4 часа назад
Sr. Manager, Authorizations (Healthcare)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Sr. Manager, Authorizations (Healthcare): Managing prior authorization operations for oncology practices with an accent on sustainable workflows, payer medical necessity guidelines, vendor coordination, and revenue cycle performance. Focus on leading authorization teams, reducing denials and revenue leakage, designing role-based training, and stabilizing workflow and system changes.
Location: Remote in the United States
Company
supports community oncologists through a patient-centric, physician-driven, and technology-powered healthcare model.
What you will do
- Manage daily prior authorization operations and lead the authorization team.
- Hire, onboard, and manage the performance of team members while maintaining a staffing model aligned with demand.
- Set service delivery expectations for authorization vendor partners and coordinate with practice staff and operational leadership.
- Develop and maintain workflows for obtaining authorizations, managing denials, and handling escalations.
- Align clinical and authorization workflows and partner with the accounts receivable team on denial root-cause analysis.
- Track operational and revenue cycle metrics, identify inefficiencies, and drive corrective actions to reduce revenue leakage.
Requirements
- Bachelor’s degree or equivalent experience.
- 5+ years of experience in revenue cycle management operations and 3+ years leading teams.
- Deep understanding of prior authorization processes and payer medical necessity guidelines.
- Experience leading global teams and vendor partners.
- Strong working knowledge of healthcare compliance.
- Experience with workflow optimization, system implementation, cross-functional collaboration, and operational metrics analysis.
Culture & Benefits
- Patient-centric, physician-driven, and technology-powered work focused on improving cancer care.
- Startup enthusiasm supported by leaders in oncology, urology, technology, and finance.
- Remote work arrangement for candidates in the United States.
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