Prior Authorization Manager

Job Summary

A company is looking for an Authorizations Manager to lead the prior authorization function and establish operational workflows.

Key Responsibilities

• Build and lead the prior authorization function, establishing workflows for various healthcare services
• Design and implement processes for authorization intake, submission, tracking, and reauthorization management
• Develop and manage a team responsible for authorization operations, ensuring compliance with guidelines and performance standards

Required Qualifications

• 5-6+ years of experience in healthcare operations or care management operations
• Demonstrated experience leading or supervising operational teams in healthcare or managed care environments
• Strong knowledge of Medicaid or Medi-Cal managed care authorization requirements
• Experience using EHR systems and operational dashboards
• Experience building or improving operational workflows in healthcare operations