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

FormativGroup

Cloud Solution Architect

Atlanta, GA · Remote

$61 - $83.75/hr

Support hands-on delivery as needed, including Salesforce configuration, data loads, and review of ... Proven leadership of Salesforce delivery teams, including onshore/offshore models, remote teams ...

EVERSANA

Regional Diagnostic Director

Atlanta, GA · On-site +1

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

EVERSANA

Regional Diagnostic Director

Atlanta, GA · Remote

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

Eversana

Regional Diagnostic Director

Atlanta, GA · Remote

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

Huntington

CRE Portfolio Manager I

Atlanta, GA · On-site +1

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

Tihinsurance

Senior Treasury Analyst

Atlanta, GA · Remote

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 ...

Belle, LLC

Senior Product Engineer

Atlanta, GA · Remote

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 ...

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Showing results 21-40

All JobsUtilization Review JobsRemote Utilization Review JobsRemote Utilization Review Jobs in Canton, GA

Remote Utilization Review information

See Canton, GA salary details

$20

$39

$65

How much do remote utilization review jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for remote utilization review in Canton, GA is $39.92, according to ZipRecruiter salary data. Most workers in this role earn between $31.54 and $45.87 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 popular job titles related to Remote Utilization Review jobs in Canton, GA?

For Remote Utilization Review jobs in Canton, GA, the most frequently searched job titles are:

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Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Canton, GA as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, 2% Temporary, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $83,038 per year, or $39.9 per hour.

Clinical Account Executive Hereditary Cancer - Atlanta, GA

Ambry Genetics

Atlanta, GA • On-site, Remote

$105K - $130K/yr

Full-time

Posted 10 days ago

Job description

Compensation:
$105,000 - $130,000 per year. You are eligible for an uncapped Sales Incentive Plan with the target of $80,000 annually; terms and conditions apply.
Account Executive HCT - Atlanta, GA territory: Must reside in territory
As a successful Account Executive, you will increase laboratory sales revenue through market penetration and promotion of Ambry's portfolio of genetic diagnostic testing services. You will advocate the clinical and financial benefits of our products to all levels and call points in the hospital, specialty clinic, and physician's office including MD's, nurses, genetic counselors, and laboratory staff. The successful Account Executive will need a level of sophistication to handle customer relationships with industry thought leaders, manage the dynamics between lab, doctor, & genetic counselors, and be able to drive highly complex sales to closure.
Essential Functions
  • Manage a sales territory
  • Live in the designated territory
  • Manage and grow business in existing Ambry accounts
  • Expand menu utilization in existing accounts
  • Sell genetic diagnostic testing services to new customers
  • Negotiate and manage contracts
  • Introduce new testing products
  • Develop demand for and adoption of new assays
  • Develop and implement customer-specific action plans
  • Develop and deliver presentations
  • Host and assist with trade shows
  • Manage customer data in the company database
  • Achieve sales goals
  • Other duties as assigned

Qualifications
  • 3+ years of industry experience selling laboratory services to clinicians and hospitals or medical device sales
  • Bachelor's Degree and/or combined years of experience required
  • Skilled in Microsoft Word, Excel, PowerPoint applications
  • Skilled using a CRM applications such as com or Microsoft CRM
  • Strong track record of sales success selling a broad portfolio of laboratory testing to different medical specialties
  • Ability to sell technically complex products
  • Expertise with demand creation in a large geography
  • Strengths in networking and relationship development
  • Strong oral and written communications skills
  • Some formal sales training experience such as SPIN Selling or PSS
  • Strong time and territory management skills
  • Possess and maintain a current, valid driver license unless agreed upon otherwise

Preferred
  • Experience with customer base within territory

#LI-JP1 #LI-REMOTE
PRIVACY NOTICES
To review Ambry's Privacy Notice, Click here: https://www.ambrygen.com/legal/privacy-policy
To review the California privacy notice, click here: California Privacy Notice | Ambry Genetics
To review the UKG privacy notice, click here: California Privacy Notice | UKG
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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