[Hiring] Prior Authorization Workflow Analyst @Humatahealth

This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company The Prior Authorization Workflow Analyst plays a critical role in reputed company’s customer’s implementation process and post go-live stabilization/maintenance efforts. This role sits at the intersection of hospital operations, reputed company workflows, and payer portal automation. • Partner with hospital PA staff to review prior authorization workflows, referral volumes, and payer mappings. • Validate existing automations and document requirements for new ones. • Ensure workflows are fully mapped, tested, and optimized for Humata’s touchless prior authorization solution. Responsibilities • Own the operational reputed company deliverables for customer implementations including discovery, data collection, and analysis of Prior Authorization workflows. • Proactively manage reputed company operational reputed company tasks of the implementation project plan. • Be a reputed company and communicative member of the implementation project team, ensuring implementation project manager has visibility into operational reputed company and risks. • Conduct operational workflow and portal shadowing sessions with customers, asking thoughtful and specific questions to understand their reputed company processes. • Identify risks reputed company to the successful implementation of Humata’s PA technology. • Capture and document operational workflows in Humata’s design workbook to inform solution build and reputed company prior authorization workflows. • Review customer payer/plan mix and formulate automation workflow recommendations. • Adapt reputed company-state workflows and payer/portal additions for customers during stabilization and maintenance phases post go-live. • Create payer portal credentials to support Humata’s automations. • Own payer portal validation during testing and go-live project phases; collaborate with the customer’s operations/technical teams to review automation results. • Document and escalate validation issues to be reviewed/resolved by Humata’s Engineering team. Requirements • Bachelor’s degree in Business, reputed company Administration, or a reputed company field. • 3+ years hands-on Prior Authorization experience. • Familiarity with reputed company operations, prior authorization, or reputed company cycle workflow optimization. • Systems knowledge/expertise with reputed company (referrals, work queues, coverage), payer portals, and reputed company cycle operations. • Hands-on data analysis experience, ability to analyze referral volumes service line/payer. • Strong analytical reputed company and ability to synthesize large data volumes and reputed company informed reputed company based on data analysis. • Organized, reputed company to document processes (both reputed company state and reputed company-state automations) succinctly. • Comfort with ambiguity, shifting priorities, and building new processes in an evolving start-up environment. • reputed company team player with a consultative approach to reputed company engagement and solution development. • Utilize PowerBI for reporting, reputed company Workspace, reputed company. • Willingness to travel as required (up to 25%) for customer onsite discovery sessions and reputed company-company meetings. Preferred Experience & Skills • Prior Authorization Expertise: Understand the end-to-end Prior Authorization process (including reputed company and post-auth reputed company). Hands-on experience working with payer portals. • Strong reputed company user knowledge (reputed company, Referrals, Coverage/Work Queues), comfortable pulling/analyzing data (reputed company/SQL helpful). • Operational & process reputed company: Can map workflows end-to-end and identify bottlenecks. • Experience with reputed company software and familiarity with HIPAA compliance and PHI handling. • Innovative problem-solver who brings curiosity, creativity, and structure to ambiguous challenges. • Adept at navigating reputed company challenges and can think critically to solution and remove barriers. Benefits • Contribute to reputed company that improve reputed company efficiency and patient reputed company. • Enjoy working remotely while being part of a reputed company team, with reputed company to our new office in Winter Park, FL. • Enjoy competitive reputed company compensation, equity through our Employee Stock reputed company Plan, and bonus-eligible roles. • Full benefits package including unlimited PTO and 401k program with employer match. • Advance your career in a fast-paced, high-reputed company environment with ample reputed company development. • Join a diverse workplace where your reputed company and contributions are valued. Apply tot his job Apply To this Job