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Remote Optum Prior Authorization Jobs in Wisconsin

Physician 80%

Green Bay, WI · On-site +1

$205K - $262K/yr

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 ...

Social Worker

Green Bay, WI · On-site +1

$35.56 - $38.95/hr

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 ...

$75K - $85K/yr

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.

Chaplain

Sturtevant, WI · On-site +1

$27 - $35.03/hr

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

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 ...

Education Director

Green Bay, WI · On-site +1

$41.58 - $54.48/hr

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. Qualifications Minimally qualified applicants will ...

Registered Nurse Transfer Center

Lannon, WI · On-site +1

$40.41 - $57.05/hr

Remote - Must be within 1 hour of Milwaukee, WI Department: Transfer Center Schedule: Mid shift ... Registered Nurse obtained prior to hire date or job transfer date required. * BLS Provider ...

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 - Cabinet Making

Lisbon, WI · On-site +1

$30 - $35.76/hr

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 ...

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 Wisconsin?

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

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 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Dental Assistant - Milwaukee Youth Facility

State of Wisconsin

Milwaukee, WI • On-site, Remote

$20.94/hr

Part-time

Medical, Dental, Vision, Life, Retirement

Posted 7 days ago


State Of Wisconsin rating

7.9

Company rating: 7.9 out of 10

Based on 130 frontline employees who took The Breakroom Quiz

17th 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 a part time Dental Assistant, located at the Milwaukee Youth Facility in Milwaukee, Wisconsin.
Position Summary
The Dental Assistant provides chairside dental assistance and office management services in the facility dental clinic. This position involves a wide range of responsibilities and the ability to coordinate multiple activities simultaneously in order to ensure efficient dental office operation. The incumbent in this position should be able to adjust to the dentist's preferred methods of operation and keep current on dental assisting, dental materials, and office procedures
Salary Information
This position is in pay schedule and range 06-11 with a starting pay rate of $20.94/hour, plus excellent benefits. Pay will be set in accordance with the Compensation Plan and Wisconsin Administrative Code in effect at the time of hire. A probationary period is required.
In addition to meaningful and rewarding work, we offer a competitive benefits package featuring:
  • Substantial leave time , 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
This position is not eligible for remote work.
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 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.
The Department of Corrections will conduct criminal background checks on applicants prior to selection. Upon hire, all new DOC employees are subject to fingerprinting.
For more in-depth information on employment with the State of Wisconsin, please see the State Employee Handbook .
The anticipated schedule will be either 7 AM - 3:30 PM three days per week or 7 AM - 7:30 PM two days per week.
Qualifications
Applicants will be asked about their:
  • Ability to perform dental assistant procedures including chairside assistance and expanded functions such as assisting for restorative, endodontic, prosthetic and oral surgical procedures.
  • Experience performing filing and using a personal computer for tasks such as: general communication and correspondence, report preparation, and inventory control.
Have Knowledge in areas such as:
  • Infection control practices, sterilization techniques and aseptic procedures.
  • Dental laboratory & radiology procedures, including safety precautions.
  • Dental nomenclature and names of dental instruments and equipment.
  • Dental materials, their use, and storage procedures.
  • First Aid Procedures
  • Ethical standards of dental practice.
Special Requirement : Must maintain certification in BLS by the American Heart Association and training in the use of the AED and have the ability to perform BLS and/or first aid to prevent loss of life and relieve suffering until appropriate care arrives.
How To Apply
To apply, click on "Apply for Job" to start the application process. Follow the steps outlined in the application process and submit your application.
The initial screening prior to interview is based on your response to the screening questionnaire. Submitted information will be evaluated and qualified applicants will be invited to participate in the next step of the selection process.
Permanent classified employees who are eligible for consideration as a transfer or voluntary demotion must complete the application process in order to be considered.
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.
Questions can be directed to Katie Benson, HR Supervisor, at kathryn.benson@wisconsin.gov or 608-577-5668.
Deadline to Apply
Online application and materials must be submitted by 11:59 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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