Top 29 Utilization management remote Jobs in Georgia

Manager of Clinical Annotation - Remote
UnitedHealthcare —Atlanta, GA
- $91,700 - $163,700 a year
- Full-time
- Remote
- Nursing
- RN License
- 5 years
Associate Director, Market Access & Reimbursement - Alpharetta, GA or Remote
Avanos Medical —Alpharetta, GA
- $160,000 - $185,000 a year
- Full-time
- Remote
- Windows
- Analysis skills
- Bachelor's degree
- Health insurance
- 401(k) matching
Medical Case Manager I
CorVel Corporation —Augusta, GA
- $63,739 - $95,264 a year
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
Utilization Management Registered Nurse
Humana —Georgia
- $71,100 - $97,800 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays
Clinical Quality Assurance Coordinator
MES Solutions —Atlanta, GA
- $31.25 an hour
- Full-time
- Remote
- Anatomy knowledge
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
1d
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
Telephonic Case Manager I
CorVel Corporation —Lawrenceville, GA
- $63,739 - $95,264 a year
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
10d
Medical Licensing Specialist
Core Clinical Partners —Atlanta, GA
- Remote
- Customer service
- Mid-level
- High school diploma or GED
Quick Apply
13h
Healthguide - Community Resource
Guidehealth —Atlanta, GA
- $19.00 - $20.50 an hour
- Full-time
- Remote
- Bilingual
- HIPAA
- Mid-level
- Paid parental leave
- Disability insurance
Senior Director, Escalated Provider Issue Resolution
Oscar Health —Atlanta, GA
- $196,732 - $258,211 a year
- Overtime
- Remote
- 7 years
- Microsoft Excel
- SQL
- Paid parental leave
- Paid holidays
Quick Apply
UM Authorization Analyst 2 Bilingual
Starling Oncology —Atlanta, GA
- $71,000 - $85,000 a year
- Remote
- Spanish
- Customer service
- English
Quick Apply
3d
Director of Clinical & Cost Containment, Employee Benefits
HUB International —Atlanta, GA
- $130,000 - $150,000 a year
- Full-time
- Remote
- Nursing
- RN License
- 5 years
- Disability insurance
- Health insurance
1d
Market Chief Medical Officer Medicare and Retirement - AL/GA/SC/TN - Remote
UnitedHealthcare —Atlanta, GA
- $292,300 - $438,500 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
Regional Medical Director, Gene Therapy
Genetix Biotherapeutics —Atlanta, GA
- $225,000 - $275,000 a year
- Full-time
- Remote
- Medicine
- 7 years
- Residential
3d
Remote Behavioral Medical Director, Eastern Region
Centene —Georgia
- $236,500 - $449,300 a year
- Weekends as needed
- Remote
- Medicine
- Psychiatry
- Neurology
- Paid holidays
- Health insurance
Regional Diagnostic Director
EVERSANA —Atlanta, GA
- $230,000 - $250,000 a year
- Full-time
- Remote
- Bachelor of Science
- Bachelor's degree
- Doctor of Philosophy
Quick Apply
13d
Full-Time CORE Assistant Clinical Director
Georgia Families in Transition —Decatur, GA
- $80,000 a year
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- LPC
- Opportunities for advancement
Quick Apply
Medical Director - Medicaid Appeals
CVS Health —Georgia
- $174,070 - $374,920 a year
- Full-time
- Remote
- Medicine
- 5 years
- Pediatrics
- Health insurance
- Dental insurance
7d
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
Vice President, Clinical Pharmacy (PBM)
ProCare Rx —Gainesville, GA
- Remote
- Bachelor's degree
- Travel
- Organizational skills
Quick Apply

I want to receive the latest job alert for utilization management remote in georgia

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

utilization management remote jobs near georgia

Manager of Clinical Annotation - Remote

UnitedHealthcare -
Atlanta, GA

Apply Now

Job Details

Full-time
$91,700 - $163,700 a year

Qualifications

Nursing
RN License
Supervising experience
Health insurance knowledge
Clinical team leadership
General management
Nursing

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 Manager of Clinical Annotation leads a team of Registered Nurse Clinical Annotators responsible for labeling and validating medical data used in training artificial intelligence models for prior authorization automation. This role combines clinical leadership, operational oversight, and cross-functional collaboration to ensure high-quality data annotation aligned with clinical standards, payer policies, and AI development goals.

General Job Profile

Reviews the work of others
Develops innovative approaches
Sought out as expert
Serves as a leader/ mentor

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

Primary Responsibilities:

Team Leadership & Management
- Supervise and mentor a team of RN Clinical Annotators
- Manage staffing, scheduling, performance reviews, and professional development
- Foster a culture of clinical excellence, data integrity, and innovation
Operational Oversight
- Oversee daily annotation workflows and ensure timely delivery of annotated datasets
- Monitor quality metrics and implement continuous improvement strategies
- Ensure compliance with HIPAA and internal data governance policies
Clinical Quality Assurance
- Review annotated data for clinical accuracy and consistency
- Develop and refine annotation guidelines and training materials
- Serve as a clinical escalation point for complex or ambiguous cases
Cross-functional Collaboration
- Partner with data science, engineering, and product teams to align annotation efforts with model development needs
- Translate clinical workflows into structured annotation schemas
- Participate in model evaluation and provide clinical feedback on AI outputs
Strategic Planning
- Contribute to roadmap planning for annotation projects and AI initiatives
- Identify opportunities to expand annotation capabilities or improve efficiency
- Stay current with payer policies, clinical guidelines, and emerging AI trends

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 RN license with 5+ years of clinical experience
2+ years in a leadership or supervisory role
Experience in utilization management, case review, or payer operations
Experience with clinical data annotation, health informatics, or AI-related projects
Solid understanding of prior authorization workflows, payer criteria, and medical necessity documentation
Knowledge of InterQual or other clinical decision support tools

Preferred Qualifications:

BSN/MSN
Excellent communication, organizational, and problem-solving skills

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 salary for this role will range from $91,700 to $163,700 annually 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

utilization management remote jobs in georgia

Manager of Clinical Annotation - Remote

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

Medical Case Manager I

Utilization Management Registered Nurse

Clinical Quality Assurance Coordinator

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

Telephonic Case Manager I

Medical Licensing Specialist

Healthguide - Community Resource

Senior Director, Escalated Provider Issue Resolution

UM Authorization Analyst 2 Bilingual

Director of Clinical & Cost Containment, Employee Benefits

Market Chief Medical Officer Medicare and Retirement - AL/GA/SC/TN - Remote

Regional Medical Director, Gene Therapy

Remote Behavioral Medical Director, Eastern Region

Regional Diagnostic Director

Full-Time CORE Assistant Clinical Director

Medical Director - Medicaid Appeals

Remote Medical Assistant - Healthguide - Bilingual (Arabic)

Vice President, Clinical Pharmacy (PBM)

I want to receive the latest job alert for utilization management remote in georgia

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected