Senior Analyst, Authorization Services Design & Configuration

This is a fully remote position, open to applicants in Texas.

📋 Description

• Oversee the configuration and upkeep of authorization workflows, rulesets, and automations within the UM platform.

• Convert business requirements into detailed technical specifications, ensuring accurate representation, testing, and implementation of business rules and logic.

• Examine and address escalations by conducting root cause analysis on system behavior and configuration discrepancies.

• Recognize friction points in the authorization process and document potential opportunities for workflow enhancements and automation.

• Act as the primary subject matter expert for the UM system, providing education to Product, Clinical, and Regulatory teams.

• Create testing protocols and execute test scenarios to confirm system behavior and configuration accuracy.

• Lead corrective measures when system behavior diverges from expectations.

• Manage assigned workloads and project tasks through effective dashboard management and prioritization.

• Keep documentation updated for business rules, technical specifications, and workflow designs.

• Carry out additional responsibilities as needed.

⛳️ Requirements

• A minimum of 2 years of experience in system configuration, business rules management, or technical workflow design.

• At least 2 years' experience in a technical/operational role that involves root cause analysis and data troubleshooting.

• Intermediate to Advanced proficiency in Excel/Google Sheets (including vlookups, pivot tables, and data manipulation).

• Experience in assessing and understanding end-to-end process impacts within complex technical environments.

• Excellent communication skills, capable of explaining technical system logic to non-technical partners.

• A minimum of 1 year of relevant experience within the healthcare industry (payers or providers).

• Prior experience in Prior Authorizations or Insurance Operations.

• Over 2 years of proficiency in SQL, BigQuery, or similar database languages.

• Familiarity with project management and communication tools such as JIRA, Linear, and Slack.

• Experience working with large datasets, including data verification and management.

🏝️ Benefits

• Employee benefits.

• Unlimited vacation program.

• Annual performance bonuses.

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 11 paid holidays.

• Paid sick time.

• Paid parental leave.

• 401(k) plan participation.

• Life insurance.

• Disability insurance.

• Paid wellness time.

• Wellness reimbursements.