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Manager Prior Authorization Rn Jobs (NOW HIRING)

Alpaca Health

Prior Authorization Manager

New York, NY · On-site +1

Prior Authorizations Manager Responsibilities: * Work with our Prior Authorizations vendor to resolve complex authorization issues including coordinating with our providers, patients and payors * Be ...

New

Curant Health

Prior Authorization Specialist

Smyrna, GA · On-site

$18 - $24/hr

Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is ... Registered Pharmacy Technician Why Work for Us? We offer competitive pay, paid holidays, benefits ...

Hologic

Prior Authorization Specialist

San Diego, CA · On-site

$48K - $73K/yr

Submit and manage high-volume prior authorizations ( ~75-100 per day ) * Review and interpret medical records, clinical documentation, and lab requisitions * Responsible for reviewing and submitting ...

New

Alpaca Health

Prior Authorization Manager

New York, NY · On-site

Prior Authorizations Manager Responsibilities: * Work with our Prior Authorizations vendor to resolve complex authorization issues including coordinating with our providers, patients and payors * Be ...

New

PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... You'll manage the entire authorization process for interventional pain management procedures ...

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Manager Prior Authorization Rn information

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How much do manager prior authorization rn jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for manager prior authorization rn in the United States is $49.37, according to ZipRecruiter salary data. Most workers in this role earn between $38.22 and $55.77 per hour, depending on experience, location, and employer.

What is the difference between Manager Prior Authorization Rn vs Nurse Case Manager?

AspectManager Prior Authorization RnNurse Case Manager
CredentialsRN license, certifications in prior authorizationRN license, case management certification
Work EnvironmentUtilization review, insurance companies, healthcare administrationPatient advocacy, care coordination, healthcare facilities
Employer & IndustryInsurance companies, healthcare organizationsHospitals, clinics, insurance providers

The Manager Prior Authorization Rn primarily focuses on reviewing and approving insurance claims for medical procedures, ensuring compliance with policies. Nurse Case Managers coordinate patient care, advocate for patients, and manage treatment plans. While both roles require RN licensure and healthcare knowledge, the Manager Prior Authorization Rn emphasizes administrative review, whereas Nurse Case Managers are more involved in direct patient care coordination.

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What are the most commonly searched types of Prior Authorization Rn jobs? The most popular types of Prior Authorization Rn jobs are:
What states have the most Manager Prior Authorization Rn jobs? States with the most job openings for Manager Prior Authorization Rn jobs include:
Manager Prior Authorization Rn jobs near you

Prior Authorization Manager

Alpaca Health

New York, NY • On-site, Remote

Full-time

Posted yesterday

Job description

About Alpaca Health
Alpaca Health enables clinicians to become entrepreneurs, starting in autism care.
We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians.
We've raised over $14M in funding from early-stage investors like Core Innovation Capital, Adverb Ventures, and South Park Commons, and are building for long-term category leadership. More importantly, we're serving thousands of patients, while growing 30% - 50% MoM.
This role is full-time, remote, and based in the United States
Role: Prior Authorizations Manager
Responsibilities:
  • Work with our Prior Authorizations vendor to resolve complex authorization issues including coordinating with our providers, patients and payors
  • Be the inhouse expert for all prior authorizations and pre-certification requests and requirements for a region or set of payors
  • Support the team in chasing down documentation, resolving auth rejections, and navigating payer requirements
  • Work with the operations team to identify bottlenecks, inefficiencies, and opportunities across the intake workflow
  • Develop processes and training materials for offshore team members to resolve day-to-day prior authorization issues
  • Own Prior Authorization outcomes and KPIs for your region / payors

Who You Are
  • [REQUIRED] 5+ years of experience in ABA intake with a specific focus on Prior Authorizations or Insurance Certification
  • [REQUIRED] Strong understanding of the ABA pre-certification process for Tricare East, Medicaid MCOs, BCBS State plans, Aetna, and/or Cigna
  • You are highly organized and relentless about follow-through, nothing falls through the cracks on your watch
  • Extreme detail orientation and ability to read complex clinical documents, payor feedback, and EHR data with regards to prior authorization workflows
  • You communicate clearly and confidently with everyone from parents to clinicians to payor contacts
  • You are a problem-solver - you identify the issue and fix it
  • You are comfortable with ambiguity and can make good judgment calls in real time
  • You hold yourself to a high bar while remaining approachable and supportive

Why Join
  • The opportunity to materially impact the health outcomes of the most vulnerable populations
  • Opportunity for rapid career growth as we build out a net new function at Alpaca Health
  • Join one of the fastest growing healthcare startups in the world (between 30% - 50% monthly growth)
  • Join a team of rockstar performers who are taking a new tech first approach to building a scalable digital health platform

Apply