Analyst - UM

April 8

🐻 Alaska – Remote

Although this job is listed in Alaska, this company may be open to hiring remote in other states.

🌺 Hawaii – Remote

Although this job is listed in Hawaii, this company may be open to hiring remote in other states.

+10 more states

🐻 Alaska – Remote 🌺 Hawaii – Remote 🦞 Maine – Remote 🗻 New Hampshire – Remote 🌶️ New Mexico – Remote 🎸 Mississippi – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🦬 Wyoming – Remote

💵 $49.9k - $59.4k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

Apply Now

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Microsoft 365

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Microsoft 365 is a cloud-based suite of productivity applications designed for individuals, families, businesses, and educational institutions. It includes popular tools such as Word, Excel, PowerPoint, Outlook, and Teams, providing users with the ability to create, collaborate, and share documents and data seamlessly across devices. Microsoft 365 enhances productivity with features like Microsoft Copilot, which integrates AI capabilities to assist users in their everyday tasks, ensuring secure storage and organization of files while facilitating effective teamwork and communication.

10,000+ employees

🤝 B2B

👥 B2C

☁️ SaaS

📋 Description

• Analyst, Utilization Management role to be the subject matter expert for configuration in PA system • Responsible for aiding in the creation and revision of PA documents • Configuration setup, maintenance, and support of PA tools • Maintenance of PA criteria and/or PA notification workflow rules engine • Management of automatic role assignment and interdepartmental communication

🎯 Requirements

• One of the following required: College degree in a science or business-related field, CPhT, or at least 2 years’ experience in a related field (PBM, Health Insurance, and/or Prior Authorization) • Experience and expertise in working across multiple departments, technical and business acumen, and a “track record” of tangible success • Prior experience with Prior Authorization, or within a PBM preferred • Intermediate to expert knowledge of the Microsoft Office Suite • Experience documenting and maintaining configuration and process information • Requires detailed documentation of application changes • Hands-on troubleshooting experience with a complex multi-user business application • Knowledge of workflow management systems including role and document management • Knowledge of prior authorization processes in a health care environment preferred • Experience implementing processes to meet regulatory compliance requirements • Knowledge of Medicare D regulatory requirements required prior to or soon after hire • Participate in, adhere to, and support compliance program objectives • The ability to consistently interact cooperatively and respectfully with other employees

🏖️ Benefits

• Top of the industry benefits for Health, Dental, and Vision insurance • 20 days paid time off • 4 weeks paid parental leave • 9 paid holidays • 401K company match of up to 5% - No vesting requirement • Adoption Assistance Program • Flexible Spending Account