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Manager Prior Authorization Jobs (NOW HIRING)

Curant Health

Prior Authorization Manager

Smyrna, GA · On-site

We are seeking a Prior Authorization Manager in Smyrna, GA or St. Petersburg, FL to oversee clinical and operational Prior Authorization (PA) processes and ensure timely access to specialty ...

New

CareMed Specialty Pharmacy

$23 - $25/hr

Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...

Urology Centers of Alabama

Prior Authorization

Birmingham, AL · On-site

$16.75 - $22.50/hr

The ideal candidate demonstrates strong time management, attention to detail, integrity, and the ... Track and update prior authorization requests and outcomes using internal tracking tools and ...

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How much do manager prior authorization jobs pay per year?

As of Aug 2, 2026, the average yearly pay for manager prior authorization in the United States is $83,482.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,000.00 and $103,000.00 per year, depending on experience, location, and employer.

What is a Manager Prior Authorization job?

A Manager of Prior Authorization oversees the authorization process for medical treatments, ensuring that required approvals are obtained from insurance providers. They manage a team handling prior authorization requests, review policies to ensure compliance, and work to optimize efficiency in approval processes. This role involves collaboration with healthcare providers, insurance companies, and patients to minimize delays in care. Strong leadership, knowledge of insurance guidelines, and experience in healthcare administration are essential for success in this position.

What are some common challenges a Manager Prior Authorization might face, and how are they addressed?

A Manager Prior Authorization often encounters challenges such as managing high volumes of authorization requests, staying updated with changing insurance requirements, and ensuring quick turnaround times to avoid delays in patient care. Addressing these issues typically involves implementing efficient workflows, training staff on the latest policies, and leveraging technology to automate repetitive tasks. Collaboration with physicians, payers, and internal departments is also key to resolving complex authorization cases. Proactive communication and continuous process improvement help maintain compliance and streamline the overall prior authorization process.

What are the key skills and qualifications needed to thrive in the Manager Prior Authorization position, and why are they important?

To excel as a Manager Prior Authorization, you need expertise in healthcare administration, insurance processes, and prior authorization protocols, usually demonstrated by a bachelor's degree in healthcare or related fields and relevant experience. Familiarity with healthcare management software, electronic medical records (EMR), and insurance authorization systems is highly valuable, and certifications like Certified Prior Authorization Specialist (CPAS) can be advantageous. Outstanding leadership, attention to detail, and effective communication are pivotal for managing teams and streamlining workflows. These skills and qualities ensure compliance, reduce delays in patient care, and improve overall operational efficiency within healthcare organizations.

More about Manager Prior Authorization jobs
What cities are hiring for Manager Prior Authorization jobs? Cities with the most Manager Prior Authorization job openings:
What are the most commonly searched types of Prior Authorization jobs? The most popular types of Prior Authorization jobs are:
What states have the most Manager Prior Authorization jobs? States with the most job openings for Manager Prior Authorization jobs include:
What job categories do people searching Manager Prior Authorization jobs look for? The top searched job categories for Manager Prior Authorization jobs are:
Manager Prior Authorization jobs near you
Infographic showing various Manager Prior Authorization job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $83,482 per year, or $40.1 per hour.

Prior Authorization Manager

Curant Health

Smyrna, GA

Full-time

Medical, Vision, Life

Posted 2 days ago

New

Job description

JOIN A LEADING HEALTHCARE COMPANY

At Curant Health, our vision is to personalize healthcare—driven by choice and defined by value. Our employees bring this vision to life through excellent service, personalized care, accountability, innovation, and integrity. We offer competitive pay, great benefits, and the opportunity to make a meaningful impact every day. We are seeking a Prior Authorization Manager in Smyrna, GA or St. Petersburg, FL to oversee clinical and operational Prior Authorization (PA) processes and ensure timely access to specialty medications.

POSITION SUMMARY

The Manager, Prior Authorization is responsible for the strategic, clinical, and operational leadership of the Prior Authorization (PA) department. This position oversees prior authorization operations across all lines of business, ensuring timely, accurate, and clinically appropriate review and processing of prior authorization requests, appeals, and coverage determinations. The Manager serves as the department subject matter expert for all prior authorization and FillNBill.

RESPONSIBILITIES

  • Provide leadership, direction, and oversight for all Prior Authorization operations.
  • Directly supervise Prior Authorization Supervisors, Prior Authorization Pharmacists/Nurses, and Prior Authorization Specialists, as applicable.
  • Interview, hire, train, coach, develop, and evaluate department personnel.
  • Establish departmental goals, productivity standards, quality expectations, and key performance indicators (KPIs).
  • Monitor department workload, staffing levels, and resource allocation to ensure service level expectations are met.
  • Conduct performance evaluations and provide ongoing coaching and professional development for team members.
  • Develop and maintain standard operating procedures, workflows, and training programs related to prior authorization operations.
  • Identify operational barriers and implement process improvements to enhance efficiency, quality, and customer satisfaction.
  • Monitor department performance metrics and implement corrective actions when goals are not achieved.
  • Lead performance improvement initiatives and monitor outcomes to ensure continuous operational excellence.

QUALIFICATIONS

  • Requires a bachelor's degree and/or an advanced degree in pharmacy with at least 3 years of experience and is licensed to practice in state.

  • Prior experience with performing Prior Authorizations within the pharmacy, pharmacy benefit insurance or PBM field. One year of clinical experience is preferred. Familiar with a variety of concepts, practices, and procedures with a focus on mail-order pharmacy.

  • Knowledge of PBM industry, formulary management, pharmacy claims and managed care principles and practices desired. Exceptional clinical skills and ability to apply sound clinical judgment to various situations is needed.

  • 340B knowledge is a plus.

  • At least one year of Medical Writing experience preferred.

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