Senior Central Prior Authorization Analyst

Adventist Health · Roseville, California, United States

Location
Roseville
Job Type
Full-time
Posted
July 08, 2026

Job Description

Job Summary:

Serves as a subject matter expert and strategic partner in optimizing infusion site-of-care decisions, pharmacy access, and revenue integrity. This role operates with a high degree of autonomy and is responsible not only for executing complex workflows, but also for leading process improvement initiatives, influencing cross-functional stakeholders, and driving measurable financial and operational outcomes. In coordination with financial clearance, pharmacy, and clinical teams, this role evaluates and determines the most appropriate infusion site of care based on clinical appropriateness, payer policy, and financial impact. The Senior Analyst leverages advanced analytics, deep payer knowledge, and system-wide insights to optimize patient access, minimize denials, and maximize reimbursement across the continuum of care.


Job Requirements:

Education and Work Experience:

  • High School Education/GED or equivalent: Preferred
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