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Authorization Manager Jobs in Ohio (NOW HIRING)

Quality Moments

Authorization Coordinator

Columbus, OH · On-site

$20 - $22/hr

This role is responsible for managing service authorizations, tracking approvals, communicating with payers, and ensuring services are authorized and delivered without interruption. Position Summary ...

Southwoods Health

Pre-Certification Specialist

Boardman, OH · On-site

$15 - $20/hr

Authorization Management: Request, track, obtain, and extend pre-authorizations from various insurance carriers in a timely manner. * Intake & Investigation: Gather accurate, detailed patient data ...

Southwoods Health

Pre-Certification Specialist

Boardman, OH · On-site

$17 - $22.50/hr

Authorization Management: Request, track, obtain, and extend pre-authorizations from various insurance carriers in a timely manner. * Intake amp; Investigation: Gather accurate, detailed patient data ...

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Authorization Manager information

How does an Authorization Manager typically collaborate with other departments to ensure efficient access control processes?

As an Authorization Manager, you will regularly partner with IT, HR, and compliance teams to develop and maintain access control policies. This collaboration ensures that only authorized personnel have access to sensitive systems and data, aligning with organizational security standards. You may also participate in cross-functional meetings to review user access requests and support audits, making strong communication and stakeholder management skills essential for the role.

What are the key skills and qualifications needed to thrive as an Authorization Manager, and why are they important?

To thrive as an Authorization Manager, you need expertise in healthcare regulations, insurance processes, and prior authorization procedures, usually supported by a degree in healthcare administration or a related field. Familiarity with medical billing software, electronic health records (EHRs), and insurance verification systems is essential. Strong organizational skills, attention to detail, and effective communication abilities set top performers apart in this role. These skills ensure accurate and timely approvals, minimize claim denials, and maintain smooth administrative operations in healthcare organizations.

What is the difference between Authorization Manager vs Credentialing Specialist?

AspectAuthorization ManagerCredentialing Specialist
Required CredentialsBachelor's degree, healthcare administration or related certificationsHealthcare-related certifications, licensing, and credentials
Work EnvironmentHealthcare organizations, insurance companies, hospitalsHospitals, clinics, healthcare networks
Employer & Industry UsageUsed in healthcare management to oversee authorization processesUsed to verify provider credentials and maintain compliance
Common Search & ComparisonOften compared for roles involving patient access and insurance approvalsCompared for roles focused on provider credentialing and compliance

The Authorization Manager primarily oversees the approval process for patient services and insurance claims, ensuring compliance and efficiency. In contrast, the Credentialing Specialist focuses on verifying healthcare providers' credentials and maintaining licensing standards. Both roles are essential in healthcare operations but serve different functions related to authorization and credential verification.

What does an Authorization Manager do?

An Authorization Manager is responsible for overseeing and managing the process of granting access or permissions to information systems, data, or resources within an organization. They ensure that only authorized individuals have access to sensitive information, often by implementing and maintaining access control policies. Their duties may include reviewing access requests, monitoring compliance with security policies, and coordinating with IT and security teams. Authorization Managers play a key role in protecting an organization's data and ensuring regulatory requirements are met.
What are the most commonly searched types of Authorization jobs in Ohio? The most popular types of Authorization jobs in Ohio are:
What are popular job titles related to Authorization Manager jobs in Ohio? For Authorization Manager jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Authorization Manager jobs in Ohio look for? The top searched job categories for Authorization Manager jobs in Ohio are:
What cities in Ohio are hiring for Authorization Manager jobs? Cities in Ohio with the most Authorization Manager job openings:
Authorization Manager jobs near you
Infographic showing various Authorization Manager job openings in Ohio as of July 2026, with employment types broken down into 100% Full Time. Highlights an 82% In-person, and 18% Remote job distribution.

Pharmacy Prior Authorization Specialist

Communicarehealth

Broadview Heights, OH • Remote

$17.50 - $23.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago

Job description

Job Address:

9299 Market Place Broadview Heights, OH 44147


Job Description: Prior Authorization Specialist

Reports to: Pharmacy Prior Authorization Manager

Job Type: Full-Time - Remote - Pharmacies: West Virginia, Ohio, Indiana and Maryland

Position Overview: The Prior Authorization Specialist will maintain the Prior Authorization's workflow for a set of facilities assigned by the supervisor, while providing customer service to clients. He/she wil enter required information and submit Prior Authorizations to the respective plan, follow the prior authorization to completion, identify and clarify any discrepancies with a prior authorization, and participate in the appeal process.

Key Responsibilities Include but are not limited to:

  • Work in cohesion with the Adjudication, Claim Intervention and Billing Departments
  • Submit prior authorizations in accordance with Insurance regulations
  • Ensure accurate and timely processing of prior authorizations
  • Work directly with insurance companies for prior authorization resolution
  • Communicate with facilities to gain additional information
  • Any other duties assigned
  • Follow federal and state regulations
  • Adhere to company policies and procedures
  • Follow HIPPA guidelines and regulations

Qualifications and Requirements:

  • Prior Authorization experience (not required)
  • Previous Long-Term Care pharmacy experience a plus (not required)
  • Knowledge of Framework LTC a plus (not required)

Salary and Benefits:

  • Competitive salary commensurate with experience
  • Comprehensive benefits package, including health, dental, and vision insurance, 401(k) with company match, paid time off, and more

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