Humata Health

5 months ago

Prior Authorization Workflow Consultant

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 13 hours agoStatus: Live

Job Summary

The role sits at the intersection of hospital operations, Epic workflows, and payer portal automation to optimize and map Prior Authorization workflows. You’ll own operational workstreams for customer implementations, analyze referral volumes, validate automations, document requirements, and collaborate with engineering to ensure accurate, testable, and scalable PA workflows across post-go-live stabilization.

Location: Florida

Workplace: Hybrid

Employment Type: Full time

Job Function: Consulting & Advisory

Key Responsibilities

•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 portal shadowing sessions with customers, asking thoughtful and specific questions to understand their current processes. Identify risks related to the successful implementation of Humata’s PA technology
•Capture and document operational workflows in Humata’s design workbook to inform solution build and develop prior authorization workflows. Review customer payer/plan mix and formulate automation workflow recommendations

Travel: Low travel

Pay and Benefits

Perks:Paid Leave401kRemote WorkEquity

Key Requirements

•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

Experience:3+ yearsHealthcareHealthcare operations

Education:Bachelor's

Skills:PowerBIData analysisEpicSQLExcelGoogle WorkspaceSlackPower BI

Tech Stack:EpicPowerBIExcelSQLGoogle WorkspaceSlack

Company Brief

Humata Health

Builds AI-driven prior-authorization and revenue-cycle automation that connects providers and payers to accelerate clinical approvals, reduce denials, and streamline administrative workflows for healthcare organizations.

Industry: HealthTech

Company Size: Medium (51 to 250 employees)

Growth: Early Stage Startup

Funding: Series A

Headquarters: Winter Park, United States

Founded: 2023

Website LinkedIn Glassdoor

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Humata Health

5 months ago

Prior Authorization Workflow Consultant

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 13 hours agoStatus: Live

Job Summary

Location: Florida

Workplace: Hybrid

Employment Type: Full time

Job Function: Consulting & Advisory

Key Responsibilities

•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 portal shadowing sessions with customers, asking thoughtful and specific questions to understand their current processes. Identify risks related to the successful implementation of Humata’s PA technology
•Capture and document operational workflows in Humata’s design workbook to inform solution build and develop prior authorization workflows. Review customer payer/plan mix and formulate automation workflow recommendations

Travel: Low travel

Pay and Benefits

Perks:Paid Leave401kRemote WorkEquity

Key Requirements

•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

Experience:3+ yearsHealthcareHealthcare operations

Education:Bachelor's

Skills:PowerBIData analysisEpicSQLExcelGoogle WorkspaceSlackPower BI

Tech Stack:EpicPowerBIExcelSQLGoogle WorkspaceSlack

Company Brief

Humata Health

Industry: HealthTech

Company Size: Medium (51 to 250 employees)

Growth: Early Stage Startup

Funding: Series A

Headquarters: Winter Park, United States

Founded: 2023

Website LinkedIn Glassdoor