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Remote Optum Prior Authorization Jobs in Georgia

$35/hr

Must be legally authorized to work in the U.S. and not require employment-based sponsorship now or ... Prior exposure to claims databases (Medicare, MarketScan, Premier PINC AI, Optum) or EHR data ...

New

$35/hr

Must be legally authorized to work in the U.S. and not require employment-based sponsorship now or ... Prior exposure to claims databases (Medicare, MarketScan, Premier PINC AI, Optum) or EHR data ...

New

$35/hr

Must be legally authorized to work in the U.S. and not require employment-based sponsorship now or ... Prior exposure to claims databases (Medicare, MarketScan, Premier PINC AI, Optum) or EHR data ...

New

$35/hr

Must be legally authorized to work in the U.S. and not require employment-based sponsorship now or ... Prior exposure to claims databases (Medicare, MarketScan, Premier PINC AI, Optum) or EHR data ...

New

Remote Sales Representative

Atlanta, GA · On-site +1

$75K - $180K/yr

Remote Sales Representative Must be authorized to work in the US, no work visas offered at this ... No prior sales or insurance experience is necessary. We are looking for motivated and ambitious ...

Remote Sales Representative Must be authorized to work in the US, no work visas offered at this ... No prior sales or insurance experience is necessary. We are looking for motivated and ambitious ...

Remote Work Sales Agent Must be authorized to work in the US, no work visas offered at this time ... No prior sales or insurance experience is necessary. We are seeking motivated, confident, ambitious ...

Remote Work Sales Agent Must be authorized to work in the US, no work visas offered at this time ... No prior sales or insurance experience is necessary. We are seeking motivated, confident, ambitious ...

Fully remote, 1099 contract opportunity. Hours vary throughout the day and week. Full-day and ... Must be authorized to work in the United States. About Fullmind Fullmind partners with hundreds of ...

New

Fully remote, 1099 contract opportunity. Hours vary throughout the day and week. Full-day and ... Must be authorized to work in the United States. About Fullmind Fullmind partners with hundreds of ...

New

Fully remote, 1099 contract opportunity. Hours vary throughout the day and week. Both full-day and ... Must be authorized to work in the United States. About Fullmind Fullmind partners with hundreds of ...

Fully remote, 1099 contract opportunity. Hours vary throughout the day and week. Both full-day and ... Must be authorized to work in the United States. About Fullmind Fullmind partners with hundreds of ...

Showing results 41-60

Remote Optum Prior Authorization information

What is a Remote Optum Prior Authorization?

A Remote Optum Prior Authorization job involves reviewing and processing requests from healthcare providers to determine whether certain medical procedures, medications, or services will be covered under a patient's insurance plan. Employees in this role work from home and use clinical guidelines to assess the necessity and appropriateness of requested treatments. They collaborate with providers, patients, and insurance teams to ensure timely authorization decisions. This position typically requires strong communication skills, attention to detail, and familiarity with healthcare regulations and insurance policies.

How does a Remote Optum Prior Authorization specialist typically interact with healthcare providers and insurance teams?

As a Remote Optum Prior Authorization specialist, you will regularly communicate with healthcare providers, pharmacies, and insurance representatives to obtain and verify necessary information for authorizing medical procedures or medications. Most interactions occur via phone, secure messaging, or electronic health record systems, requiring clear communication and attention to detail. Collaboration is essential, as you'll often need to clarify clinical documentation with providers and ensure compliance with insurance guidelines. This role is well-suited for those who are organized, proactive, and comfortable working independently within a supportive virtual team environment.

What are the key skills and qualifications needed to thrive as a Remote Optum Prior Authorization specialist, and why are they important?

To thrive as a Remote Optum Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and prior authorization protocols, typically supported by a healthcare-related degree or relevant experience. Familiarity with electronic health record (EHR) systems, insurance verification tools, and prior authorization software is essential. Excellent attention to detail, organizational skills, and effective communication are vital soft skills for efficiently managing high volumes of authorization requests and collaborating with providers. These skills ensure accurate, timely approvals and help optimize patient care while reducing administrative delays.

What is the difference between Remote Optum Prior Authorization vs Remote Optum Claims Reviewer?

AspectRemote Optum Prior AuthorizationRemote Optum Claims Reviewer
CredentialsTypically requires healthcare-related certifications, such as RN, LPN, or medical coding credentialsOften requires similar healthcare certifications, with focus on claims processing
Work EnvironmentRemote, healthcare insurance setting, interacting with providers and patientsRemote, insurance claims processing environment, reviewing submitted claims
Employer & Industry UsageCommonly employed by health insurance companies like Optum, focusing on authorization processesEmployed by insurance companies, focusing on claims review and reimbursement

Remote Optum Prior Authorization specialists focus on obtaining approvals for healthcare services, while Remote Optum Claims Reviewers evaluate submitted claims for accuracy and reimbursement. Both roles require healthcare knowledge and certifications, but differ in their primary functions within the insurance process.

What cities in Georgia are hiring for Remote Optum Prior Authorization jobs?

Cities in Georgia with the most Remote Optum Prior Authorization job openings:

Infographic showing various Remote Optum Prior Authorization job openings in Georgia as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, 1% Temporary, and 3% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Summer 2027 Internship - RWE Data Scientist - Virtual

Stryker

Kennesaw, GA • On-site, Remote

$35/hr

Temporary, Internship

Posted 3 days ago

New


Stryker rating

8.2

Company rating: 8.2 out of 10

Based on 112 frontline employees who took The Breakroom Quiz

134th of 499 rated machine equipment manufacturers


Job description

What You Get Out of the Internship

At Stryker, we believe that developing the next generation of talent is just as important as developing life-changing medical technologies. As an intern, you won’t just observe — you’ll contribute to meaningful projects, gain exposure to leaders who will mentor you, and experience a culture of innovation and teamwork that is shaping the future of healthcare. As an intern, you will:

  • Apply classroom knowledge and gain experience in a fast-paced and growing industry setting
  • Implement new ideas, be constantly challenged, and develop your skills
  • Network with key/high-level stakeholders and leaders of the business
  • Be a part of an innovative team and culture
  • Experience documenting complex processes and presenting them in a clear format

Who We Want

Challengers. People who seek out the hard projects and work to find just the right solutions.

Teammates. Partners who listen to ideas, share thoughts and work together to move the business forward.

Charismatic networkers. Relationship-savvy people who intentionally make connections with both internal partners and external contacts.

Strategic thinkers. Interns who propose innovative ideas and consistently exceed their performance objectives.

Customer-oriented achievers. Individuals with an unparalleled work ethic and customer-focused attitude who bring value to their partnerships.

Game changers. Persistent interns who will stop at nothing to live out Stryker’s mission to make healthcare better.

Opportunities Available

As a Real-World Evidence Data Science intern at Stryker, you will:

  • Work cross functionally with different departments including Clinical Affairs, Health Economics & Outcomes Research (HEOR), Regulatory Affairs, and Marketing to support real-world evidence generation programs
  • Assist in the design and execution of observational studies using claims (e.g., Premier PINC AI, NIS) and other real-world data sources
  • Support data extraction, cleaning, and analysis of structured and unstructured healthcare data, including applying NLP techniques to unstructured billing/clinical data
  • Prepare literature review summaries and evidence syntheses to support publication and regulatory submission efforts
  • Build and refine statistical models (e.g., propensity matching, survival analysis) under the mentorship of the RWE Research team
  • Shadow cross-functional team meetings to gain exposure to how RWE informs regulatory, reimbursement, and commercial strategy

What You Need

Required:

  • Currently pursuing a Master’s degree in Biostatistics, Epidemiology, Health Services Research, Health Economics and Outcomes Research (HEOR), Health/Biomedical Informatics, Data Science, or a related quantitative field; must remain enrolled in a degree-seeking program after the internship
  • Cumulative 3.0 GPA or above (verified at time of hire)
  • Must be legally authorized to work in the U.S. and not require employment-based sponsorship now or in the future
  • Proficiency in SQL and at least one statistical/analytical programming language (Python or R)
  • Coursework or applied project experience with observational/real-world data (claims, EHR, or registry data)
  • Strong written and verbal communication skills, with proven ability to collaborate and build relationships
  • Demonstrated leadership, problem-solving, and organizational skills with the ability to manage multiple priorities
  • Proficiency in Microsoft Office (Excel, Word, PowerPoint) and eagerness to learn in a dynamic environment

Preferred:

  • Prior exposure to claims databases (Medicare, MarketScan, Premier PINC AI, Optum) or EHR data structures
  • Familiarity with causal inference methods (propensity score matching, instrumental variables) and/or survival analysis
  • Experience with NLP applied to unstructured healthcare text
  • Prior coursework, thesis, or practicum work in a medtech, pharma, or payer setting

$20 min hourly wage – $35 max hourly wage, sign-on bonus, 11 paid holidays annually, and either paid corporate housing or a living stipend, dependent upon hiring location

Stryker is a global leader in medical technologies and, together with its customers, is driven to make healthcare better. The company offers innovative products and services in MedSurg, Neurotechnology, Orthopaedics and Spine that help improve patient and healthcare outcomes. Alongside its customers around the world, Stryker impacts more than 150 million patients annually.


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