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

Oscar Health

Manager, Strategic Finance

Atlanta, GA · Remote

$111.03K - $145.73K/yr

This is a remote position, open to candidates who reside in: Atlanta, GA. You will be fully remote ... Experience in the managed care, healthcare or insurance * Proficiency in SQL/BigQuery to analyze ...

Oscar Health

Manager, Strategic Finance

Atlanta, GA · Remote

$111.03K - $145.73K/yr

This is a remote position, open to candidates who reside in: Atlanta, GA. You will be fully remote ... Experience in the managed care, healthcare or insurance * Proficiency in SQL/BigQuery to analyze ...

Pharmacy Careers

MTM Pharmacist

Atlanta, GA · On-site +1

$56 - $67.25/hr

... remote or hybrid work. * Impact: Directly improve patient outcomes by reducing adverse events and optimizing medication therapy. * Growth: Build expertise in managed care, ambulatory care, and ...

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$58.6K

$86.6K

$121.1K

How much do remote managed care jobs pay per year?

As of May 31, 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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Insurance AR Specialist - Remote

Insurance AR Specialist - Remote

Surgical Information Systems

Alpharetta, GA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Job description

For 30 years, Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart™ by delivering innovative software and services that drive clinical, financial, and operational success. For ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. For hospital perioperative teams, SIS offers an easy-to-use anesthesia information management system (AIMS).
Serving over 2,900 surgical facilities, SIS is committed to delivering solutions that enable surgical providers to focus on what matters most: delivering exceptional patient care and outcomes.
Recognized as the No. 1 ASC EHR vendor by Black Book for 11 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2026, 2025, 2023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance.
Discover how SIS can help you Operate Smart™ at sisfirst.com.
THIS IS A REMOTE POSITION
The AR Specialist is responsible for collection efforts on Insurance Accounts. Will handle the accounts receivable for Ambulatory Surgical Centers, submit appeals and research denials from Insurance Carriers.
ESSENTIAL DUTIES/ RESPONSIBILITIES:
  • Work accounts receivable as assigned
  • Follow up on denials in a timely manner
  • Demonstrated experience with writing appeals, initiating appeals/follow-up on appeals
  • Must be comfortable interacting with insurance representatives
  • Excellent organizational, communication & time management skills
  • Knowledge of managed care contracts (i.e fee schedules and allowables)
  • Experience working with non-participating providers
  • Must have a clear understanding of the insurance collection process
  • Ability to solve problems associated with tasks
  • Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time

SPECIFIC KNOWLEDGE & SKILLS REQUIRED:
  • Knowledge of all medical billing, insurance guidelines and appeals process required
  • Healthcare Insurance Collecting experience
  • Knowledge of computers and Windows-driven software
  • Excellent command of written and spoken English
  • Cooperative work attitude toward and with co-employees, management, patients, and outside contacts
  • Ability to promote favorable company image with patients, insurance companies, and general public
  • Must have a minimum of 40Mbps internet download speed to effectively run SIS Systems

BENEFITS:
  • Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
  • Vacation/Sick time
  • 401(k) retirement plan with company match
  • Paid Holidays
  • SIS Cares Day
  • Hybrid or Remote environment depending on the role

We believe employees are our greatest asset and we empower them to make a difference in our business. Diversity and inclusion makes us all better. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, age, disability, protected veteran status, and all other protected statuses
Surgical Information Systems is an Equal Opportunity Employer and complies with applicable employment laws. M/F/D/V/SO are encouraged to apply.
At this time we are unable to sponsor H1B candidates
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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