ZipRecruiter

Log In

1

Optum Prior Authorization Jobs (NOW HIRING)

Optum

Unit Clerk

Monroe, NY · On-site

$16.25 - $21.75/hr

Optum NY/NJ, is seeking a Unit Clerk to join our team in Monroe, NY. Optum is a clinician-led care ... Collects data from patient charts to complete forms, prior authorizations and schedule appointments ...

Optum

Float Patient Care Coordinator

Southborough, MA · On-site

$17.50 - $23/hr

At Optum, we are transforming healthcare nationally while providing physician-led care locally ... Initiates requests for forms, letters, medication renewals, referrals, prior authorizations, and ...

Optum

Per Diem Patient Care Coordinator

Auburn, MA · On-site

$17.50 - $23/hr

Optum is a global organization that delivers care, aided by technology to help millions of people ... Initiates request for forms, letters, medication renewals, referrals, prior authorizations, and any ...

Optum

Specialty Pharmacy Liaison Full Time

Ironton, OH

$17.98 - $32.12/hr

Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting ... Complete benefits investigations, prior authorizations, and financial assistance tasks to help ...

UnitedHealthcare

Specialty Pharmacy | , OR

Portland, OR

$17.98 - $32.12/hr

Specialty Pharmacy Liaison Explore opportunities with CPS, part of the Optum family of businesses ... Key duties include processing prior authorizations, assisting with financial aid, updating clinical ...

New

next page

Showing results 1-20

People also search for

All JobsOptum Prior Authorization Jobs

Optum Prior Authorization information

See salary details

$12

$20

$35

How much do optum prior authorization jobs pay per hour?

As of May 31, 2026, the average hourly pay for optum prior authorization in the United States is $20.53, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.19 per hour, depending on experience, location, and employer.

What is an Optum Prior Authorization job?

An Optum Prior Authorization job involves reviewing and processing requests from healthcare providers to ensure that medical treatments, procedures, or medications meet insurance coverage guidelines. Employees in this role assess clinical documentation, verify patient eligibility, and communicate approval or denial decisions based on established criteria. The job requires attention to detail, knowledge of medical terminology, and compliance with healthcare regulations. It may also involve interacting with providers or patients to clarify authorization requirements.

What are the key skills and qualifications needed to thrive in the Optum Prior Authorization position, and why are they important?

To thrive as an Optum Prior Authorization specialist, you need knowledge of medical terminology, health insurance processes, and prior authorization procedures, often supported by a background in healthcare administration or related fields. Familiarity with claims management software, electronic health records (EHRs), and payer-specific authorization platforms is essential. Strong organizational skills, attention to detail, and effective communication abilities help you excel in interacting with providers, insurers, and patients. These skills ensure timely, accurate processing of authorizations, reducing delays in patient care and fostering positive relationships with healthcare partners.

What are the typical daily responsibilities of an Optum Prior Authorization specialist?

As an Optum Prior Authorization specialist, your daily tasks include reviewing and processing prior authorization requests for various medical services, verifying insurance coverage, and ensuring all required clinical documentation is complete. You will regularly communicate with healthcare providers, insurance representatives, and patients to clarify requests and resolve any questions. Attention to compliance with health plan guidelines and accurate data entry are vital. The role is fast-paced and highly collaborative, providing opportunities to develop expertise in healthcare administration while supporting the delivery of timely patient care.

How to work in prior authorization?

Working in prior authorization involves reviewing medical documentation and determining if requested services meet insurance coverage criteria. It requires attention to detail, knowledge of healthcare policies, and often involves using specialized software or systems to process requests efficiently. Strong communication skills are also important for coordinating with healthcare providers and patients.
More about Optum Prior Authorization jobs
What cities are hiring for Optum Prior Authorization jobs? Cities with the most Optum Prior Authorization job openings:
What are the most commonly searched types of Optum Prior Authorization jobs? The most popular types of Optum Prior Authorization jobs are:
What states have the most Optum Prior Authorization jobs? States with the most job openings for Optum Prior Authorization jobs include:
What job categories do people searching Optum Prior Authorization jobs look for? The top searched job categories for Optum Prior Authorization jobs are:
Optum Prior Authorization jobs near you
Infographic showing various Optum Prior Authorization job openings in the United States as of May 2026, with employment types broken down into 93% Full Time, 2% Part Time, 2% Temporary, and 3% Contract. Highlights an 94% Physical, and 6% Hybrid job distribution, with an average salary of $42,704 per year, or $20.5 per hour.
Senior Pharmacy PA/Appeals Technician

Senior Pharmacy PA/Appeals Technician

UnitedHealth Group

Winooski, VT • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

UnitedHealthcare rating

7.8

Company rating: 7.8 out of 10

Based on 651 frontline employees who took The Breakroom Quiz

102nd of 864 rated healthcare providers

Job description

Realistic Job Preview Video
Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together.
The essential functions of a Senior Pharmacy PA/Appeals Technician are providing expertise and customer service support to members, customers, and/or providers. This position exists to take incoming requests for prior authorizations, for formulary and non-formulary medications, while ensuring a high level of customer service and maximizing productivity. Requests can be received via fax or telephone, from providers' offices and pharmacists. The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times (TATs) and service level agreements (SLAs). The technician must provide the information clearly, accurately and in a professional manner. Interactions with callers must be documented per contractual and various regulatory / legal requirements.
If you currently reside in the state of Vermont, you'll enjoy the flexibility to telecommute* as you take on some tough challenges.
Position Schedule: Ability to work any shift from 5:00 AM to 12:00 AM timeframe with flexible hours, including OT and weekends
Primary Responsibilities:
  • Manages a high volume of inbound and outbound calls, averaging 50+ daily
  • Answering Prior Authorization inquiry calls/requests with customer service skills as well as research, clinical information system utilizations and resolve formulary and benefit issues using the appropriate reference material
  • Process prior authorizations through multiple computer systems and use of job aids/policies/procedures ensuring the accuracy and compliance of all data and updating as necessary
  • Resolve issues and complaints in a timely manner
  • Handle inbound phone requests and gathers member data to provide information for pharmacist consultations

Additional Qualifications/Responsibilities:
  • Have sharp attention to detail, using established criteria and guidelines, the pharmacy technician receives, and processes prior authorization requests made by providers and members for medications not inherently covered on a member's prescription drug plan
  • Performs other duties as assigned by management

Patient Safety & Quality Initiatives:
  • Patient Safety and Quality of work is paramount and it's important for employees to have a safe and secure workspace and communicate with their leadership when that safety (equipment, system, information) is compromised
  • Promote a culture of safety that is equitable, transparent, and engaging for patients, family caregivers, and healthcare workforce
  • Enhance workforce safety and well-being by mitigating physical and psychological risks, analyzing hazard data, and implementing supportive workplace strategies
  • Leadership will oversee the monitoring of safety event trends, provide feedback on safety initiatives, quality improvement efforts, and governance to develop responsive measurable action plans

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • Licensure Requirement - Must have one of the following active and unrestricted licensure/certifications:
    • Pharmacy Technicians Certification Board (PTCB)
    • State Board of Pharmacy Licensure in state of residence
    • ExCPT - Pharmacy Technician Certification with National Healthcareer Association (NHA)
    • The National Board of Prior Authorization Specialist
  • 6 + months of experience in customer service/customer relations with healthcare professionals
  • Basic level of proficiency with Microsoft Excel (ability to create, edit, and save a basic spreadsheet), Microsoft Word (ability to create, edit, and save a basic document), and Microsoft Outlook (ability to send emails)
  • Ability to work any shift from 5:00 AM to 12:00 AM timeframe with flexible hours, including OT and weekends
  • Currently located in the state of Vermont

Preferred Qualifications:
  • Knowledge of call center systems such as CMS, IEX, CTI and TCS

Soft Skills:
  • Experience and strong communication skills, both written and oral that will help improve Net Promoter Survey (NPS)
  • Ability to follow through on tasks
  • Physical Requirements and Work Environment:
    • Frequent speaking, listening using a headset, sitting, using hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer
    • Ability to have their own home internet access (internet can be hard wired with ethernet cord)
    • Have a secure workspace/office in their home
    • Have level skill with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens)

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.98 to $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #GREEN

What UnitedHealthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply