Olive’s ai workforce is built to fix our broken healthcare system by addressing healthcare’s most burdensome issues - delivering hospitals and health systems increased revenue, reduced costs, and increased capacityPeople feel lost in the system today and healthcare employees are essentially working in the dark due to outdated technology that creates a lack of shared knowledge and siloed dataOlive is designed to drive connections, shining a new light on the broken healthcare processes that stand between providers and patient careShe uses ai to reveal life-changing insights that make healthcare more efficient, affordable and effectiveOlive’s vision is to unleash a trillion dollars of hidden potential within healthcare by connecting its disconnected systemsOlive is improving healthcare operations today, so everyone can benefit from a healthier industry tomorrow.
Olive shares is connecting providers and payers to create the internet of healthcareOur team builds and implements a suite of software as a service (saas) products that integrate across electronic health record systems and payer systems, with intuitive workflows and deep healthcare expertiseOur saas platform accelerates prior authorizations for providers, and enables the first-in-the-world real-time ai clinical reviews.
Job overview:
In this role, you will be a key member of the olive shares team and help ensure success of our productsYou’ll utilize your medical knowledge and clinical expertise to support our internal teams in outlining and categorizing utilization management workflows for health plansYou have exceptional communication skills with the ability to synthesize complex clinical information into simple, coherent terms.
Essential duties and responsibilities:
Using your prior authorization and utilization management knowledge, you will analyze mcg care guidelines, categorize requirements into classes and create decision trees.
As a logical thinker, you will take complex clinical information and distill it into simple, clear questions and answers.
You will work cross functionally with a nurse reviewer and physician reviewer to modify/improve work as needed.
You are naturally a problem-solver and develop intuitive solutions through collaboration and communication.
Requirements
Experience within utilization management from health plans/payers.
Preferable experience in creating prior authorization requests in diagnostic radiology and in orthopedic surgery.
Understands how requirements are applied to approve/deny/p2p.
Commercial experience and medicare/medicaid including understanding of ncd/lcd.
Ability to take on meaningful responsibility, individual initiative and thrive with limited supervision.
Comfortable with ambiguity and able to design organized approaches to address.
At olive, we`re committed to growing and empowering an inclusive community within our company and industryThis is why we hire and cultivate diverse teams of the best and brightest from all backgrounds, experiences, and perspectives across our organizationResearch shows that oftentimes women and other minority groups only apply to open roles if they meet 100% of the listed criteriaOlive encourages everyone — including women, people of color, individuals with disabilities and those in the lgbtqia+ community — to apply for our available positions, even if they don`t necessarily check every box on the job description.
Disclaimer:
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employeeDuties, responsibilities and activities may change or new ones may be assigned.
This job description does not constitute a contract of employment and olive ai, incMay exercise its employment-at-will rights at any time.
Benefits
We take the health and happiness of our employees seriously and consistently evaluate new ways to provide an amazing place to workFrom retirement planning, to a wellness program designed to actively incorporate mental and physical wellness into daily interactions amongst fellow olivians, we make sure to take care of our own.
Health, dental, and vision insurance that starts on your first day at olive with 100% of premiums covered for team members and 75% covered for dependents
Monthly grid stipend to cover work related expenses
Unlimited pto
Telemedicine
Eap/mental health resources
Getaways by marriott bonvoy
Family-building and fertility support via kindbody
12 weeks of parental leave
401(k) match
Wellness program
Stock options
