
Solving Prior Authorization on Both Sides of the Fax Machine: Humata is revolutionizing Prior Authorization and Utilization Management with cutting-edge AI and automation. Our commitment is to deliver a seamless, efficient, and automated workflow for healthcare providers and payers. At Humata, we transcend traditional automation, addressing the complexities of prior authorizations with a powerful blend of AI, automation, and unparalleled payer connectivity. This transformative approach revolutionizes the entire end-to-end experience, setting a new standard for the prior authorization and utilization management process. Humata's mission for providers and payers is to make 90% of PA touchless, enable processing to be completed in <2 minutes when human intervention is required, and bring complete transparency for patients throughout the process.

Solving Prior Authorization on Both Sides of the Fax Machine: Humata is revolutionizing Prior Authorization and Utilization Management with cutting-edge AI and automation. Our commitment is to deliver a seamless, efficient, and automated workflow for healthcare providers and payers. At Humata, we transcend traditional automation, addressing the complexities of prior authorizations with a powerful blend of AI, automation, and unparalleled payer connectivity. This transformative approach revolutionizes the entire end-to-end experience, setting a new standard for the prior authorization and utilization management process. Humata's mission for providers and payers is to make 90% of PA touchless, enable processing to be completed in <2 minutes when human intervention is required, and bring complete transparency for patients throughout the process.
Core product: AI-enabled automation for prior authorization and utilization management
Stage: Series A
Recent funding: $25M Series A (June 2024)
Headquarters: Winter Park, Florida, United States
Founder / CEO: Dr. Jeremy Friese
| Company |
|---|
Prior authorization and utilization management workflow automation in healthcare
2023
Software Development
$25.0M
Participation from Optum Ventures, .406 Ventures, Highmark Ventures, and others
“Backed by strategic healthcare investors including Blue Venture Fund, LRVHealth, Optum Ventures, .406 Ventures, and Highmark Ventures”
🔍 What we're looking for . Humata Health is seeking a technically proficient and results-driven Solutions Engineer (Technical Delivery & Support) to join our Delivery team. In this role, you will be a key customer-facing technical contact, providing expert support and guidance to customer IT and EMR teams. You will own and manage critical technical integrations and systems, ensuring seamless delivery and ongoing support.
📍Location : Remote - USA
✅ What You'll Do End-to-End Technical Integration Delivery
Lead end-to-end design and deployment of integrations involving:
278R EDI transactions (Healthcare Services Review Request for Review and Response)
275 EDI document management workflows for supporting documentation
RESTful APIs for synchronous data exchange with EHR, payer, and third-party systems
File-based integrations (e.g., SFTP transfers for batched document exchange)
Design, build, and optimize data mapping schemas between customer systems and Humata Health platforms, including:
EDI X12 to internal data models
278R loops (2000E, 2010EA, 2010EB) to API payload formats
Mapping HL7 or custom EMR data structures to internal workflows
Manage B2B VPN tunnels, IP whitelisting, and security credential provisioning (SSL certificates, mutual TLS), ensuring secure and compliant data transmission.
Technical Troubleshooting & Quality Assurance
Perform payload-level debugging of JSON, XML, and EDI data using tools such as Postman, Insomnia, and EDI Notepad.
Technical Project Architecture & Documentation
Technical Advisory & Collaboration
Serve as the technical SME for customer IT teams, providing guidance on:
EMR system connectivity (Epic, Cerner, Athenahealth, etc.)
Data normalization for authorization workflows
PHI/PII encryption standards and HIPAA-compliant data handling
Actively contribute to product feedback loops, identifying enhancements to APIs, integration tooling, and internal debugging utilities.
⭐️What you'll need to be successful in this role:
🚀 Why Join Humata Health?
Pay Transparency Humata Health will provide pay transparency information upon application to those in qualifying jurisdictions.
Our salary ranges are based on competitive pay for our company’s size and industry. They are one part of the total compensation package that may also include equity, variable compensation, and benefits. Individual pay decisions are ultimately based on several factors, including qualifications, experience level, skillset, geography, and balancing internal equity.
Humata Health is proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, age, sex, marital status, ancestry, neurotype, physical or mental disability, veteran status, gender identity, sexual orientation or any other category protected by law. Join us in our mission to transform healthcare while building a life that works in harmony both in and outside the office.
Build SQL scripts for:
Data migration pre-validation and post-migration audits
Live data integrity checks across systems
Root cause analysis of data mismatches and failed transactions
Use packet tracing and VPN diagnostic tools (Wireshark, tcpdump) to debug connectivity issues.
Develop automated test scripts for integration validation (e.g., Postman Collections with Newman CLI).
Monitor production data flows using internal tools and external monitors, with alerting configured for integration failure scenarios (timeouts, schema validation failures, etc.).
Collaborate with engineering teams to design reusable integration frameworks and middleware components (e.g., Mirth Connect channels).
Bachelor’s degree in Computer Science, Software Engineering, Information Systems, or equivalent technical field.
5–7+ years of hands-on integration engineering, with direct ownership of EDI and API implementations in a healthcare environment.
Deep expertise with EDI X12 standards:
Specifically 278R transactions: Service Type Codes, Request/Response data flow, segment looping
275 Attachments for clinical documentation exchange
Advanced SQL proficiency (CTEs, window functions, ETL data validation workflows).
Hands-on experience with interface engines (strong preference for Mirth Connect or comparable platforms).
Expert with REST API protocols, including:
Authentication methods (OAuth2, Basic Auth, API keys)
API schema validation (JSON Schema, XML Schema Definition - XSD)
Rate limiting, pagination, and error handling best practices
Strong familiarity with healthcare IT systems:
EMRs like Epic (Interconnect API), Cerner, Athenahealth
Revenue cycle systems, prior authorization systems
Proficient in configuring and troubleshooting B2B VPNs, SSL certificates, mutual TLS, and data encryption protocols (AES-256, SHA-256 hashing).
Experience with network troubleshooting tools (e.g., Wireshark, OpenVPN, tcpdump).
Solid understanding of HIPAA, HITRUST, and data privacy/security compliance frameworks.
Comfortable with automation tools for API testing and monitoring (e.g., Postman, Newman, Swagger Inspector).
Experience with healthcare prior authorization workflows, utilization management, and revenue cycle operations.
Experience building or working with event-driven architectures (e.g., webhook-based notifications, Kafka).
Familiarity with PowerBI, Looker, or equivalent tools for integration health monitoring and reporting.
Contributions to technical enablement: reusable Postman collections, internal knowledge bases, data mapping templates.
Ability to mentor junior technical implementation specialists.
Willingness to travel to customer sites as required (up to 25%).
Please note: Interviews will begin around late August/early September.