Prior Authorization Specialist II

OU Health

. Manage complex and specialty-specific authorization requests across multiple payers and specialties .

Posted 10/14/2026full-timeOklahoma • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing complex authorization requests and interpreting payer medical policies, with a strong focus on specialty-driven requirements and denial trend analysis. Excellent communication skills support effective coordination with clinical teams and resolution of authorization issues.

Highest-signal resume keywords

Prior Authorization ExperiencePayer Medical Policy InterpretationDenial Trend AnalysisSpecialty-Driven Authorization KnowledgeCHAA or PACS Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Authorization ManagementMedical Necessity DocumentationUtilization Management CriteriaDenial ResolutionTrend Analysis

Soft Skills

Excellent Written CommunicationExcellent Verbal Communication

Certifications & Qualifications

CHAAPACS

Industry Keywords

Authorization RequestsPayerSpecialty-SpecificMedical PoliciesUtilization Management

About the role

Key responsibilities & impact

Manage complex and specialty-specific authorization requests across multiple payers and specialties
Interpret payer medical policies and utilization management criteria
Resolve authorization denials and incomplete determinations
Coordinate with clinical teams to obtain medical necessity documentation
Perform other duties as assigned

Requirements

What you’ll need

Candidates must reside and work full-time in Oklahoma before their first day of employment
High School Diploma or GED required
At least 3 years of prior authorization experience required
CHAA or PACS required after 1 year
Applied expertise in payer medical policy interpretation
Strong knowledge of specialty-driven authorization requirements
Ability to analyze denial trends and recommend corrective actions
Excellent written and verbal communication skills
Must be able to perform core responsibilities, with or without an accommodation

Benefits

Comp & perks

Competitive wages and total rewards package
Paid time off (PTO)
401(k)
Medical plans
Dental plans
Comprehensive benefits package