12 дней назад
Sr. Analyst, Authorization Services Design & Configuration (Healthcare)
75 348 - 98 894$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Sr. Analyst, Authorization Services Design & Configuration (Healthcare): Designing and maintaining automated authorization workflows, rulesets, and business logic within a healthcare Utilization Management platform with an accent on workflow configuration, technical specifications, and system validation. Focus on investigating configuration issues, analyzing root causes, improving authorization automation, and educating cross-functional partners on system behavior.
Location: Fully remote, open only to candidates who reside in Atlanta, Georgia, United States. Future work models may potentially include hybrid presence at the associated metro-area hub office.
Base pay: $75,348–$98,894 per year, plus annual performance bonuses.
Company
is a health insurance company built around a full-stack technology platform and a focus on serving its members.
What you will do
- Manage authorization workflows, rulesets, automations, and configuration within the Utilization Management platform.
- Translate business requirements into technical specifications, business logic, and tested system implementations.
- Investigate escalations, perform root-cause analysis, and resolve system behavior and configuration gaps.
- Identify authorization-process friction points and document workflow improvement and automation opportunities.
- Act as the Utilization Management system subject matter expert for Product, Clinical, Regulatory, and other partners.
- Develop test protocols, validate system behavior, manage corrective activities, and maintain workflow and business-rule documentation.
Requirements
- At least 2 years of experience in system configuration, business-rules management, or technical workflow design.
- At least 2 years of experience in a technical or operational role involving root-cause analysis and data troubleshooting.
- Intermediate to advanced Excel or Google Sheets skills, including VLOOKUPs, pivot tables, and data manipulation.
- Experience assessing end-to-end process impacts in complex technical environments.
- Strong communication skills and the ability to explain technical system logic to non-technical partners.
- At least 1 year of working knowledge of the healthcare industry, preferably in payer or provider operations.
Nice to have
- Experience with prior authorizations or insurance operations.
- At least 2 years of experience with SQL, BigQuery, or similar database languages.
- Experience with JIRA, Linear, Slack, large datasets, data verification, and data management.
Culture & Benefits
- Full-time employment with medical, dental, and vision benefits.
- Unlimited vacation, 11 paid holidays, paid sick time, paid parental leave, and paid wellness time.
- 401(k) participation, life and disability insurance, and wellness reimbursements.
- Equal-opportunity workplace focused on belonging, support, and authentic participation.
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