Humata Health
Customer Delivery
PriorAuthorizationWorkflowConsultant
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“Prior Authorization Workflow Consultant at Humata Health. Skills: Prior Authorization Workflow, Epic workflows, payer portal automation, workflow automation, data analysis. 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”
What You'll Achieve.
ensuring seamless alignment with Humata’s automation platform; ensure workflows are fully mapped, tested, and optimized for Humata’s touchless prior authorization solution; improve healthcare efficiency and patient outcomes
Industry & Context.
analytical mindset; ability to synthesize large data volumes and make informed decisions based on data analysis; Innovative problem-solver; Adept at navigating complex challenges and can think critically to solution and remove barriers
Willingness to travel as required (up to 25%) for customer onsite discovery sessions and all-company meetings
What They're Looking For.
Must Have
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., Organized, able to document processes (both current state and future-state automations) succinctly, Comfort with ambiguity, shifting priorities and building new processes in an evolving start-up environment, Collaborative team player with a consultative approach to client engagement and solution development, Utilize PowerBI for reporting, Google Workspace, Slack, Willingness to travel as required (up to 25%) for customer onsite discovery sessions and all-company meetings
Nice to Have
Prior Authorization Expertise: Understand the end-to-end Prior Authorization process (including pre and post-auth touchpoints). Hands-on experience working with payer portals., Epic user knowledge (Cadence, Referrals, Coverage/Work Queues), comfortable pulling/analyzing data (Excel/SQL helpful)., Operational & process mindset: Can map workflows end-to-end and identify bottlenecks., Experience with healthcare software and familiarity with HIPAA compliance and PHI handling., Innovative problem-solver who brings curiosity, creativity, and structure to ambiguous challenges., Adept at navigating complex challenges and can think critically to solution and remove barriers
What You'll Do.
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
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
Adapt future-state workflows and payer/portal additions for customers during stabilization and maintenance phases post go-live
Create payer portal credentials to support Humata’s automations
Own payer portal validation during testing and go-live project collaborate with the customer’s operations/technical teams to review automation results
Document and escalate validation issues to be reviewed/resolved by Humata’s Engineering team
How You'll Work.
Team & Collaboration
Be a collaborative and communicative member of the implementation project team, ensuring implementation project manager has visibility into operational progress and risks; collaborate with the customer’s operations/technical teams to review automation results
Communication Scope
communicative member of the implementation project team; consultative approach to client engagement
Process & Methodology
Own the operational workstream deliverables for customer implementations, Proactively manage all operational workstream tasks of the implementation project plan
Full Job Description
🔍 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 ✅ 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 - Adapt future-state workflows and payer/portal additions for customers during stabilization and maintenance phases post go-live - Create payer portal credentials to support Humata’s automations - Own payer portal validation during testing and go-live project phases; collaborate with the customer’s operations/technical teams to review automation
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