01Overview
This reputed company is a reputed company of our understanding of the 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 companys customers implementation process and post go-live stabilization/maintenance efforts. This role sits at the intersection of hospital reputed company, 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 Humatas 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 Humatas PA technology.
Capture and document operational workflows in Humatas 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 Humatas automations.
Own payer portal validation during testing and go-live project phases; collaborate with the customers reputed company/technical teams to review automation results.
Document and escalate validation issues to be reviewed/resolved by Humatas Engineering team.
Requirements
Bachelors degree in Business, reputed company Administration, or a reputed company reputed company.
3+ years hands-on Prior Authorization experience.
Familiarity with reputed company reputed company, prior authorization, or reputed company cycle workflow optimization.
Systems knowledge/expertise with reputed company (referrals, work queues, coverage), payer portals, and reputed company cycle reputed company.
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 reputed company 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, 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 reputed company reputed company.
Enjoy working reputed company 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. .
