Monitor and analyze prior authorization data to identify trends, areas of improvement, and potential cost savings opportunities * Generate reports for leadership regarding prior authorization ...
Monitor and analyze prior authorization data to identify trends, areas of improvement, and potential cost savings opportunities * Generate reports for leadership regarding prior authorization ...
Monitor and analyze prior authorization data to identify trends, areas of improvement, and potential cost savings opportunities * Generate reports for leadership regarding prior authorization ...
Monitor and analyze prior authorization data to identify trends, areas of improvement, and potential cost savings opportunities * Generate reports for leadership regarding prior authorization ...
Monitor and analyze prior authorization data to identify trends, areas of improvement, and potential cost savings opportunities * Generate reports for leadership regarding prior authorization ...
Monitor and analyze prior authorization data to identify trends, areas of improvement, and potential cost savings opportunities * Generate reports for leadership regarding prior authorization ...
Data Analysis and Reporting: Monitor and analyze prior authorization data to identify trends, areas of improvement, and potential cost savings opportunities Generate reports for leadership regarding ...
Data Analysis and Reporting: Monitor and analyze prior authorization data to identify trends, areas of improvement, and potential cost savings opportunities Generate reports for leadership regarding ...
... and analyze prior authorization data to identify trends, areas of improvement, and potential cost savings opportunitiesGenerate reports for leadership regarding prior authorization performance ...
... and analyze prior authorization data to identify trends, areas of improvement, and potential cost savings opportunitiesGenerate reports for leadership regarding prior authorization performance ...
Prior Authorization Coordinator I
San Diego, CA · On-site
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Prior Authorization Coordinator I
San Diego, CA · On-site
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Prior Authorization Coordinator I
San Diego, CA · On-site +1
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Prior Authorization Coordinator I
San Diego, CA · On-site +1
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Prior Authorization Coordinator I
Tempe, AZ · On-site
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Prior Authorization Coordinator I
Tempe, AZ · On-site
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Prior Authorization Coordinator I
San Diego, CA · On-site
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Prior Authorization Coordinator I
San Diego, CA · On-site
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Prior Authorization Coordinator I
San Diego, CA · On-site
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Prior Authorization Coordinator I
San Diego, CA · On-site
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Prior Authorization Coordinator I
Tempe, AZ · On-site +1
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Prior Authorization Coordinator I
Tempe, AZ · On-site +1
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Prior Authorization Coordinator
Little Rock, AR · On-site +1
$17.75 - $22/hr
... Analysis Data Management Health Insurance Portability & Accountability Act (HIPAA) Medical ... prior authorization process and provides necessary correspondence, documentation, analysis and ...
Prior Authorization Coordinator
Little Rock, AR · On-site +1
$17.75 - $22/hr
... Analysis Data Management Health Insurance Portability & Accountability Act (HIPAA) Medical ... prior authorization process and provides necessary correspondence, documentation, analysis and ...
Prior Authorization Pharmacist
Mclean, VA · On-site
$59.75 - $71.75/hr
Reviews prior authorizations data and determine opportunities for interventions. * Intervention ... Analytical skills which can translate into practical and pragmatic recommendations. * Strong team ...
Prior Authorization Pharmacist
Mclean, VA · On-site
$59.75 - $71.75/hr
Reviews prior authorizations data and determine opportunities for interventions. * Intervention ... Analytical skills which can translate into practical and pragmatic recommendations. * Strong team ...
Prior Authorization Pharmacist
Mclean, VA · On-site
$59.75 - $71.75/hr
Reviews prior authorizations data and determine opportunities for interventions. * Intervention ... Analytical skills which can translate into practical and pragmatic recommendations. * Strong team ...
Prior Authorization Pharmacist
Mclean, VA · On-site
$59.75 - $71.75/hr
Reviews prior authorizations data and determine opportunities for interventions. * Intervention ... Analytical skills which can translate into practical and pragmatic recommendations. * Strong team ...
Prior Authorization Pharmacist
Mclean, VA · On-site
$59.75 - $71.75/hr
Reviews prior authorizations data and determine opportunities for interventions. * Intervention ... Analytical skills which can translate into practical and pragmatic recommendations. * Strong team ...
Prior Authorization Pharmacist
Mclean, VA · On-site
$59.75 - $71.75/hr
Reviews prior authorizations data and determine opportunities for interventions. * Intervention ... Analytical skills which can translate into practical and pragmatic recommendations. * Strong team ...
Prior Authorization Specialist
Juneau, AK · On-site
$19 - $25.50/hr
Prior Authorization Specialist Bartlett Regional Hospital is searching for a Prior Authorization ... One (1) year of experience in data entry, billing, accounting, or similar experience * License(s)
Prior Authorization Specialist
Juneau, AK · On-site
$19 - $25.50/hr
Prior Authorization Specialist Bartlett Regional Hospital is searching for a Prior Authorization ... One (1) year of experience in data entry, billing, accounting, or similar experience * License(s)
Prior Authorization Specialist
Juneau, AK · On-site
$19 - $25.50/hr
One (1) year of experience in data entry, billing, accounting, or similar experience * License(s ... One (1) year of direct prior authorization experience in a hospital * License(s): None
Prior Authorization Specialist
Juneau, AK · On-site
$19 - $25.50/hr
One (1) year of experience in data entry, billing, accounting, or similar experience * License(s ... One (1) year of direct prior authorization experience in a hospital * License(s): None
Prior Authorization Specialist
$18 - $21/hr
Proficient with computer systems and data entry * Ability to work rotating day/evening shifts Job Details * 6-Month Contract-to-Hire * Full-Time, Onsite in Pittsburgh, PA Pharmacy Prior Authorization ...
Quick apply
Prior Authorization Specialist
$18 - $21/hr
Proficient with computer systems and data entry * Ability to work rotating day/evening shifts Job Details * 6-Month Contract-to-Hire * Full-Time, Onsite in Pittsburgh, PA Pharmacy Prior Authorization ...
Prior Authorization Specialist
Sandy, UT · On-site
$17 - $22.75/hr
Why This Role Feels Different This isn't a repetitive data-entry job. Every case is its own ... protocols. -Analyze insurance policies for each case and communicate with internal teams or ...
Prior Authorization Specialist
Sandy, UT · On-site
$17 - $22.75/hr
Why This Role Feels Different This isn't a repetitive data-entry job. Every case is its own ... protocols. -Analyze insurance policies for each case and communicate with internal teams or ...
PRIOR AUTHORIZATION SPECIALIST
Bowling Green, KY · On-site
$17.75 - $23.50/hr
The Prior Authorization Specialist is responsible for verifying patient eligibility and insurance ... Input accurate Payer Plan ID numbers and related data into organizational systems to ensure correct ...
PRIOR AUTHORIZATION SPECIALIST
Bowling Green, KY · On-site
$17.75 - $23.50/hr
The Prior Authorization Specialist is responsible for verifying patient eligibility and insurance ... Input accurate Payer Plan ID numbers and related data into organizational systems to ensure correct ...
Prior Authorization Data Analyst information
See salary details
$34K - $43.3K
4% of jobs
$43.3K - $52.5K
7% of jobs
$52.5K - $61.8K
13% of jobs
$62.4K is the 25th percentile. Wages below this are outliers.
$61.8K - $71.1K
18% of jobs
The median wage is $75.4K / yr.
$71.1K - $80.4K
16% of jobs
$80.4K - $89.6K
13% of jobs
$93.1K is the 75th percentile. Wages above this are outliers.
$89.6K - $98.9K
9% of jobs
$98.9K - $108.2K
5% of jobs
$108.2K - $117.5K
9% of jobs
$117.5K - $126.7K
3% of jobs
$126.7K - $136K
2% of jobs
$34K
$82.6K
$136K
How much do prior authorization data analyst jobs pay per year?
What cities are hiring for Prior Authorization Data Analyst jobs?
Cities with the most Prior Authorization Data Analyst job openings:
What states have the most Prior Authorization Data Analyst jobs?
States with the most job openings for Prior Authorization Data Analyst jobs include:
What are popular job titles related to Prior Authorization Data Analyst jobs?
For Prior Authorization Data Analyst jobs, the most frequently searched job titles are:

Prior Authorization Manager
Huntsville, AL • On-site
Other
Posted 21 days ago
OneOncology rating
7.9
Based on 18 frontline employees who took The Breakroom Quiz
Job description
Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options.
Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Job PurposeOversee the process of obtaining prior authorization for hematology and oncology treatments from insurance companies, ensuring timely access to necessary medications and therapies while adhering to clinical guidelines and payer requirements, by managing a team of prior authorization specialist and coordinating with healthcare providers and insurance companies to navigate complex authorization processes.
Duties Include:Team Leadership:
- Manage a team of oncology prior authorization specialists, assigning tasks, monitoring performance and providing coaching to ensure efficient and accurate processing of authorization requests
- Develop and implement strategies to optimize team productivity and meet established performance metrics
Clinical Review and Decision Making:
- Conduct comprehensive reviews of oncology/hematology treatment plans and patient medical records to determine appropriate prior authorization requests based on clinical guidelines, payer policies, and treatment protocols
- Analyze complex medical information to assess the clinical necessity of requested therapies and identify potential issues that may impact authorization approvals
Payer Management:
- Stay updated on evolving payer policies and reimbursement guidelines, communicating changes to the team and adapting strategies accordingly
Patient Advocacy:
- Collaborate with healthcare providers, nurses, and patients to address any prior authorization delays or denials, exploring appeals processes when necessary
- Ensure clear communication with patients regarding their prior authorization status
Data Analysis and Reporting:
- Monitor and analyze prior authorization data to identify trends, areas of improvement, and potential cost savings opportunities
- Generate reports for leadership regarding prior authorization performance, including approval rates, turnaround times, and denials reasons
Compliance and Quality Assurance:
- Ensure adherence to all relevant regulatory guidelines and compliance standards related to prior authorization processes
- Implement quality control measures to monitor accuracy and consistency of prior authorization submissions
Education/Experience:
- Required bachelor's degree in nursing, pharmacy, or healthcare administration
- Master's degree preferred, but not required
- Extensive knowledge of oncology treatments, clinical guidelines and payer policies
- Proven experience in prior authorization management, particularly within the oncology setting
- Strong analytical and problem-solving skills to navigate complex patient cases and payer requirements
- Excellent communication and interpersonal skills to effectively collaborate with diverse stakeholders.
Working conditions:
This position works as part the business office of a busy outpatient oncology/hematology clinic overseeing the day-to-day operations of the prior authorization department.
Physical requirements:
This position requires that the employee be able to sit at a desk and work on a computer for up to eight hours a day
Direct reports:
All Prior Authorization Specialist that are a part of the business office including float prior authorization specialist
What OneOncology employees say
Pay
Benefits
Hours and flexibility
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About OneOncology
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Nashville, TN, US
Year founded
2018