2

Remote Utilization Review Jobs in Atlanta, GA (NOW HIRING)

This is a remote field-based position. Candidates should live in close proximity to a large airport ... Educate HCPs and associated internal partner labs for seamless sponsored testing utilization

This is a remote field-based position. Candidates should live in close proximity to a large airport ... Educate HCPs and associated internal partner labs for seamless sponsored testing utilization

This is a remote field-based position. Candidates should live in close proximity to a large airport ... Educate HCPs and associated internal partner labs for seamless sponsored testing utilization

Manages delinquencies, collateral exceptions, borrowing base, portfolio reviews, specialized ... Effective utilization of IT systems that support the Commercial Segment. Systems include; CLOS ...

English (Required) Work Shift: 1st Shift (United States of America) Please review the following ... This role is remote, but we would prefer someone in Charlotte, Dallas, Birmingham, New York ...

As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Mentor engineers through code review, pairing, and design discussion * Identify high-leverage ...

As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Mentor engineers through code review, pairing, and design discussion * Identify high-leverage ...

Senior PDS Sourcing Manager

Atlanta, GA · Remote

$146K - $147K/yr

Participate and provide leadership to Preferred Supplier performance review meetings. * Support JLL ... Remote -Atlanta, GA, Charlotte, NC, Chicago, IL, Houston, TX If this resonates with you, we ...

Showing results 41-60

Remote Utilization Review information

See Atlanta, GA salary details

$20

$40

$66

How much do remote utilization review jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for remote utilization review in Atlanta, GA is $40.66, according to ZipRecruiter salary data. Most workers in this role earn between $32.12 and $46.68 per hour, depending on experience, location, and employer.

What is a remote utilization review?

A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.

What does a remote utilization review do?

A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.

What are the key skills and qualifications needed to thrive in remote utilization review?

To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.

What are the most commonly searched types of Utilization Review jobs in Atlanta, GA?

The most popular types of Utilization Review jobs in Atlanta, GA are:

What cities near Atlanta, GA are hiring for Remote Utilization Review jobs?

Cities near Atlanta, GA with the most Remote Utilization Review job openings:

Infographic showing various Remote Utilization Review job openings in Atlanta, GA as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 100% Remote job distribution, with an average salary of $84,574 per year, or $40.7 per hour.

Business Development Manager (32415)

ExamWorks

Atlanta, GA • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago


Key responsibilities

  • Identify opportunities, seek and engage new clients, develop new proposals, and manage existing accounts.

  • Represent the company at industry functions, conferences, tradeshows, seminars, and meetings, including organizing and conducting client entertainment when necessary.

  • Maintain customer relationships, develop and implement strategies for expanding the customer base, and analyze market and competition to adapt sales strategies.


ExamWorks rating

8.0

Company rating: 8.0 out of 10

Based on 23 frontline employees who took The Breakroom Quiz


Job description

Prizm LLC (an ExamWorks company) is seeking an experienced sales professional in the claims industry to join the team as a Business Development Manager!

This role is Monday - Friday 100% remote aside from travel to tradeshows and exhibitions on average up to two times per month. It is highly preferred that this candidate be on the Central (CST) or Eastern (EST) time zone. 

The Business Development Manager is responsible to identify opportunities, seek and engage new clients, develop new proposals and manage existing accounts. This position requires consistent contact with clients, awareness regarding industry standards and client expectations, efficient time utilization and travel on an as needed basis.  Working in conjunction with the President as well as others to achieve superior customer service and market knowledge, and strive to meet and exceed company’s revenue objectives.

ESSENTIAL JOB FUNCTIONS

  • Drive the development of sales with particular focus on the medical legal market.
  • Maintain customer relationships, develop and implement strategies for expanding customer base.
  • Act as a liaison between clients and the company, actively promote services and gather and exchange information.
  • Represent the company at industry functions, conferences, tradeshows, seminars, meetings, and when necessary, organize and conduct client entertainment; travel as necessary.
  • Inform clients of updates in regards to policy changes, services and physicians.
  • Assist in resolving client concerns relative to service and report quality issues in a timely manner.
  • Visit physicians as necessary and assist with physician recruiting efforts as required.
  • Evaluate the results of overall sales efforts and report results to the President.
  • Continuously analyze the market and competition and identify external threats and opportunities; adapt sales strategy to changing conditions.
  • Provide weekly, monthly and or quarterly updates as directed.
  • Attend all sales and marketing meetings as directed.
  • When necessary, assist with account collection activity.
  • Perform other duties as assigned by management.
  • Bachelor degree (business, marketing or sales is preferred), or five years related experience in outside sales, or equivalent combination of education and experience. Strong knowledge of the medical legal industry is preferred. 
  • Valid State Driver’s License require
  • Claims, workers compensation, bill review, or similar experience required
  • Ability to assist with development and delivery of compelling presentations.
  • Ability to problem solve and develop alternative solutions when dealing with client issues or emotional topics.
  • Must be able to maintain confidentiality.
  • Must be able to demonstrate team behavior and willing to promote a positive team -oriented environment with the ability to both convey and understand the philosophies of others.
  • Ability to use good judgment and include the appropriate people in the decision-making process.
  • Must be able to divide work requirements between office time and travel.

WHO WE ARE

ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.

Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.

Equal Opportunity Employer - Minorities/Females/Disabled/Veterans

ExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.

#LI-MB1


What ExamWorks employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


ExamWorks logo

About ExamWorks

Sourced by ZipRecruiter

ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Atlanta, GA, US

Year founded

2008