Manager of Prior Authorization

Job Summary

Leading a team of specialists, the full-time Manager of Prior Authorization will oversee the insurance approval process for obesity management treatments, ensuring timely and effective communication while working remotely.

Key responsibilities

• Manage and coach a team of Prior Authorization specialists, focusing on performance management and staffing continuity
• Own the outsourced staffing vendor relationship, ensuring capacity planning and quality oversight
• Drive structured tracking and management of Prior Authorization requests, maintaining visibility into team performance metrics

Required qualifications

• 5-7 years of prior authorization experience, with at least 3 years in a leadership role
• Deep understanding of the Prior Authorization lifecycle and familiarity with tools like CoverMyMeds and Athena
• Experience managing distributed teams and vendor relationships
• Proven ability to build processes and track metrics effectively
• Familiarity with GLP-1s or obesity management medications is a plus