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Manager Prior Authorization Jobs (NOW HIRING)

RPC Company

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Prior Authorization Specialist

Farmers Branch, TX · On-site

$22 - $24/hr

You will manage prior authorization requests, assist patients with questions, coordinate with healthcare providers and payers, and help improve workflow efficiency. Key Responsibilities * Quality ...

Urology Centers of Alabama

Prior Authorization

Homewood, AL · On-site

$18 - $24/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 ...

MC-Rx

Prior Authorization Coordinator

Gainesville, GA · On-site

$21 - $23/hr

Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored patient support programs, utilizing payer portals, electronic submission platforms, fax, and ...

MC-Rx

Prior Authorization Coordinator

Gainesville, GA · On-site

$21 - $23/hr

Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored patient support programs, utilizing payer portals, electronic submission platforms, fax, and ...

Medix

Prior Authorization Specialist

Phoenix, AZ · On-site

$20 - $24/hr

Manages and processes prior authorization requests submitted by clinics and Patient Care Coordinators. * Accurately records and maintains detailed documentation of all findings and actions taken.

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Manager Prior Authorization information

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$31.5K

$83.5K

$150K

How much do manager prior authorization jobs pay per year?

As of Aug 23, 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?

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 the key skills and qualifications needed to thrive as a manager prior authorization?

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.

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.

Are Manager Prior Authorization jobs in high demand?

Manager Prior Authorization jobs are in steady demand within healthcare and insurance industries, as they are essential for processing and approving medical requests. These roles often require strong organizational skills, knowledge of healthcare policies, and familiarity with authorization software, making them valuable in organizations focused on efficient patient care and cost management.

Is manager prior authorization a stressful job?

Manager prior authorization roles can be stressful due to the need to review and approve healthcare requests efficiently while managing strict deadlines and compliance standards. The job often involves handling complex cases, coordinating with healthcare providers, and maintaining accuracy under pressure. Stress levels vary depending on workload, organizational support, and experience.

What career paths follow manager prior authorization?

A manager in prior authorization can advance to roles such as senior manager, director of utilization management, or healthcare operations manager. They may also transition into related fields like healthcare compliance, case management, or healthcare administration, often leveraging skills in policy, documentation, and team leadership.
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Manager Prior Authorization jobs near you
Infographic showing various Manager Prior Authorization job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $83,482 per year, or $40.1 per hour.

Program Manager - Prior Authorization Solutions

Agadia Systems Inc

Parsippany, NJ • On-site

$65K - $95K/yr

Full-time

Posted 29 days ago

Job description

Reports To: Vice President, Customer Experience
Location: Remote/Hybrid with 10% travel to Parsippany, NJ

Position Summary

We are seeking a highly skilled Program Manager to lead strategic initiatives for our cloud-based prior authorization platform as well as lead process improvement programs to benefit the entire organization. You will manage cross-functional projects, streamline operational processes, and ensure alignment between product, engineering, client success, and business operations. This is a high‑visibility role that blends program execution, operational rigor, and healthcare domain expertise. This role is ideal for someone who understands the complexities of healthcare and operations as well as the nature of working in a SaaS company.

Key Responsibilities

Program Leadership, Operational Support & Business Process Management

  • Own the end-to-end delivery of cross-functional programs that enhance our priorauthorizationSaaS platform.
  • Facilitate and managecross-functionaloperational projects acrossvarious areas of the organization.
  • Support contract management, including tracking contract status, coordinating reviews, and ensuringtimelyrenewals and compliance.
  • Assistwith resource planning, including capacity tracking, forecasting, and cross-team coordination.
  • Develop program roadmaps, timelines, and success metrics aligned with organizational goals.
  • Drive execution acrossproduct, engineering, operations, and client-facing teams.
  • Identifyand implement process improvements that enhance operational efficiency and scalability.

Required Qualifications

  • 3–7 years of experience in program management, product operations, or implementation within healthcare technology,including at an enterpriseSaas company
  • Proven ability to manage complex, multi-stakeholder programs in a fast-paced SaaS environment
  • Excellent communication, analytical, and organizational skills
  • Ability to manage multiple prioritiesin a face-paced environment with minimal supervision
  • Highly self-motivated, professional, take-charge attitude with humility and integrity

Preferred Qualifications

  • Direct experience with prior authorizations at a health plan, PBM, or UM organization
  • Experience withPAHub(preferred) or another enterprise PA platform
  • Familiarity withSDLC
  • Background in pharmacy benefit management, medical benefit management, or healthcare operations
  • PMP, Agile, or Lean certification

Success Measures

  • Smooth delivery of high-impact programsand projectswithin our organization
  • Clear, measurable improvements in product adoption, workflow efficiency, and client satisfaction
  • Strong relationships with internal teams built on trust andexpertise
  • Thought leadership in shaping the future ofa growing SaaS company

Agadia Health Systems, Inc. is a leading healthcare management technology company addressing the evolving needs of the managed care market with a suite of utilization management solutions in electronic prior authorization, MTM, Part D star ratings & adherence, grievances, and formulary benefit design. Used by the nation’s largest health plans and PBMs, Agadia’s advanced technology solutions help drive operational efficiency, appropriate utilization, compliance, and profitability

Agadia is an Equal Opportunity Employer

This position offers a unique opportunity to influence customer success, product adoption, and the overall customer experience strategy while serving as a recognized PAHub expert across the organization.

Pay Range: Actual compensation will be determined based on the candidate's experience, qualifications, and work location. Candidates in different geographic markets may be offered compensation that reflects local market conditions.