) guidelines
Contribute to the development of high quality training datasets that support safe and effective AI model performance
Identify gaps, ambiguities, or inconsistencies in documentation and escalate issues as needed
Participate in refinement and continuous improvement of annotation guidelines, clinical rules, and workflows
Collaborate with cross functional teams including data science, clinical operations, and product teams to ensure clinical accuracy and operational relevance of labeled data
Support testing, validation, and quality review activities for AI supported UM tools and workflows
Maintain detailed documentation of annotation decisions, rationales, and guideline interpretations
Uphold clinical, ethical, and regulatory standards in all aspects of data handling, patient information, and annotation workflows

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Active, unrestricted RN license
3+ years of recent clinical experience in acute care, utilization management, or a related clinical specialty
Experience applying guideline based criteria (e.g., InterQual, MCG) in clinical review or UM workflows
Solid understanding of clinical documentation, medical terminology, and evidence-based practice
Familiarity with HIPAA requirements, data privacy standards, and safe handling of patient information
Proficiency with electronic medical records (EMR) and comfort navigating multiple clinical systems
Proven ability to interpret medical records and determine clinical appropriateness using structured criteria
Demonstrated experience performing payer-based clinical prior authorization reviews and medical necessity determinations for outpatient and inpatient procedures, advanced imaging, DME, specialty medications, infusion therapies, and other pre-service requests in accordance with health plan policy and evidence-based clinical criteria. Experience limited to provider-side authorizations, concurrent inpatient review, post-acute review, or discharge planning alone is not sufficient
Proven ability to work independently while maintaining productivity, quality, and adherence to annotation guidelines

Preferred Qualifications:

BSN
Experience collaborating with cross functional teams (clinical, data science, operations)
Experience with data labeling, clinical data annotation, or AI/ML workflows
Proven high level of accuracy, attention to detail, and commitment to consistent, high quality annotations
Proven solid analytical thinking, clinical reasoning, and ability to identify gaps or inconsistencies in documentation
Proven effective written communication skills, with the ability to clearly document annotation decisions and rationales
Proven curiosity and willingness to learn emerging technologies, AI supported workflows, and evolving guidelines

Values Based Competencies Employee

Integrity Value: Act Ethically
- Comply with Applicable Laws, Regulations and Policies
- Demonstrate Integrity
Compassion Value: Focus on Customers
- Identify and Exceed Customer Expectations
- Improve the Customer Experience
Relationships Value: Act as a Team Player
- Collaborate with Others
- Demonstrate Diversity Awareness
- Learn and Develop
Relationships Value: Communicate Effectively
- Influence Others
- Listen Actively
- Speak and Write Clearly
Innovation Value: Support Change and Innovation
- Contribute Innovative Ideas
- Work Effectively in a Changing Environment
Performance Value: Make Fact-Based Decisions
- Apply Business Knowledge
- Use Sound Judgement
Performance Value: Deliver Quality Results
- Drive for Results
- Manage Time Effectively
- Produce High-Quality Work

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29.00 - $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Now

Refine Your Search

medical prior authorization remote jobs in atlanta, ga

Nurse Annotator (Prior Auth) Remote in US

Radiology Patient Scheduling Representative

Remote Medical Assistant- Healthguide

Manager of Clinical Annotation - Remote

Claims Specialist, Commercial Casualty - Remote

Field Reimbursement & Payer Relations Manager - Remote

Lead Building Engineer

Building Engineer

Assistant Chief Building Engineer

Building Engineer

Building Engineer II

Building Engineer

Senior Specialist, Process Improvement

Remote Medical Assistant - Healthguide - Bilingual (Arabic)

Field Access Manager - Atlanta, Georgia

Specialty Pharmacy Technician

Healthguide - Community Resource

Associate Director, Market Access & Reimbursement - Alpharetta, GA or Remote (6896)

Medical Biller

Medical Practice Office Manager (Interventional Pain Management)

I want to receive the latest job alert for medical prior authorization remote in atlanta, ga

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected