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UM Authorization Analyst 2 Bilingual

June 23, 2026

<div class="content-intro">About The Oncology Institute (<a class="Hyperlink SCXW43524111 BCX8" href="https://www.globenewswire.com/Tracker?data=p_KL_mI0cuWfXzRimVPJuamuAK3cS_3xyPQ_GAUvWBW6-XoUCKiHAhx9RKB3hidlH-QFYTT9QSdWIZzbUMEZRHIZ__snDwhQUL0VcbpzfTrDVgTtgrkFqK9-AGE_PVdpYMN7DZpyHIGNb3OH4zFea_TKV5iow1Hsa678-vVkZcdpUWLP7AR9zzExIWqMjDamQkmQZs2IbVUAyORbLhG12BTXkutFoVq9sG0yI_W_1eC-pLqHr6g8TDo50DxEZBSs_OS7QcO1FrkXqcqSpBgYceAxBeAQJ3KWTG3KK8DTySDPSssMADB7HQNdsEzrSeFG" target="_blank">www.theoncologyinstitute.com</a>): Founded in 2007, The Oncology Institute (NASDAQ: TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI offers cutting-edge, evidence-based cancer care to a population of approximately 1.9 million patients, including clinical trials, transfusions, and other care delivery models traditionally associated with the most advanced care delivery organizations. With over 180 employed and affiliate clinicians and over 100 clinics and affiliate locations of care across five states and growing, TOI is changing oncology for the better. </div><img style="max-width: 100%;" src="https://theoncologyinstitute.sharepoint.com/:i:/r/sites/ComparablyImages2/Shared%20Documents/Images/Admin%20Exec_2026.png?csf=1&web=1&e=hGNFhy" alt="" width="750"> Join a team where your clinical insight directly shapes patient outcomes and care quality. As a UM Authorization Analyst II, you’ll play a critical role in ensuring timely, evidence-based decisions that support both patients and providers—while working in a collaborative environment that values accuracy, efficiency, and professional growth. JOB PURPOSE AND SUMMARY: The UM Authorization Analyst II is responsible for ensuring the timely and accurate processing of medical procedure authorizations. This role includes reviewing authorization requests, maintaining compliance with regulations, and coordinating with healthcare providers and insurance companies to support patient care. This role can be worked remotely from anywhere in the contiguous United States, and will be working on an Eastern time schedule. ESSENTIAL DUTIES AND RESPONSBILITIES: <ul> <li>Leading daily huddles with UM Physician Reviewers to address risks related to timely decision-making and documentation accuracy.</li> <li>Creating, reviewing, and administering corrective action forms with support and guidance from the Director, Utilization Management Compliance.</li> <li>Managing denial and/or appeal escalations and communicating delays to the Director, Utilization Management Compliance.</li> <li>Working closely with the Director, Utilization Management Compliance to identify deficiencies and areas for improvement.</li> <li>Partnering with delegated entities to ensure the accuracy and compliance of provider credentialing processes, conducting thorough sanction and exclusion checks, and promoting the effective utilization of QuickCap workflows within Utilization Management operations.</li> <li>Reporting and Analysis: prepare and present regular reports on authorization activities, including volume, turnaround times, and issues.</li> <li>Identifying and forwarding standard or expedited appeals to the appropriate health plan.</li> <li>Staying current on industry regulations, guidelines, and best practices related to utilization management and review.</li> <li>Participating in monitoring and analyzing Inter-Rater Reliability (IRR) testing, identifying trends, and recommending best practice improvements to consistent decision-making.</li> <li>Demonstrating expertise in health plan delegation requirements, including Preparation and submission of reports, participate in implementation of corrective action plans (CAPs), updates to policies and procedures, and monitoring and applying regulatory changes to maintain contractual compliance.</li> <li>Ensuring adherence to key performance indicators (KPIs) and service level agreements (SLAs) for all delegated Utilization Management (UM) functions.</li> <li>Performing other duties as assigned to support operational goals.</li> <li>Living and exemplify TOI core values, providing outstanding customer service and promoting a positive experience for patients and staff members.</li> </ul> KNOWLEDGE, SKILLS, AND ABILITIES: <ul> <li>Excellent communication and interpersonal skills.</li> <li>In-depth knowledge of medical procedure authorization processes and healthcare insurance requirements.</li> <li>Ability to analyze data and implement process improvements.</li> <li>Proficiency with medical billing software and electronic health records (EHR) systems.</li> <li>Strong organizational skills and attention to detail.</li> <li>Strong understanding of evidence-based guidelines (MCG, National Coverage Determinations, Local Coverage Determinations).</li> <li>Understanding of prior authorization regulatory requirements and turnaround time expectations (CMS, AHCA, NCQA, URAC).</li> </ul> REQUIRED EXPERIENCE, EDUCATION AND/OR TRAINING: <ul> <li>Associate’s degree in health information management, or a healthcare related field. Bachelor’s preferred.</li> <li>4-6 years of experience in utilization management.</li> <li>Bilingual in English and Spanish required.</li> </ul> PHYSICAL WORKING REQUIREMENTS: The position involves prolonged periods of sitting at a desk, extensive computer use, and phone interaction. Additionally, the role may require occasional lifting of up to 20 pounds for office supplies or equipment. The physical demands described above are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.<div class="content-pay-transparency"><div class="pay-input"><div class="description">The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. </div><div class="title">Pay Transparency for salaried teammates</div><div class="pay-range">$71,000—$85,000 USD</div></div></div>

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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