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Remote Appeals Jobs in Villa Rica, GA (NOW HIRING)

Insight Global

Remote Pharmacist

Atlanta, GA · Remote

$59/hr

REMOTE across the US working EST, CST or PST Duration : 10 months - extensions are based on ... The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating ...

Insight Global

Remote Pharmacist

Atlanta, GA · Remote

$59/hr

The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical guidelines, pharmacy ...

Insight Global

Fully Remote Pharmacist

Atlanta, GA · Remote

$59/hr

The Clinical Pharmacist reviews prior authorization and appeal requests to determine medication coverage based on clinical guidelines, pharmacy policies, and health plan benefits. This role works ...

Insurance Supermarket Inc.

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Life Insurance Specialist - Remote

Atlanta, GA · Remote

$38K - $180K/yr

Life Insurance Advisor (W2) - Remote (U.S.) Now Hiring: Licensed Life Insurance Advisors in the U.S ... Our position will appeal to individuals who want to work for an exciting and growing organization ...

Insurance Supermarket Inc.

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Life Insurance Specialist - Remote

Atlanta, GA · Remote

$38K - $180K/yr

Life Insurance Advisor (W2) - Remote (U.S.) Now Hiring: Licensed Life Insurance Advisors in the U.S ... Our position will appeal to individuals who want to work for an exciting and growing organization ...

Insurance Supermarket Inc.

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Life Insurance Specialist - Remote

Atlanta, GA · Remote

$38K - $180K/yr

Life Insurance Advisor (W2) - Remote (U.S.) Now Hiring: Licensed Life Insurance Advisors in the U.S ... Our position will appeal to individuals who want to work for an exciting and growing organization ...

Oscar Health

Analyst, Regulatory Affairs

Atlanta, GA · Remote

$28.30 - $37.15/hr

This is a remote position, open to candidates who reside in: Atlanta, GA. You will be fully remote ... appeals, or Regulatory team * Strong attention to detail with the ability to manage complex ...

Georgia

Attorney 3

Atlanta, GA · On-site +1

$56K - $91K/yr

M, Appellate Division Salary Range: $ 75, 000.00 (Commensurate with experience and qualifications ... This position may be eligible for hybrid or remote work, as applicable, and may be adjusted in ...

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Remote Appeals information

See Villa Rica, GA salary details

$26.6K

$75.5K

$100.8K

How much do remote appeals jobs pay per year?

As of Aug 25, 2026, the average yearly pay for remote appeals in Villa Rica, GA is $75,486.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,000.00 and $86,000.00 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 popular job titles related to Remote Appeals jobs in Villa Rica, GA?

For Remote Appeals jobs in Villa Rica, GA, the most frequently searched job titles are:

What job categories do people searching Remote Appeals jobs in Villa Rica, GA look for?

The top searched job categories for Remote Appeals jobs in Villa Rica, GA are:

What cities near Villa Rica, GA are hiring for Remote Appeals jobs?

Cities near Villa Rica, GA with the most Remote Appeals job openings:

Remote Appeals jobs near you
Infographic showing various Remote Appeals job openings in Villa Rica, GA as of August 2026, with employment types broken down into 82% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 78% Physical, 7% Hybrid, and 15% Remote job distribution, with an average salary of $75,486 per year, or $36.3 per hour.

Remote Pharmacist

Atlanta, GA • Remote

Insight Global
See more jobs at Insight Globalexternal

$59/hr

Full-time

Medical, Dental, Vision, Life

Re-posted 3 days ago

Job description

Company: OptumRx

Position: Pharmacist

Locations: REMOTE across the US working EST, CST or PST

Duration: 10 months – extensions are based on business demand

  • All contractors are expected to work the full assignment.
  • Some assignments can convert permanent based on business demand and performance.

Start date: Rolling start dates, 9/14-11/23

PR: $59/HR

PHARMACIST – RPh

Must Haves

-Bachelors or Doctorate of Pharmacy; Active State Pharmacist License

-Current Licensed Pharmacist within the state of work

-6+ months of customer service/customer relations with healthcare professionals D

-Technology savvy - Basic proficiency with Microsoft Excel (ability to create, edit, and save a basic spreadsheet), Microsoft Word (ability to create, edit, and save a basic document) and basic proficiency with Microsoft Outlook (ability to send emails)

-Comfortable with production-based environment

-Ability to perform responsibilities and duties remotely with little to no supervision

-Comfortable in a fast-paced, high-volume workload

-Ability to be adaptable, team-oriented culture requiring flexibility and adaptability to changing business needs.

Job Description:

The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical guidelines, pharmacy policies, and health plan benefits. In this fast-paced, high-volume environment, the pharmacist works closely with physicians, healthcare providers, pharmacy technicians, and internal teams to gather and assess clinical information, make evidence-based coverage determinations, recommend formulary-compliant and cost-effective treatment alternatives, and ensure compliance with federal and state regulations. The role requires strong clinical judgment, attention to detail, effective communication skills, and the ability to manage competing priorities while meeting productivity and quality standards. Additionally, the pharmacist supports quality assurance initiatives, resolves provider and pharmacy inquiries, participates in process improvement efforts, and contributes to a collaborative, customer-focused team environment. Maintain full compliance with state and federal pharmacy laws, Medicare Part D, Medicaid, and commercial benefit regulations. Accurately document case decisions in accordance with internal protocols, auditing standards, and confidentiality policies.  Effectively manage case volume by organizing workload, setting daily priorities, and meeting productivity and quality benchmarks. Adapt to fluctuating demands while maintaining accuracy and professionalism under pressure.