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Remote Optum Prior Authorization Jobs in Indiana

ABB

Field Service Technician

Portage, IN · Remote

The work model for the role is: #LI - Remote This role is contributing to the Electrification ... Candidates must already have a work authorization that would permit them to work for ABB in the US.

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Remote Optum Prior Authorization information

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 is a Remote Optum Prior Authorization job?

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.

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.

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 most commonly searched types of Optum Prior Authorization jobs in Indiana? The most popular types of Optum Prior Authorization jobs in Indiana are:
What are popular job titles related to Remote Optum Prior Authorization jobs in Indiana? For Remote Optum Prior Authorization jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Remote Optum Prior Authorization jobs in Indiana look for? The top searched job categories for Remote Optum Prior Authorization jobs in Indiana are:
What cities in Indiana are hiring for Remote Optum Prior Authorization jobs? Cities in Indiana with the most Remote Optum Prior Authorization job openings:
Remote Optum Prior Authorization jobs near you
Sr Analyst - Strategic Partner Integration

Sr Analyst - Strategic Partner Integration

World Wide Technology

Evansville, IN • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

World Wide Technology rating

7.7

Company rating: 7.7 out of 10

Based on 71 frontline employees who took The Breakroom Quiz

79th of 207 rated it services

Job description

Eligible Work Locations: Remote - Nationwide, United States

PLEASE NOTE: This position requires permanent U.S. work authorization. Candidates requiring current or future visa sponsorship, including those on F‑1/OPT, CPT or H1B, are not eligible for this role. This role is not open for staffing partners or corp‑to‑corp candidates.

Why WWT?

At World Wide Technology, we work together to make a new world happen. Our important work benefits our clients and partners as much as it does our people and communities across the globe. WWT is dedicated to achieving its mission of creating a profitable growth company that is also a Great Place to Work for All. We achieve this through our world-class culture, generous benefits and by delivering cutting-edge technology solutions for our clients.

Founded in 1990, WWT is a global technology solutions provider leading the AI and Digital Revolution. WWT combines the power of strategy, execution and partnership to accelerate digital transformational outcomes for organizations around the globe. Through its Advanced Technology Center, a collaborative ecosystem of the world's most advanced hardware and software solutions, WWT helps clients and partners conceptualize, test and validate innovative technology solutions for the best business outcomes and then deploys them at scale through its global warehousing, distribution and integration capabilities.

With over 12,000 employees across WWT and Softchoice and more than 60 locations around the world, WWT's culture, built on a set of core values and established leadership philosophies, has been recognized 14 years in a row by Fortune and Great Place to Work® for its unique blend of determination, innovation and creating a great place to work for all.

Want to work with highly motivated individuals on high-performance teams? Join WWT today!

What will you be doing?

IT Senior Analyst position will assist in requirement collection and refinement activities associated with the systematic exchange of critical data elements between WWT and our partners. This role will also plan and conduct the testing and validation of solutions with internal and external stakeholders prior to deployment to our Production environment. You will work in a fast-paced environment with a dynamic team consisting of other Developers, other Analysts, and Architects. Team Members utilize a broad range of functional and technical skills and are encouraged to expand their functional knowledge and technical capabilities. This position will serve as an IT Senior Analyst for the Strategic Partner Integration (SPI) team.

RESPONSIBILITIES:

  • Gather business and functional requirements for new requests and assemble pertinent detail into an easily consumed and readily understood format
  • Create and maintain techno-functional documentation related to existing Business-to-Business integration-based solutions
  • Define test conditions and execute test scripts to ensure system stability, validity, and data integrity
  • Partner with SPI Developer peer group to ensure technical design meets stated requirements
  • Manage complex integration projects that may have broad and ambiguous scope
  • Lead demos and training sessions of new and existing functionality for both technical and non-technical audiences
  • Actively contribute during all Agile Ceremonies (PI Planning, Daily Stand-ups, Team Retros, etc)
  • Provide functional and end-user perspectives during grooming/planning Agile ceremonies
  • Leverage your knowledge and experience to mentor and coach and help grow other members of the team

REQUIRED QUALIFICATIONS:

  • Bachelor’s Degree in Computer Science, Engineering, MIS, or related technical field.
  • 5+ years’ experience working in an IT Analyst (or equivalent) capacity
  • Experience in working and collaborating with business and cross-functional teams
  • Expertise in writing/troubleshooting PL/SQL statements and in-depth familiarity with database operations
  • Ability to lead requirement discussions, brainstorming, and design discussions
  • Ability to quickly learn and implement new skills, technologies, frameworks, and tools
  • Strong communication skills (written, verbal, and presentation)
  • Strong analytical, troubleshooting, and debugging skills
  • Highly responsible, team-oriented individual with strong work ethic and ability to act as a self-starter

PREFERRED QUALIFICATIONS:

  • Familiarity with Agile Development Methodologies (Story Pointing, Grooming, Planning, etc.)
  • Experience with full project implementation from concept to production support
  • Knowledge of Supply Chain services, strategy, processes, and tools
  • Experience in supporting back-end systems for Quoting, Order Management, Purchasing, Procurement, Logistics, Warehouse Management Systems (Knowledge of Oracle EBS Forms is a plus)
  • Familiarity with Agile Development Methodologies
  • Familiarity or working experience with Integration-centric technologies - cXML, JSON, EDI X12, SFTP, SOAP, and RESTful based Web Services

Location: St. Louis MO

Certain states and localities require employers to post a reasonable estimate of salary range. A reasonable estimate of the current base pay range for this position is $96,400 to $120,500 annually. Actual salary will be based on a variety of factors, including shift, location, experience, skill set, performance, licensure and certification, and business needs. The range for this position in other geographic locations may differ. Certain positions may also be eligible for variable incentive compensation, such as bonuses or commissions, that is not included in the base pay.

The well-being of WWT employees is essential. So, when it comes to our benefits package, WWT has one of the best. We offer the following benefits to all full-time employees:

  • Health and Wellbeing: Health, Dental, and Vision Care, Onsite Health Centers, Employee Assistance Program, Wellness program
  • Financial Benefits: Competitive pay, Profit Sharing, 401k Plan with Company Matching, Life and Disability Insurance, Tuition Reimbursement
  • Paid Time Off: PTO and Sick Leave (starting at 20 days per year) & Holidays (10 per year), Parental Leave, Military Leave, Bereavement
  • Additional Perks: Nursing Mothers Benefits, Voluntary Legal, Pet Insurance, Employee Discount Program

We strive to create an environment where all employees are empowered to succeed based on their skills, performance, and dedication. Our goal is to cultivate a culture of belonging that encourages innovation, collaboration, and respect for all team members, ensuring that WWT remains a great place to work for All!

If you have any questions or concerns about this posting, please emailtaposting@wwt.com.

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