Automate prior authorization with intelligent AI, real-time payer connectivity, and 90% touchless approvals. Faster care for providers, payers, and pharmacies. Backed by .406 Ventures.
About the role
Own the operational workstream deliverables for customer implementations including discovery, data collection and analysis of Prior Authorization workflows. Proactively manage all operational workstream tasks of the implementation project plan Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- Bachelor’s degree in Business, Healthcare Administration, or a related field
- 3+ years hands’ on Prior Authorization experience
- Familiarity with healthcare operations, prior authorization, or revenue cycle workflow optimization
- Systems knowledge/expertise with Epic (referrals, work queues, coverage), payer portals, and revenue cycle operations
- Hands-on data analysis experience, ability to analyze referral volumes service line/payer. This role requires a strong analytical mindset and ability to synthesize large data volumes and make informed decisions based on data analysis
- Organized, able to document processes (both current state and future-state automations) succinctly
More about this role
🔍 What we're looking for: The Prior Authorization Workflow Consultant plays a critical role in Humata Health’s customer’s implementation process and post go-live stabilization/maintenance efforts. This role sits at the intersection of hospital operations, Epic workflows, and payer portal automation. The PA Workflow Consultant partners with hospital PA staff to review prior authorization workflows, referral volumes, and payer mappings, ensuring seamless alignment with Humata’s automation platform. They will validate existing automations, document requirements for new ones, and ensure workflows are fully mapped, tested, and optimized for Humata’s touchless prior authorization solution.
📍Location: Remote, US or Hybrid - Orlando, Florida, US
Own the operational workstream deliverables for customer implementations including discovery, data collection and analysis of Prior Authorization workflows.
Proactively manage all operational workstream tasks of the implementation project plan
Be a collaborative and communicative member of the implementation project team, ensuring implementation project manager has visibility into operational progress and risks
Conduct operational workflow and...
Browse similar: Startup jobs · Remote jobs