Prior Authorization Manager

Job Summary

To support healthcare operations, the full-time remote Prior Authorization Manager will oversee team performance, optimize processes, and ensure high-quality service delivery while managing staff engagement and client satisfaction.

Key responsibilities

• Build and lead teams to execute day-to-day operations and achieve account goals
• Utilize tools and reporting to drive team performance and provide ongoing coaching
• Cultivate relationships with account leaders to identify opportunities for operational improvements

Required qualifications

• 7 or more years of people management experience in healthcare
• Experience in quality assurance for accurate utilization decisions based on recognized guidelines
• Minimum of two years' Medicaid experience in Prior Authorization/Utilization Review preferred
• Proficient with Microsoft Office suite and experience with software applications for operations management
• Demonstrated implementation of strategic initiatives in operating policies and work process improvements