Prior Authorization Workflow Consultant

🔍 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 o [... source excerpt omitted ...] evelop 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 results Document and escalate validation issues to be reviewed/resolved by Humata’s Engineering team 🛠 Role Requirements Bachelor’s degree in Business, Healthcare Administration, or a related field. 3+ years hands’ on Pr [... source excerpt omitted ...] ) 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 ⭐Preferred Experience & Skills: Prior Authorization Expertise: Understand the end-to-end Prior Authorization process (including pre and post-auth touchpoints). Hands-on experience working with payer portals. Strong Epic user knowledge (Cadence, Referrals, Coverage/Work Queues), comfortable pu