Blue Cross Rn Remote Jobs in Georgia (NOW HIRING)

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.