[Remote] Prior Authorization Workflow Analyst

Other Jobs To Apply

Note: The job is a remote job and is open to candidates in USA. Humata Health is a company focused on improving healthcare efficiency and patient outcomes. The Prior Authorization Workflow Analyst plays a critical role in the implementation process and post go-live efforts, ensuring seamless alignment with Humata’s automation platform and optimizing prior authorization workflows.


Responsibilities

  • Own the operational workstream deliverables for customer implementations including discovery, data collection and analysis of Prior Authorization workflows.
  • Proactively manage all operational workstream tasks of the implementation project plan
  • Be a collaborative and communicative member of the implementation project team, ensuring implementation project manager has visibility into operational progress and risks
  • Conduct operational workflow and portal shadowing sessions with customers, asking thoughtful and specific questions to understand their current processes. Identify risks related to the successful implementation of Humata’s PA technology.
  • Capture and document operational workflows in Humata’s design workbook to inform solution build and develop prior authorization workflows. Review customer payer/plan mix and formulate automation workflow recommendations
  • Adapt future-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

Skills

  • Bachelor’s degree in Business, Healthcare Administration, or a related field.
  • 3+ years hands’ on Prior Authorization experience
  • Familiarity with healthcare operations, prior authorization, or revenue cycle workflow optimization.
  • Systems knowledge/expertise with Epic (referrals, work queues, coverage), payer portals, and revenue cycle operations
  • Hands-on data analysis experience, ability to analyze referral volumes service line/payer. This role requires a strong analytical mindset and ability to synthesize large data volumes and make informed decisions based on data analysis
  • Organized, able to document processes (both current state and future-state automations) succinctly
  • Comfort with ambiguity, shifting priorities and building new processes in an evolving start-up environment
  • Collaborative team player with a consultative approach to client engagement and solution development
  • Utilize PowerBI for reporting, Google Workspace, Slack
  • Willingness to travel as required (up to 25%) for customer onsite discovery sessions and all-company meetings
  • Prior Authorization Expertise: Understand the end-to-end Prior Authorization process (including pre and post-auth touchpoints). Hands-on experience working with payer portals.
  • Strong Epic user knowledge (Cadence, Referrals, Coverage/Work Queues), comfortable pulling/analyzing data (Excel/SQL helpful).
  • Operational & process mindset: Can map workflows end-to-end and identify bottlenecks.
  • Experience with healthcare software and familiarity with HIPAA compliance and PHI handling.
  • Innovative problem-solver who brings curiosity, creativity, and structure to ambiguous challenges.
  • Adept at navigating complex challenges and can think critically to solution and remove barriers

Benefits

  • Equity through our Employee Stock Option Plan
  • Bonus-eligible roles
  • Full benefits package including unlimited PTO and 401k program with employer match

Company Overview

  • Humata Health is an AI-enabled deep clinical integration that creates prior authorizations for payers and providers using AI and automation. It was founded in 2023, and is headquartered in Winter Park, Florida, USA, with a workforce of 51-200 employees. Its website is https://www.humatahealth.com.

    • Company H1B Sponsorship

  • Humata Health has a track record of offering H1B sponsorships, with 1 in 2025. Please note that this does not guarantee sponsorship for this specific role.

    • Back to blog

    Common Interview Questions And Answers

    1. HOW DO YOU PLAN YOUR DAY?

    This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

    2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

    When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

    3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

    Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

    4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

    With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

    5. HOW DO YOU PROCESS INFORMATION?

    Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

    6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

    Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

    7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

    Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

    8. HOW TO PRIORITIZE WORK?

    The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

    9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

    Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

    10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

    This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

    Data Entry Question and Answer

    $150 $49

    Remote Question and Answer

    $150 $49

    Virtual Assistant Question and Answer

    $150 $49

    Content Moderator Question and Answer

    $150 $49

    Customer Service Question and Answer

    $150 $49

    Video Game Tester Question and Answer

    $150 $49

    Related Posts