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Remote Optum Prior Authorization Jobs in Wisconsin

Teacher - Production Baking

Lisbon, WI · On-site +1

$30 - $35.76/hr

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 ...

Supervising Officer 1

Green Bay, WI · On-site +1

$47.68 - $51.36/hr

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 ...

Dairy Specialist

Waupun, WI · On-site +1

$28.11/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. Shift: Monday- Friday 6:00am- 2:00pm Qualifications ...

Electrician

Waupun, WI · On-site +1

$48.89 - $49.67/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 and will work on site. Must have the ability to work ...

Teacher ABE & SPED

Plymouth, WI · On-site +1

$27 - $35.06/hr

Note: Remote work is not available for this position. Qualifications Minimally qualified a ... Recommend Teaching Methods course if no prior teaching experience or no credits in Teaching Methods ...

Industry Account Manager

Appleton, WI · Remote

$142K - $213K/yr

Legal authorization to work in the U.S. We will not sponsor individuals for employment visas, now ... Prior experience in technical sales, industrial distribution, channel sales or system integration

TSA Oshkosh/Appleton WI

Milwaukee, WI · Remote

$15.50 - $16.50/hr

... remote position; candidates must be comfortable traveling to each of the store locations. This ... Sell and maintain 100% distribution of all "authorized" Hershey Items in assigned territory.

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 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 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 82% Full Time, and 18% Part Time. Highlights an 100% Remote job distribution.

Teacher - Production Baking

State of Wisconsin

Lisbon, WI • On-site, Remote

$30 - $35.76/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 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 a Teacher - Production Baking position. This position is based out of New Lisbon Correctional Institution in New Lisbon, WI (Juneau County).
Position Summary
This position will develop and implement a program of professional educational services in Production Baking to persons in our care (students) in order to meet their assessed individual academic and/or vocational needs.
This instructor will provide instruction in the area of baking to include estimating and ordering supplies, quantity baking, production scheduling, equipment operation, recipe conversion, inventory control, quality control, sanitation and safety and portion control.
This position will also complete all required documentation of student assessment / progress and other reporting requirements in a timely manner, monitor and manage student behavior, attend staffings and meetings.
This teacher will provide training to others and engage in specialized instruction and projects upon request.
This position ultimately requires a Bachelor's degree and any candidate hired without one will be required to obtain one at their own expense.
Salary Information
This position is in pay schedule and range 13-04 with a starting pay of $30.00/hour - $35.76/hour . 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.
This position may receive supplemental (add-on) pay adjustments for additional credits relevant to the position that are over and above the credits needed for certification. This add-on ranges from $0.97/hour to $2.97/hour of additional pay, based on relevant credits and professional development actions, as allowed in Section A (4.12) of the Compensation Plan .
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
Remote work is not available for this position.
Anticipated schedule is Monday-Thursday 6:00 AM to 4:30 PM.
This position is FLSA Exempt. This position is not anticipated to travel on a regular basis, but most DOC positions occasionally travel for training, meetings, conferences, or similar events.
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 .
Qualifications
Minimally qualified applicants will have:
A Bachelor's degree from an accredited college or university and at least two (2) years (4,000 hours) of documented professional baking experience. At least one (1) year (2,000 hours) of the related work experience must be within the past five (5) years.
OR
At least 3.5 years (7,000 hours) of documented professional baking experience making a variety of bakery products, with a demonstrated understanding of the science of baking. At least one (1) year (2,000 hours) of the related work experience must be within the past five (5) years.
Special Requirements:
Employees will be required to obtain a ServSafe Instructor and Proctor Certificate (along with a copy of a minimum 75% test score) granted by the National Restaurant Association AND a ServSafe Food Manager Certificate (along with a copy of a 90% Score) granted by the National Restaurant Association within six months of hire .
Make sure to attach relevant transcripts, as well as any other applicable credentials, licenses, or certifications. If these materials are missing, incomplete, or illegible, you will not be eligible to move forward in the selection process.
Employees with an Associate's degree or without a degree must be willing to obtain a Bachelor's degree at their own expense. The employee must enroll in an accredited college or university as soon as feasible and start courses towards the degree before the end of the 12-month probationary period. The employee will be required to enroll in (and pass) six (6) credits in an academic year towards the education requirement.
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.
Your resume and letter of qualifications should detail your training and experience specifically related to the qualifications section listed in the job posting and are limited to a maximum of 2 pages each.
The Department of Corrections has created extra guidance to assist you in developing your resume and letter of qualifications. Wisc.Jobs also has extra guidance for your application materials.
This application also requires submission of your Associate's or Bachelor's Degree college transcripts (if applicable) . They do not need to be certified transcripts for application; unofficial but complete transcripts are acceptable. In Step 5 of 6 you will see a "Supporting Documentation". One of document types available when uploading documents will be "Transcripts", which is what you should use.
Since the position requires "hours of documented experience" make sure to be specific about start and end dates of positions , either on your resume or in the letter of qualifications.
We recommend combining transcripts or certifications into one document before upload, but if you are not able to you can upload an additional file as "Other". You can also paste images or screenshots into a single document file and then save as a PDF. Just check to make sure it is all legible and the document will open before you upload.
Your resume and letter of qualifications should detail your training and experience specifically related to the qualifications section listed in the job posting, especially if there is anything that needs to be elaborated on regarding your transcripts.
Submitted materials will be evaluated by a panel of job experts 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.
Quest ions can be directed to Athena Foster, HR Specialist - Senior, at Athena.Foster@wisconsin.gov .
Deadline to Apply
Applications will be accepted on an ongoing basis until the needs of the department are met. Applications are processed every week, usually on Thursdays. After your application is processed, you will receive an eligibility designation. The register created from this announcement will be used to fill vacancies, statewide, as they occur for up to 6 months.
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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