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Remote Optum Prior Authorization Jobs in Wisconsin

Physician 80%

Green Bay, WI · On-site +1

$205K - $262K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Job Details Applicants must be legally authorized to work in the United States (i.e. a citizen or ... This position is not eligible for remote work Shift: 0.8 FTE- days of the week will be determined ...

Child Care Counselor 1

Delavan, WI · On-site +1

$19.36/hr

Remote Work : This position is not eligible for remote work and requires the employee to be onsite ... A TB screen will be required prior to start. Legal authorization : Applicants must be legally ...

Social Worker

Green Bay, WI · On-site +1

$35.56 - $38.95/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Candidates with no prior permanent employment with the State of Wisconsin in the past 5 years may ... Applicants must be legally authorized to work in the United States (i.e. a citizen or national of ...

Senior Specialist HIMS

Arcadia, WI · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

Prefer that the candidate has prior ROI experience and customer service experience. Supports ... This is a hybrid position that is primarily remote. Candidates must reside within 100 miles of a ...

Product Manager - Gas Analyzers

Madison, WI · On-site +1

$113K - $150K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role is remote and open to candidates located in Massachusetts or the Madison, WI area, with ... Must be legally authorized to work in the United States without sponsorship now or in the future.

$75K - $85K/yr

  • Medical

  • Dental

  • Retirement

Remote positions and candidates can be located anywhere in the US. There will be in excess of 75 ... Performs site verification testing prior to cutting a site into a production environment.

Licensed Practical Nurse

Green Bay, WI · On-site +1

$38.59/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Job Details Applicants must be legally authorized to work in the United States (i.e. a citizen or ... This position is not eligible for remote work. Shifts: (0.75 FTE) Dodge Correctional Institution ...

Teacher - Adult Basic Education

Green Bay, WI · On-site +1

$30 - $35.06/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Job Details This position is not eligible for remote work and will work on site. This is a year ... Applicants must be legally authorized to work in the United States (i.e. a citizen or national of ...

Supervising Officer 2

Green Bay, WI · On-site +1

$51.63 - $55.31/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Job Details Applicants must be legally authorized to work in the United States (i.e. a citizen or ... As public safety employees, remote work is not an option for these positions. These positions have ...

Teacher - Production Baking

Lisbon, WI · On-site +1

$30 - $35.76/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Job Details Remote work is not available for this position. Anticipated schedule is Monday-Thursday ... Applicants must be legally authorized to work in the United States (i.e. a citizen or national of ...

Teacher - Cabinet Making

Lisbon, WI · On-site +1

$30 - $35.76/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Job Details This position is not eligible for remote work. Anticipated schedule will be Monday ... Applicants must be legally authorized to work in the United States (i.e. a citizen or national of ...

Supervising Officer 1

Green Bay, WI · On-site +1

$47.68 - $51.36/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Job Details Applicants must be legally authorized to work in the United States (i.e. a citizen or ... As public safety employees, remote work is not an option for these positions. These positions have ...

Associate Medical Director

Sturtevant, WI · On-site +1

$99.74 - $141.45/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Job Details Applicants must be legally authorized to work in the United States (i.e. a citizen or ... This position has the flexibility of a hybrid in-office and remote work schedule of up to 3 days ...

Teacher Supervisor SCI

Stanley, WI · On-site +1

$40 - $46.59/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Job Details This position is not eligible for remote work and will work on site. This position is ... Applicants must be legally authorized to work in the United States (i.e., a citizen or national of ...

Showing results 21-40

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?

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 job categories do people searching Remote Optum Prior Authorization jobs in Wisconsin look for?

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

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

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

Infographic showing various Remote Optum Prior Authorization job openings in Wisconsin as of August 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 100% Remote job distribution.

Physician 80%

State of Wisconsin

Green Bay, WI • On-site, Remote

$205K - $262K/yr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 20 days ago


State Of Wisconsin rating

7.8

Company rating: 7.8 out of 10

Based on 129 frontline employees who took The Breakroom Quiz

21st of 50 rated states


Job description

Introduction
The Department of Corrections is focused on public safety through the custody and supervision of those in our care. Corrections employees have the opportunity to positively impact the lives of others through careers in a variety of fields. Using evidence-based approaches, employees implement lasting change with a positive impact for the people of Wisconsin.
The Department of Corrections is currently recruiting to fill Physician (0.8 FTE) positions.
This is a reannouncement. If you previously applied for job ID 17540 and were found eligible, you do not need to reapply. You will be considered with your current score/results.
Current vacancies:
Green Bay Correctional Institution in Green Bay, WI
Chippewa Valley Correctional Treatment Facility in Chippewa Falls, WI
Position Summary
The Institution Physician is responsible for providing professional Primary Care medical services to persons in our care. The Primary Care Physician diagnoses and treats illness and injuries, and arranges for professional consultation when warranted.
The Primary Care Physician develops individual plans of care for patients, performs both chronic and acute care visits, and assists with medical emergencies. This position participates in multidisciplinary care team meetings, and also has the opportunity to participate in quality improvement initiatives. This position also participates in the day and evening on-call rotation.
This position also participates in the Quality Improvement Program and Infection Control Program and provides direct care at other institutions during vacations, illness, or emergencies, as directed. Takes on-call assignments as directed by the Bureau.
Salary Information
This position is in pay schedule and range 10-51 with an annual pay starting from $205046 to $262350.
Board Certified Physicians may earn supplemental pay of up to $21.00/hr while those that are eligible but not yet certified may earn up to$7.00/hr.
Employees at Green Bay Correctional Institution are eligible for a $5/hour add-on for all hours worked.
Pay will be set in accordance with the Compensation Plan and Wisconsin Administrative Code in effect at the time of hire. A twelve-month probationary period is required.
In addition to meaningful and rewarding work, we offer a competitive benefits package featuring:
  • Substantial leave time including at least 3.5 weeks of vacation to start, 9 paid holidays, and ample accrued sick time that rolls over each year.

  • Insurance : Excellent and affordable health, dental, vision, and life insurance.

  • An exceptional pension plan including a lifetime retirement payment.

  • An optional tax-advantaged 457 retirement savings plan .

  • The Well Wisconsin Program helps participants set health and well-being goals, track progress, stay motivated, and earn incentives.

  • Our Employee Assistance Program offers employees and their immediate family a variety of tools, resources, and professional consultation services to support their health, goals, and overall well-being.

  • DOC is a qualifying employer for the Public Service Loan Forgiveness program.

  • Please click here for a summary of State of Wisconsin employment benefits or click here to explore employment benefits on the website.

  • To help you understand what your benefit package would be worth, please see the Total Rewards Calculator here .

Job Details
Applicants must be legally authorized to work in the United States (i.e. a citizen or national of the U.S., a lawful permanent resident, or an alien authorized to work in the U.S. without DOC sponsorship) at the time of application.
The Department of Corrections will conduct criminal background checks on applicants prior to selection. Upon hire, all new DOC employees are subject to fingerprinting. The Department of Corrections may conduct pre-employment drug screens. Any applicant who is offered employment in a position which requires a pre-employment drug screen must pass the screen as a contingency of employment.
This position is not eligible for remote work
Shift: 0.8 FTE- days of the week will be determined upon hire
Qualifications
SPECIAL REQUIREMENT - Applicants must:
  • Possess a current, unrestricted/unlimited license to practice medicine in the State of Wisconsin
  • Possess a current Drug Enforcement Agency (DEA) number
  • Have education or training in Family Medicine, Emergency Medicine, Internal Medicine, or another area of primary care
  • Must be enrolled, or be eligible for enrollment as a provider, in Wisconsin Medicaid.

How To Apply
The initial screening prior to interview is based on a review of your license(s)/credential(s). You will affirm your possession of the required credential and enter your credential number into a text box.
To apply: Click on "Apply for Job" to start the application process. Follow the steps outlined in the application process to submit your application.
Submitted information will be evaluated and qualified applicants will be invited to participate in the next step of the selection process.
You will be asked about your license in the application process, and there will be a field for you to enter your license number. Please enter it as it appears on the DSPS website as this is how we will verify your license. This is the License # that ends in "-20". If your license is listed under a former name, please include your former name in the same text box after you enter your license number.
Current State of Wisconsin (non-UW) Employees: If you arrived at this posting through the Wisc.Jobs site, you will need to go to your Employee Self Services portal and apply through the "Careers" tile on the front page. Do not create an external account. Permanent classified employees who are eligible for consideration as a transfer or voluntary demotion must complete this application process in order to be considered.
Questions can be directed to Jordan Hampton, HR Specialist- Senior, at Jordan.Hampton@wisconsin.gov
The State of Wisconsin is an Equal Opportunity and Affirmative Action employer seeking a diverse and talented workforce. We provide reasonable accommodations to applicants and employees with disabilities.
The State of Wisconsin offers a special program for qualified veterans with a 30% or greater service-connected disability. If you are a qualified veteran, please visit the Veterans Employment page for application instructions to be considered for the Veterans Non-Competitive Appointment program. Current State employees are not eligible for non-competitive appointment.
Deadline to Apply
Applications will be accepted on an ongoing basis until 1 1:59 pm on September 3, 2026.
For general wisc.jobs user information and technical assistance, please see the wisc.jobs Commonly Asked Questions page. Some users report better performance when using the Chrome browser.

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