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Prior Authorizations Analyst - Worcester, MA

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Optum

4d ago

  • Job
    Full-time
    Junior Level
  • Data
    Healthcare
  • Worcester

AI generated summary

  • You need a high school diploma, 1+ years in healthcare, know medical terms, be proficient in EMR and Microsoft Office, and live near Worcester, MA with a secure workspace and high-speed internet.
  • You will contact patients about lab work and appointments, generate reports, place lab orders, collaborate with clinicians, support care plans, and identify opportunities for data improvement.

Requirements

  • High School Diploma / GED
  • Must be 18 years of age OR older
  • Ability to travel up to 100% of the time
  • Ability to work full-time, Monday - Friday, in any of our 8-hour shift schedules during our normal business hours of 8:00am - 4:30pm EST, including the flexibility to work occasional overtime, based on the business need
  • 1+ years of experience in healthcare
  • Knowledge and understanding of medical terminology
  • Proficiency with electronic medical record systems
  • Microsoft Office Suites
  • Proficient with data manipulation including the ability to develop spreadsheets, build data tables and extract data
  • Reside within a commutable distance of 100 Front Street, Worcester, MA 01606
  • Ability to keep all company sensitive documents secure (if applicable)
  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Responsibilities

  • Contacts patients for the purpose of achieving established outreach program goals. This may include contacting patients via telephone, email and/or direct mailings to stress the clinical importance of receiving their recommended lab work and attending their medical appointments
  • At the request of a Clinician, may place lab order and/or schedule appointments in electronic medical record system
  • Generates reports using Healthy Planet Registry in Epic EMR to identify patients who require additional labs to be ordered as well as identifying patients who are over-due for labs
  • Consults with clinicians to determine required population reports and/or patient lists for analysis and outreach
  • Communicates and collaborates with care coordination staff to optimize patient care, and supports patient care plans by assisting with linkages to, coordination of, and monitoring identified service needs
  • Recognizes and reports data inconsistencies, gaps in performance, and opportunities to improve results to appropriate personnel

FAQs

What is the job title for this position?

The job title for this position is Prior Authorizations Analyst.

Where is the job located?

The job is located in Worcester, MA at 100 Front Street.

What are the working hours for this role?

This position is full-time, Monday - Friday, during normal business hours of 8:00am - 4:30pm EST.

Is this role fully remote?

No, this role is hybrid, requiring some days to be worked onsite and some days from home.

What type of training is provided?

The company offers 4 weeks of on-the-job training, with hours aligned to your schedule.

What are the primary responsibilities for this position?

Responsibilities include contacting patients, placing lab orders, generating reports using Epic EMR, consulting with clinicians, and collaborating with care coordination staff.

What qualifications are required for this role?

A High School Diploma/GED is required, along with being 18 years of age or older.

What are the preferred qualifications for this position?

Preferred qualifications include 1+ years of experience in healthcare, knowledge of medical terminology, proficiency with electronic medical record systems, and skills in data manipulation.

Is travel required for this position?

Yes, the ability to travel up to 100% of the time is required.

What is the pay range for this position?

The hourly range for this role is $16.88 to $33.22 based on full-time employment.

What benefits does UnitedHealth Group offer?

UnitedHealth Group offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution, subject to eligibility requirements.

Is there a drug test requirement for employment?

Yes, candidates are required to pass a drug test before beginning employment.

What is the mission of UnitedHealth Group?

The mission of UnitedHealth Group is to help people live healthier lives and make the health system work better for everyone.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Optum is a health services and technology company that provides a wide range of solutions to improve healthcare delivery and outcomes. They offer services in healthcare management, data analytics, pharmacy benefit management, and technology solutions to healthcare providers, payers, employers, and government agencies. Optum's ultimate mission is to improve the health system's efficiency and effectiveness, creating a healthier world for everyone. Their purpose lies in collaborating with healthcare partners to address complex challenges, such as improving care coordination, reducing healthcare costs, and enhancing patient experiences. By leveraging data-driven insights and innovative technology, Optum aims to empower healthcare professionals and organisations to deliver high-quality, patient-centered care and drive positive healthcare outcomes for individuals and communities worldwide.

Culture & Values

  • Integrity

    Honour commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future, learn from the past.

  • Performance

    Demonstrate excellence in everything we do.