Analyze complex medical information to assess the clinical necessity of requested therapies and ... Monitor and analyze prior authorization data to identify trends, areas of improvement, and ...
Analyze complex medical information to assess the clinical necessity of requested therapies and ... Monitor and analyze prior authorization data to identify trends, areas of improvement, and ...
Prior Authorization Coordinator I
Tempe, AZ · On-site +1
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Prior Authorization Coordinator I
Tempe, AZ · On-site +1
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Prior Authorization Coordinator I
San Diego, CA · On-site
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Prior Authorization Coordinator I
San Diego, CA · On-site
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing ...
Prior Authorization Specialist / Remote
Englewood, CO · Remote
$21 - $26/hr
This role requires working knowledge of pharmacy benefits and prior authorization process. Schedule ... Basic math and analytical skills * Intermediate typing/keyboard skills About our Line of ...
Prior Authorization Specialist / Remote
Englewood, CO · Remote
$21 - $26/hr
This role requires working knowledge of pharmacy benefits and prior authorization process. Schedule ... Basic math and analytical skills * Intermediate typing/keyboard skills About our Line of ...
Analyze complex medical information to assess the clinical necessity of requested therapies and ... Monitor and analyze prior authorization data to identify trends, areas of improvement, and ...
Analyze complex medical information to assess the clinical necessity of requested therapies and ... Monitor and analyze prior authorization data to identify trends, areas of improvement, and ...
Prior Authorization Specialist / Remote
Englewood, CO · On-site +1
$21/hr
This role requires working knowledge of pharmacy benefits and prior authorization process. Schedule ... Basic math and analytical skills * Intermediate typing/keyboard skills About our Line of Business ...
Prior Authorization Specialist / Remote
Englewood, CO · On-site +1
$21/hr
This role requires working knowledge of pharmacy benefits and prior authorization process. Schedule ... Basic math and analytical skills * Intermediate typing/keyboard skills About our Line of Business ...
Prior Authorization Specialist - Sandy
Sandy, UT · On-site
$17 - $22.75/hr
... protocols. -Analyze insurance policies for each case and communicate with internal teams or ... prior authorization systems. -Comfortable working in software like a PMS or EMR to track ...
Prior Authorization Specialist - Sandy
Sandy, UT · On-site
$17 - $22.75/hr
... protocols. -Analyze insurance policies for each case and communicate with internal teams or ... prior authorization systems. -Comfortable working in software like a PMS or EMR to track ...
Prior Authorization Specialist - Sandy
Sandy, UT · On-site
$17 - $22.75/hr
Behind every approved infusion treatment is a Prior Authorization Specialist who navigated payer ... Analyze insurance policies for each case and communicate with internal teams or providers to obtain ...
Prior Authorization Specialist - Sandy
Sandy, UT · On-site
$17 - $22.75/hr
Behind every approved infusion treatment is a Prior Authorization Specialist who navigated payer ... Analyze insurance policies for each case and communicate with internal teams or providers to obtain ...
Prior Authorization Specialist II
$18.50 - $24.50/hr
Prior Authorization Specialist II Department: Pre-visit Services New to OU Health? Ask your ... Ability to analyze denial trends and recommend corrective actions. * Excellent written and verbal ...
Prior Authorization Specialist II
$18.50 - $24.50/hr
Prior Authorization Specialist II Department: Pre-visit Services New to OU Health? Ask your ... Ability to analyze denial trends and recommend corrective actions. * Excellent written and verbal ...
Prior Authorization Specialist II
$18.50 - $24.50/hr
Prior Authorization Specialist II Department: Pre-visit Services New to OU Health? Ask your ... Ability to analyze denial trends and recommend corrective actions. * Excellent written and verbal ...
Prior Authorization Specialist II
$18.50 - $24.50/hr
Prior Authorization Specialist II Department: Pre-visit Services New to OU Health? Ask your ... Ability to analyze denial trends and recommend corrective actions. * Excellent written and verbal ...
Director, Prior Authorization
Orlando, FL · On-site
Monitor and analyze prior authorization performance metrics, turnaround times, and cost-savings impact. * Develop and deliver regular operational and performance reports for internal leadership and ...
Quick apply
Director, Prior Authorization
Orlando, FL · On-site
Monitor and analyze prior authorization performance metrics, turnaround times, and cost-savings impact. * Develop and deliver regular operational and performance reports for internal leadership and ...
Monitor and analyze prior authorization performance metrics, turnaround times, and cost-savings impact. * Develop and deliver regular operational and performance reports for internal leadership and ...
Quick apply
Monitor and analyze prior authorization performance metrics, turnaround times, and cost-savings impact. * Develop and deliver regular operational and performance reports for internal leadership and ...
Specialist I, Prior Authorization-Lumicera
$18.67 - $21/hr
The Prior Authorization Specialist's main objective is to answer phone calls and contact the ... Pharmacy technician license or pharmacy technician trainee license is strongly preferred in states ...
Specialist I, Prior Authorization-Lumicera
$18.67 - $21/hr
The Prior Authorization Specialist's main objective is to answer phone calls and contact the ... Pharmacy technician license or pharmacy technician trainee license is strongly preferred in states ...
Specialist I, Prior Authorization-Lumicera
$18.67 - $21/hr
The Prior Authorization Specialist's main objective is to answer phone calls and contact the ... Pharmacy technician license or pharmacy technician trainee license is strongly preferred in states ...
Specialist I, Prior Authorization-Lumicera
$18.67 - $21/hr
The Prior Authorization Specialist's main objective is to answer phone calls and contact the ... Pharmacy technician license or pharmacy technician trainee license is strongly preferred in states ...
Prior Authorization Specialist II
$18.50 - $24.50/hr
Prior Authorization Specialist II Department: Pre-visit Services New to OU Health? Ask your ... Ability to analyze denial trends and recommend corrective actions. * Excellent written and verbal ...
Prior Authorization Specialist II
$18.50 - $24.50/hr
Prior Authorization Specialist II Department: Pre-visit Services New to OU Health? Ask your ... Ability to analyze denial trends and recommend corrective actions. * Excellent written and verbal ...
Monitor and analyze prior authorization performance metrics, turnaround times, and cost-savings impact. * Develop and deliver regular operational and performance reports for internal leadership and ...
Monitor and analyze prior authorization performance metrics, turnaround times, and cost-savings impact. * Develop and deliver regular operational and performance reports for internal leadership and ...
Prior Authorization Manager
Manhattan, NY · On-site
$60K - $75K/yr
Lead root cause analyses to identify and resolve recurring operational challenges. * Maintain ... Experience with prior authorization management platforms is preferred
Prior Authorization Manager
Manhattan, NY · On-site
$60K - $75K/yr
Lead root cause analyses to identify and resolve recurring operational challenges. * Maintain ... Experience with prior authorization management platforms is preferred
Prior Authorization Specialist - Sandy
Sandy, UT · On-site
$24 - $28/hr
... protocols. -Analyze insurance policies for each case and communicate with internal teams or ... prior authorization systems. -Comfortable working in software like a PMS or EMR to track ...
Prior Authorization Specialist - Sandy
Sandy, UT · On-site
$24 - $28/hr
... protocols. -Analyze insurance policies for each case and communicate with internal teams or ... prior authorization systems. -Comfortable working in software like a PMS or EMR to track ...
PRIOR AUTHORIZATION CLERK
Coffeyville, KS · On-site
$29K - $33K/yr
Verify prior authorization and/or pre-service requirements are met * Manage and maintain all ... Analytical ability to apply criteria and evaluate information to make decisions * Strong verbal and ...
PRIOR AUTHORIZATION CLERK
Coffeyville, KS · On-site
$29K - $33K/yr
Verify prior authorization and/or pre-service requirements are met * Manage and maintain all ... Analytical ability to apply criteria and evaluate information to make decisions * Strong verbal and ...
Prior Authorization Manager
Frisco, TX · On-site
PRIOR AUTHORIZATION MANAGER Texas Institute for Neurological Disorders / US Neurology Associates ... Own denial and appeal workflows, including root-cause analysis, clinical documentation coordination ...
Quick apply
Prior Authorization Manager
Frisco, TX · On-site
PRIOR AUTHORIZATION MANAGER Texas Institute for Neurological Disorders / US Neurology Associates ... Own denial and appeal workflows, including root-cause analysis, clinical documentation coordination ...
Trainee Prior Authorization Analyst information
See salary details
$37.5K - $46.5K
3% of jobs
$46.5K - $55.4K
5% of jobs
$63.1K is the 25th percentile. Wages below this are outliers.
$55.4K - $64.4K
19% of jobs
$64.4K - $73.3K
6% of jobs
$73.3K - $82.3K
1% of jobs
$82.3K - $91.2K
4% of jobs
The median wage is $95.3K / yr.
$91.2K - $100.2K
23% of jobs
$100.2K - $109.1K
1% of jobs
$112K is the 75th percentile. Wages above this are outliers.
$109.1K - $118.1K
35% of jobs
$118.1K - $127K
0% of jobs
$127K - $136K
1% of jobs
$37.5K
$92.2K
$136K
How much do trainee prior authorization analyst jobs pay per year?
What cities are hiring for Trainee Prior Authorization Analyst jobs?
Cities with the most Trainee Prior Authorization Analyst job openings:
What are the most commonly searched types of Prior Authorization Analyst jobs?
The most popular types of Prior Authorization Analyst jobs are:
What states have the most Trainee Prior Authorization Analyst jobs?
States with the most job openings for Trainee Prior Authorization Analyst jobs include:
What are popular job titles related to Trainee Prior Authorization Analyst jobs?
For Trainee Prior Authorization Analyst jobs, the most frequently searched job titles are:

Prior Authorization Manager
Huntsville, AL • On-site
Full-time
Posted 22 days ago
OneOncology rating
7.9
Based on 18 frontline employees who took The Breakroom Quiz
Job description
Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Job Description:
Job purpose: Oversee the process of obtaining prior authorization for hematology and oncology treatments from insurance companies, ensuring timely access to necessary medications and therapies while adhering to clinical guidelines and payer requirements, by managing a team of prior authorization specialist and coordinating with healthcare providers and insurance companies to navigate complex authorization processes.
Duties include:
Team Leadership:
- Manage a team of oncology prior authorization specialists, assigning tasks, monitoring performance and providing coaching to ensure efficient and accurate processing of authorization requests
- Develop and implement strategies to optimize team productivity and meet established performance metrics
Clinical Review and Decision Making
- Conduct comprehensive reviews of oncology/hematology treatment plans and patient medical records to determine appropriate prior authorization requests based on clinical guidelines, payer policies, and treatment protocols
- Analyze complex medical information to assess the clinical necessity of requested therapies and identify potential issues that may impact authorization approvals
Payer Management
- Stay updated on evolving payer policies and reimbursement guidelines, communicating changes to the team and adapting strategies accordingly
Patient Advocacy
- Collaborate with healthcare providers, nurses, and patients to address any prior authorization delays or denials, exploring appeals processes when necessary
- Ensure clear communication with patients regarding their prior authorization status
Data Analysis and Reporting
- Monitor and analyze prior authorization data to identify trends, areas of improvement, and potential cost savings opportunities
- Generate reports for leadership regarding prior authorization performance, including approval rates, turnaround times, and denials reasons
Compliance and Quality Assurance
- Ensure adherence to all relevant regulatory guidelines and compliance standards related to prior authorization processes
- Implement quality control measures to monitor accuracy and consistency of prior authorization submissions
Education/Experience
- Required bachelor's degree in nursing, pharmacy, or healthcare administration
- Master's degree preferred, but not required
- Extensive knowledge of oncology treatments, clinical guidelines and payer policies
- Proven experience in prior authorization management, particularly within the oncology setting
- Strong analytical and problem-solving skills to navigate complex patient cases and payer requirements
- Excellent communication and interpersonal skills to effectively collaborate with diverse stakeholders.
Working conditions:
This position works as part the business office of a busy outpatient oncology/hematology clinic overseeing the day-to-day operations of the prior authorization department.
Physical requirements:
This position requires that the employee be able to sit at a desk and work on a computer for up to eight hours a day
Direct reports
All Prior Authorization Specialist that are a part of the business office including float prior authorization specialist
What OneOncology employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About OneOncology
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Nashville, TN, US
Year founded
2018