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Remote Optum Prior Authorization Jobs in Puerto Rico

Scrum Master (Puerto Rico)

Santa Isabel, PR · On-site +1

$46.50 - $62/hr

Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:

Data Analytics Engineer (Puerto Rico)

Santa Isabel, PR · On-site +1

$103K - $124K/yr

Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:

Showing results 21-40

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 are popular job titles related to Remote Optum Prior Authorization jobs in Puerto Rico?

For Remote Optum Prior Authorization jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Remote Optum Prior Authorization jobs in Puerto Rico look for?

The top searched job categories for Remote Optum Prior Authorization jobs in Puerto Rico are:

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

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

Microsoft O365 Engineer (Puerto Rico)

Collins Aerospace

Santa Isabel, PR • Remote

Full-time

Medical, Life, Retirement

Posted 19 days ago


Collins Aerospace rating

8.4

Company rating: 8.4 out of 10

Based on 251 frontline employees who took The Breakroom Quiz

33rd of 72 rated aerospace companies


Job description

Date Posted:

2026-07-29

Country:

United States of America

Location:

US-PR-SANTA ISABEL-B1 ~ Felicia Industrial Park - St B1 ~ BLDG 1

Position Role Type:

Remote

U.S. Citizen, U.S. Person, or Immigration Status Requirements:

U.S. citizenship is required, as only U.S. citizens are authorized to access information under this program/contract.

Security Clearance:

None/Not Required

At RTX, the world's largest aerospace and defense company, 185,000 great minds are united by purpose and inspired to make a difference solving the world’s most complex problems. With our three market leading businesses, world-class operations and investments in research and development, we offer capabilities and opportunity no one else can. Together, we push the boundaries of known science and find new ways to connect and protect our world. Join us and help shape the future of aerospace and defense.

The following position is to join our RTX Enterprise Services team in Santa Isabel, Puerto Rico:

What You Will Do

  • Microsoft's O365 subject matter expert in Office, Teams, SharePoint, Outlook, and OneDrive,
  • Office 365 administration, groups, licensing, automations, tenant health, and new service enablement.
  • Design and implementation of products based on requirements while meeting cyber and security policies for an IT subject matter area
  • Provide measurable input for new products/services, processes or standards in operational plans in order to implement business strategies.
  • Responsible for influencing others regarding policies, practices related to Microsoft Office 365 suite of products.
  • Execute change management requests and provide support for scheduled and planned maintenance
  • Support Operations Tier 3 for Tenant Engineering is essential
  • Participate in researching and testing next generation technologies
  • Coordination and escalation to Microsoft Support
  • Responsible for making moderate to significant improvements of processes, systems or products to enhance performance of work area
  • This position will reference written work instructions for guidance with daily job activities. Work instructions are available in English only.

Qualifications You Must Have

  • A University Degree or equivalent experience and minimum 5 years prior relevant experience, or an Advanced Degree in a related field and minimum 3 years experience.
  • 2+ years of experience working as an O365 engineer.
  • Experience working with PowerShell.

Qualifications We Prefer

  • Proven experience in providing enhancements within a dynamic environment where agile methodology is applied at scale.
  • Excellent decision making and critical-thinking skills
  • Ability to meet deadlines with Projects and Assignments
  • Ability to learn and support new technologies and train others
  • Energetic, highly motivated self-starter with a positive attitude
  • Outstanding organizational and communication skills are required
  • Detail oriented and has the ability to multi-task
  • O365 Certification a plus
  • Ability to adapt to a fast-paced environment

What We Offer

Whether you’re just starting out on your career journey or are an experienced professional, we offer a robust total rewards package with compensation; healthcare, wellness, retirement and work/life benefits; career development and recognition programs. Some of the benefits we offer include parental (including paternal) leave, flexible work schedules, achievement awards, educational assistance and child/adult backup care.

Learn More & Apply Now!
Location:
This position is remote. However, the successful candidate must be currently living in Puerto Rico.

Please consider the following role type definition as you apply for this role:
Remote:
This position is currently designated as remote. Employees who are working in Remote roles will work primarily offsite (from home). The employee may be expected to travel to the Santa Isabel site location as needed.

RTX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status, or any other applicable state or federal protected class. RTX provides affirmative action in employment for qualified Individuals with a Disability and Protected Veterans in compliance with Section 503 of the Rehabilitation Act and the Vietnam Era Veterans’ Readjustment Assistance Act.

Privacy Policy and Terms:

Click on this link to read the Policy and Terms


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About Collins Aerospace

Sourced by ZipRecruiter

Collins Aerospace, a Raytheon Technologies company, is a leader in technologically advanced and intelligent solutions for the global aerospace and defense industry. Collins Aerospace has the capabilities, comprehensive portfolio and expertise to solve customers' toughest challenges and to meet the demands of a rapidly evolving global market.

Industry

Aviation

Company size

10,000+ Employees

Headquarters location

Charlotte, NC, US

Year founded

2018