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Optum Prior Authorization Jobs (NOW HIRING)

Work denials across the full category spectrum -- prior authorization, medical necessity, timely ... Navigate clearinghouses (e.g., Change Healthcare/Optum, Availity) and payor portals to verify ...

Specialty Pharmacy Liaison

Baltimore, MD · On-site

$17.98 - $32.12/hr

Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting ... Key duties include processing prior authorizations, assisting with financial aid, updating clinical ...

Humata Health creates frictionless prior authorization for providers and payers. With our ... Fund, LRVHealth, Optum Ventures, .406 Ventures, and Highmark Ventures. What we're looking for:

OR · On-site

$17.50 - $21.25/hr

... prior authorization, and medication access issues. * Document all actions, progress, and ... Experience troubleshooting pharmacy or claims issues with PBMs such as CVS, Carelon, Optum, or ...

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Optum Prior Authorization information

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How much do optum prior authorization jobs pay per hour?

As of Jul 16, 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 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.

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.

Does Optum do prior authorization?

Optum handles prior authorization processes for healthcare providers and insurance plans, requiring review of medical necessity before approving certain services or medications. Employees in related roles may use electronic health record systems and adhere to specific guidelines to facilitate this process.

Is prior authorization a stressful job?

Optum Prior Authorization roles can be stressful due to the need to review complex medical documentation and meet strict deadlines. The job requires attention to detail, strong organizational skills, and the ability to handle high volumes of cases, which can contribute to work-related stress.

Is it hard to get hired by Optum?

Optum Prior Authorization roles can be competitive, often requiring relevant healthcare experience, strong communication skills, and familiarity with medical policies. The hiring process typically involves multiple interview stages and background checks, but candidates with relevant qualifications and certifications may have a better chance of success.

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.

Is Optum laying off employees?

There are no publicly available reports indicating that Optum, including roles related to prior authorization, is currently conducting widespread layoffs. Employment stability can vary by department and location, so it is advisable to check official company communications or job boards for the most recent updates.
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:
Infographic showing various Optum Prior Authorization job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 88% Full Time, 10% Part Time, and 1% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $42,704 per year, or $20.5 per hour.
Medical Assistant Primary Care AHN/Optum - Peru, IN

Medical Assistant Primary Care AHN/Optum - Peru, IN

UnitedHealth Group

Peru, IN

$16.15 - $28.80/hr

Full-time

Retirement

Re-posted 24 days ago


UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 145 frontline employees who took The Breakroom Quiz

191st of 886 rated healthcare providers


Job description

Eligible for Sign-on Bonus External Candidates 

Opportunities with American Health Network (AHN), part of the Optum family of businesses. Here, you'll be part of a team that offers quality, affordable care that's backed by a global organization, committed to improving the lives of those we serve. We operate in over 70 medical offices in Indiana and Ohio with 1,200 employees. Our markets are continuing to grow and we're looking for talented individuals who share our passion for quality care to join our team in provider or office positions. As a health-focused organization, we will empower you with resources that support your work-life flexibility as well as your physical, emotional and financial well-being. This is an opportunity to join a team that helps people feel their best and a chance to discover the meaning behind Caring. Connecting. Growing together.

Location:315 W Old Key Dr Ste 150, Peru, IN 46970 

Schedule: Monday-Friday 7:30am-5:00pm / No evenings, weekends, or holidays!

Specialty: Family Medicine  

Primary Responsibilities:

  • Prepare examination rooms and sterilizing equipment

  • Room patients, obtain health history, check vital signs and perform EKG's

  • Administer injections and collect specimens
  • Document patient care using NextGen electronic medical record software
  • Schedule appointments, complete prior authorizations, process medication refills, handle referrals, answer calls and complete paperwork
  • Assist physicians and nurse practitioners with minor, in-office procedures

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 
 

Required Qualifications: 

  • High school education or GED equivalent
  • Medical Assistant Certification (CMA or RMA) or you must be willing to attain that certification within 9 months of the start date

      

Preferred Qualifications: 

  • EMR/EHR experience
  • Experience with Epic medical records software
  • Experience with medical front office and back-office duties including vitals, injections, administering medications, referrals, prior authorizations, and insurance verifications
  • 1 years of MA experience 
  • Graduated from an accredited MA program
  • CPR Certified 

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 $16.15 to $28.80 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.

OptumCare 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.


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