ZipRecruiter

Log In

2

Remote Appeals Jobs in Virginia (NOW HIRING)

Maximus

Manager - Appeals

VA · On-site +1

$146K/yr

This is a remote opportunity. The Manager is responsible for overseeing the day-to-day operations of the Appeals department, ensuring compliance, operational excellence, and a high-quality customer ...

UVA Health

Physician Advisor (Remote)

Manassas, VA · Remote

$250K - $350K/yr

Conduct peer-to-peer reviews and assist with denial prevention and appeals * Participate in quality, compliance, and operational improvement initiatives Position Highlights * Fully remote physician ...

kgs

UI/UX/ Product Designer (REMOTE)

Chantilly, VA · Remote

The position is remote. This position requires the ability to obtain Public Trust Clearance. We ... The UI/UX Designer will be instrumental in creating intuitive and visually appealing user ...

kgs

UI/UX/ Product Designer (REMOTE)

Chantilly, VA · Remote

The position is remote. This position requires the ability to obtain Public Trust Clearance. We ... The UI/UX Designer will be instrumental in creating intuitive and visually appealing user ...

next page

Showing results 1-20

All JobsAppeals JobsRemote Appeals JobsRemote Appeals Jobs in Virginia

Remote Appeals information

See Virginia salary details

$30.2K

$85.7K

$114.5K

How much do remote appeals jobs pay per year?

As of Aug 20, 2026, the average yearly pay for remote appeals in Virginia is $85,739.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,900.00 and $97,700.00 per year, depending on experience, location, and employer.

What is a remote appeals?

A Remote Appeals job involves reviewing and processing appeals related to denied claims, decisions, or disputes, typically in industries like healthcare, insurance, or financial services. Professionals in this role analyze appeal cases, gather necessary documentation, and communicate with relevant parties to ensure fair resolutions. They often work remotely, using digital tools to assess appeals, follow regulations, and meet deadlines. Strong attention to detail, knowledge of industry policies, and communication skills are essential for success in this role.

What are the key skills and qualifications needed to thrive in the remote appeals position?

To thrive as a Remote Appeals professional, you need expertise in reviewing and processing appeals, a solid understanding of compliance or regulatory guidelines, and relevant industry experience, often in insurance, healthcare, or legal fields. Familiarity with case management software, document management systems, and standard office tools like Microsoft Office or Google Workspace is essential. Strong analytical abilities, attention to detail, effective written communication, and problem-solving skills help you stand out in this position. These capabilities ensure accurate, efficient appeal resolution and positive experiences for clients or claimants in a remote work environment.

What are typical challenges faced by remote appeals professionals, and how do teams address them?

Remote Appeals professionals often navigate complex regulations, tight deadlines, and high volumes of cases, which can be challenging without direct, in-person team support. Teams typically address these by using structured workflows, regular video meetings, and clear communication channels to ensure consistency and collaboration. Many employers provide comprehensive training and accessible digital resources to help remote staff stay updated on policies and best practices. By fostering a supportive virtual environment, organizations help Remote Appeals specialists efficiently manage their caseloads and maintain high-quality work standards.

What are the most commonly searched types of Appeals jobs in Virginia?

The most popular types of Appeals jobs in Virginia are:

What are popular job titles related to Remote Appeals jobs in Virginia?

For Remote Appeals jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Remote Appeals jobs in Virginia look for?

The top searched job categories for Remote Appeals jobs in Virginia are:

What cities in Virginia are hiring for Remote Appeals jobs?

Cities in Virginia with the most Remote Appeals job openings:

Remote Appeals jobs near you
Infographic showing various Remote Appeals job openings in Virginia as of August 2026, with employment types broken down into 82% Full Time, 16% Part Time, and 2% Contract. Highlights an 78% Physical, 8% Hybrid, and 14% Remote job distribution, with an average salary of $85,739 per year, or $41.2 per hour.

Director, Appeals and Grievance

Sentara Healthcare

Virginia Beach, VA • On-site, Remote

$21 - $25.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Sentara Health rating

6.7

Company rating: 6.7 out of 10

Based on 412 frontline employees who took The Breakroom Quiz

531st of 889 rated healthcare providers

Job description

City/State
Virginia Beach, VA
Work Shift
First (Days)
Overview:
Overview
The Director of Appeals and Grievance will plan, develop, and direct the department services and activities for all existing and new business opportunities. This includes setting strategic long- term goals for Commercial, Medicaid, and Medicare business. This role assumes leadership for the program development and strategic planning of for Appeals and Grievance Department in all Sentara Health Plan's (formally known as Optima Health) lines of business and markets.
-Develops policies, workflows, and compliance documents, which meet all contractual, regulatory and accreditation requirements for new and existing business product lines.
-Provide oversight for complaints, appeals and grievances reporting and analysis, and interface with Member Services on ongoing key performance indicators
-Oversee staff in their efforts to resolve and coordinate resources effectively to solve any needs for ad hoc requests and ongoing projects relative to appeals and grievances, state, federal, and accreditation requirements
-The Director works closely with the Medical Directors to identify trends in Appeals and make recommendations to change Medical Criteria and Benefit covered items.
-Accountable for ensuring compliance with contractual agreements, SHP policies and procedures in addition to Federal, State and Accreditation regulations and standards.
-Responsible for all external audits of Appeals and Grievance: NCQA, EQRO, CMS, DMAS and BOI.
-Responsible to meet department SLAs and work with other departments to ensure full compliance with targets.
-Responsible for effective management of work inventories and establishing and maintaining working relationships with other departments.
-Responsible for the outcomes of the Appeals and Grievance department.
-Support inquiries from Compliance and Internal Audit including development and execution of corrective action plans with a focus on issues recurrence avoidance.
-Other tasks as needed for the success of the department and Sentara Health Plans
Education
  • Bachelor's Degree (Required)

Location
  • Remote

Experience
  • Minimum five years of experience with Healthcare Complaints/Appeals.

Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

What Sentara Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply