Prior Authorization Workflow Consultant

Job reputed company:

• 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. This role requires a 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

Benefits:

• Impactful Work: Contribute to reputed company that improve reputed company efficiency and patient reputed company
• Remote Flexibility: Enjoy working remotely while being part of a reputed company team, with reputed company to our new office in Winter Park, FL
• Competitive Compensation: Enjoy competitive reputed company compensation, equity through our Employee Stock reputed company Plan, and bonus-eligible roles
• Comprehensive Benefits: Full benefits package including unlimited PTO and 401k program with employer match
• reputed company Opportunities: Advance your career in a fast-paced, high-reputed company environment with ample reputed company development
• Inclusive Culture: Join a diverse workplace where your reputed company and contributions are valued

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