Prior Authorization Strategy & Analytics Analyst

Job Description

• This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Prior Authorization Strategy & Analytics Analyst in the United States. This role sits at the intersection of healthcare operations and advanced analytics, focusing on improving Prior Authorization performance through data-driven insights. You will partner closely with operational leaders to translate complex workflows into clear, actionable reporting and dashboards that drive decision-making. The position plays a key role in identifying inefficiencies, uncovering trends, and enabling scalable reporting solutions across revenue cycle processes. You will work in a highly collaborative environment, combining technical SQL and BI expertise with strong business understanding. The role offers the opportunity to directly influence operational performance and reimbursement outcomes in a fast-evolving healthcare setting. It is well-suited for analytical professionals who enjoy solving real-world operational challenges through data. Your work will have a direct impact on visibility, efficiency, and optimization of Prior Authorization workflows.
• Accountabilities: Partner with Prior Authorization leadership to design and implement KPI frameworks, operational reporting structures, and performance dashboards. Develop, maintain, and optimize SQL queries, datasets, and Snowflake views to support analytics and reporting needs. Build and enhance dashboards and BI tools (e.g., Power BI, Tableau) to track operational performance and key business metrics. Conduct ad hoc analyses to identify trends, workflow gaps, and opportunities for process improvement. Translate operational and business requirements into scalable, automated reporting solutions. Ensure data quality, consistency, and usability across all reporting and analytics outputs. Support continuous improvement initiatives aimed at optimizing Prior Authorization and revenue cycle workflows. Requirements: 3+ years of experience in healthcare analytics, business intelligence, operational analytics, revenue cycle analytics, or Prior Authorization analytics. Strong proficiency in SQL and experience working with large datasets in tools such as Snowflake. Hands-on experience building dashboards, KPI reporting systems, and performance tracking solutions. Familiarity with BI tools such as Power BI, Tableau, or equivalent platforms. Solid understanding of healthcare revenue cycle and Prior Authorization processes preferred. Ability to translate operational challenges into structured analytical solutions. Strong problem-solving skills with the ability to work independently and move quickly. Excellent collaboration and communication skills to partner effectively with operational stakeholders. Exposure to healthcare environments such as diagnostics, laboratory, or specialty care is a plus. Benefits: Competitive annual salary range: $85,100 – $110,000 USD (based on experience and location). Comprehensive benefits package including medical, dental, vision, life, and disability insurance. Paid time off, parental leave, and holiday benefits. 401(k) retirement savings plan. Employee wellness and mental health support programs. Free or discounted access to select genetic testing and fertility-related benefits for employees and families. Commuter benefits and employee referral programs. Flexible work arrangements depending on role and location. Opportunity to work in a high-growth healthcare environment focused on innovation in diagnostics and patient care.
• How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1
• We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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