Prior Authorization Specialist, One Medical, Mission Control
Description At Amazon One Medical, our goal is to provide the most patient-centered care in healthcare, and to achieve this, we need exceptional, talented, and driven individuals. If you're passionate about helping us create the best healthcare experience for our patients, this is your opportunity to make a meaningful impact. As a member of the Amazon One Medical Advanced Tasking team, you'll be part of a dynamic, fast-paced environment filled with individuals who are deeply committed to our mission of providing world-class service to patients. Our teams strive for excellence, never settling for the status quo, and thrive in managing high-volume tasks. We continuously improve our work through learning, experimentation, and process optimization. In the role of Advanced Tasking team member, you'll join a specialized group with expertise in handling complex tasks. You’ll also play a key role in fostering a culture of continuous improvement by motivating your team to analyze their work, ask insightful questions, and identify more efficient processes using lean tools and methodologies. This role directly impacts and supports patients nationwide. Key Areas of Advanced Tasking: - Consult Orders (Specialist Office Visits) - Procedure Orders (MRI/CTs, Radiology, DME, Mammograms, etc.) - Prescription Authorization (High-Cost Specialty Medications) - Provider Support Room (Clinically urgent tasks for providers in both our office and remote settings) - Sexual Reproductive Health (Assisting patients with the authorization, scheduling, and coordination of complex female health procedures) Key job responsibilities - Ensuring compliance with service level agreements for complex insurance authorizations. - Consistently meeting or exceeding performance targets for at least 6 months, handling 200+ tasks per week. Basic Qualifications - A minimum of 2 years managing referrals and navigating complex insurance portals and orders OR at least 1 year of in-depth back-end administrative experience in a patient-centered role within a multi-state primary healthcare company. - Experience working in a national healthcare organization with an understanding of regional complexities. - Proficiency in working with various Electronic Medical Record (EMR) systems. Preferred Qualifications - Experience working in a high-performance department with strong accountability for meeting metrics and ownership of results. - Demonstrates a positive, collaborative attitude with strong team engagement and an action-oriented mindset. Amazon is committed to a diverse and inclusive workplace. Amazon is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. Los Angeles County applicants: Job duties for this position include: work safely and cooperatively with other employees, supervisors, and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employees, supervisors, and staff to ensure exceptional customer service; and follow all federal, state, and local laws and Company policies. Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company’s reputation. Pursuant to the Los Angeles County Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you’re applying in isn’t listed, please contact your Recruiting Partner. Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $49,920/year in our lowest geographic market up to $56,160/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit https://www.aboutamazon.com/workplace/employee-benefits. This position will remain posted until filled. Applicants should apply via our internal or external career site. Apply Job!