ZipRecruiter

Log In

2

Remote Optum Prior Authorization Jobs in Addison, IL

Osaic

Sr. Financial Planning Strategist

Chicago, IL · On-site +1

$140K - $160K/yr

Petersburg, FL 33702 Remote applicants may potentially be considered for this role. Osaic has ... Eligibility Applicants for employment in the US must have valid work authorization that does not ...

Miller Cooper

QA Automation Engineer

Chicago, IL · Remote

$85K - $95K/yr

Fully remote role that has a large business impact. How You'll Contribute * Design and maintain ... Legal authorization to work in the United States Preferred * Experience with Django applications

Miller Cooper

QA Automation Engineer

Chicago, IL · Remote

$85K - $95K/yr

Fully remote role that has a large business impact. How You'll Contribute * Design and maintain ... Legal authorization to work in the United States Preferred * Experience with Django applications

SPINS

Senior Analyst - Client Insights

Chicago, IL · On-site +1

$79K - $95K/yr

... remote based employment. Applicants must be authorized to work in the U.S. without the need for ... Prior experience with Circana, Nielsen, or SPINS syndicated data * 2+ years of experience with a ...

InterPark

Call Center Foreman - CHC PT

Chicago, IL · On-site +1

$17.85/hr

Call Center Foreman position answers calls from a centralized remote monitoring location for ... Desired Characteristics: • High School Diploma or GED. • Prior customer service or parking ...

previous page

Showing results 41-60

All JobsOptum Prior Authorization JobsRemote Optum Prior Authorization JobsRemote Optum Prior Authorization Jobs in Addison, IL

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 job categories do people searching Remote Optum Prior Authorization jobs in Addison, IL look for?

The top searched job categories for Remote Optum Prior Authorization jobs in Addison, IL are:

What cities near Addison, IL are hiring for Remote Optum Prior Authorization jobs?

Cities near Addison, IL with the most Remote Optum Prior Authorization job openings:

Remote Optum Prior Authorization jobs near you
Infographic showing various Remote Optum Prior Authorization job openings in Addison, IL as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Lead AI ML Engineer - AWS Connect - Remote

UnitedHealth Group

Schaumburg, IL • On-site, Remote

$112K - $193K/yr

Full-time

Retirement

Re-posted 17 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

193rd of 898 rated healthcare providers

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Leads design and delivery of scalable voice and chat solutions using Amazon Connect, owning contact flows, integrations, and overall platform reliability.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
  • Design and manage Amazon Connect contact flows (IVR & chat)
  • Build Lambda-based integrations for backend APIs
  • Integrate with Lex bots and external systems
  • Optimize routing, queues, and call handling
  • Ensure high availability, monitoring, and performance
  • Lead production support, RCA, and continuous improvements

Architecture Expectations
  • Decoupled design (Connect → Lambda → APIs)
  • Clean separation of routing, business logic, and integrations
  • Scalable and reusable contact flow patterns

Success Criteria
  • Stable call flows with low failure rates
  • Efficient routing and reduced wait times
  • Solid monitoring and quick issue resolution

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • 5+ years of experience with APIs, event-driven design, and IVR systems
  • 2+ years of experience with Node.js (TypeScript preferred)
  • 2+ years of experience with AWS: Amazon Web Services, Amazon Connect, AWS Lambda, Amazon API Gateway
  • 2+ years of experience with conversational: Amazon Lex
  • Must be authorized to work in the United States without the need for current or future employer-sponsored visa sponsorship (e.g., H-1B, TN, F-1/OPT, CPT, or other employment-based visa status)

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#OptumTechPJ

What UnitedHealth Group employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply