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Remote Managed Care Jobs in Decatur, GA (NOW HIRING)

Pharmacy Careers

Appeals Pharmacist (Remote)

Atlanta, GA · On-site +1

$55 - $67/hr

Appeals Pharmacist - Ensure Fair Medication Access for Patients A confidential managed care ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...

Integrated Resources INC

Case Manager

Alpharetta, GA · Remote

$19.50 - $25.25/hr

The Alpharetta, GA candidate will also have the ability to work remote. This is an inbound ... The selected candidate will have 1-2 years of Managed Care/Clinical Review experience and 3-5 ...

BC Forward

Advisor, Marketing

Atlanta, GA · Remote

$70 - $75/hr

Remote Duration: Contract - 12 months Pay Range: $70-$75/hr on w2. Job ID: 374015 About BCforward ... Translate population health management product value for managed care plans (MCPs) and behavioral ...

New

Actalent

Remote Pharmacy Technician

Atlanta, GA · Remote

$18 - $20/hr

Remote Pharmacy Technician We are seeking a dedicated Pharmacy Technician to join our dynamic team ... Proficiency in data entry and managed care claims. Additional Skills & Qualifications Customer ...

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See Decatur, GA salary details

$58.6K

$86.6K

$121.1K

How much do remote managed care jobs pay per year?

As of May 30, 2026, the average yearly pay for remote managed care in Decatur, GA is $86,649.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,800.00 and $101,000.00 per year, depending on experience, location, and employer.

What is a Remote Managed Care job?

A Remote Managed Care job involves overseeing healthcare services, cost management, and patient care coordination from a remote location. Professionals in this role work with insurance providers, healthcare facilities, and patients to ensure efficient and cost-effective care. Responsibilities may include reviewing treatment plans, managing claims, and ensuring compliance with healthcare regulations. Remote Managed Care positions are common in insurance companies, hospitals, and telehealth organizations, requiring strong communication and analytical skills.

What are the key skills and qualifications needed to thrive in the Remote Managed Care position, and why are they important?

To thrive in a Remote Managed Care role, you need a solid understanding of healthcare administration, insurance processes, patient advocacy, and compliance — usually demonstrated by relevant experience or a degree in healthcare or business. Familiarity with managed care software platforms, claims management systems, and relevant certifications such as Certified Case Manager (CCM) or Certified Professional in Healthcare Management (CPHM) are often required. Strong communication, time management, and problem-solving skills set top performers apart in this position. These skills are critical for effectively coordinating patient care, ensuring regulatory compliance, and delivering excellent service while working remotely.

What are the typical daily responsibilities for someone working in a Remote Managed Care position?

In a Remote Managed Care role, your primary daily tasks often include coordinating care plans, reviewing healthcare claims, ensuring members receive appropriate medical services, and communicating with providers, patients, and insurance companies. You may spend much of your day using online platforms to track cases, resolve billing issues, and document patient interactions. Collaboration with clinical teams, providers, and case managers is common to address patient needs and ensure the quality and cost-effectiveness of care. Working remotely requires a high level of self-motivation and strong organizational skills, as you’ll manage your caseload with minimal direct supervision.
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Remote Managed Care jobs near you

Remote Prior Authorization Pharmacist

Pharmacy Careers

Atlanta, GA • Remote

$56 - $67.25/hr

Other

Posted 6 days ago

Job description

Remote Prior Authorization Pharmacist - Work From Home in Managed Care
A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies. This work-from-home position is ideal for pharmacists who want to transition out of retail or hospital settings while building expertise in managed care.
Key Responsibilities

  • Review prior authorization requests for accuracy, appropriateness, and clinical necessity.
  • Apply plan criteria, evidence-based guidelines, and regulatory standards to determinations.
  • Communicate approval/denial decisions clearly to providers and patients.
  • Collaborate with physicians, nurses, and medical directors on complex cases.
  • Document outcomes in compliance with health plan policies and CMS/state regulations.
  • Support process improvements to streamline workflow and turnaround times.


What You'll Bring

  • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.
  • Licensure: Active and unrestricted pharmacist license in the U.S.
  • Experience: Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply.
  • Skills: Excellent clinical review, documentation, and communication skills.

Why This Role?

  • Flexibility: 100% remote work from home with flexible scheduling options.
  • Impact: Directly influence patient access to safe and cost-effective medications.
  • Growth: Build specialized skills in utilization management and managed care.
  • Rewards: Competitive compensation, benefits, and career advancement opportunities.


About Us
We are a confidential healthcare partner working with health plans and PBMs across the U.S.. Our pharmacists ensure patients receive the right therapy at the right time while maintaining compliance with all regulations.
Apply Today
Take the next step in your career with our Remote Prior Authorization Pharmacist opportunity - and enjoy the benefits of working from home while shaping the future of managed care.

Apply