Sr. Analyst, Authorization Services Design & Configuration

📋 Description

• Manage the configuration and maintenance of authorization workflows, rulesets, and automations
• Translate business requirements into precise technical specifications, ensuring that business rules
• Investigate and resolve escalations by performing root cause analysis on system behavior and
• Identify "friction points" in the authorization process and document formal opportunities for
• Be the primary subject matter expert for the UM system, educating other teams (Product, Clinical
• Develop testing protocols and implement test scenarios to validate expected system behavior and

🎯 Requirements

• 2+ years of experience in system configuration, business rules management, or technical workflow
• 2+ years of experience in a technical/operational role involving root-cause analysis and data
• Intermediate to Advanced proficiency in Excel/Google Sheets (vlookups, pivot tables, and data
• Experience assessing and comprehending end-to-end process impacts in complex technical environments.
• Strong communication skills with the ability to explain technical system logic to non-technical
• 1+ year working knowledge of within the healthcare industry (payer or provider).

🎁 Benefits

• Prior work experience in Prior Authorizations or Insurance Operations.
• 2+ years of proficiency in SQL, BigQuery, or similar database languages.
• Experience using project management and communication tools like JIRA, Linear, and Slack.
• Experience working with large datasets, data verification, and data management.