Huntsville, AL · On-site
$55.50 - $66.75/hr
Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...
Huntsville, AL · On-site
$55.50 - $66.75/hr
Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...
Birmingham, AL · On-site
$32.50 - $43.75/hr
Infusion Prior Authorization Nurses manage prior authorization requests for outpatient infusions, including those requiring peer-to-peer reviews or appeals. They collaborate closely with Billing on ...
Birmingham, AL · On-site
$32.50 - $43.75/hr
Infusion Prior Authorization Nurses manage prior authorization requests for outpatient infusions, including those requiring peer-to-peer reviews or appeals. They collaborate closely with Billing on ...
Infusion Prior Authorization Nurses manage prior authorization requests for outpatient infusions, including those requiring peer-to-peer reviews or appeals. They collaborate closely with Billing on ...
Infusion Prior Authorization Nurses manage prior authorization requests for outpatient infusions, including those requiring peer-to-peer reviews or appeals. They collaborate closely with Billing on ...
Responds to Medical records, medication prior authorizations, and paperwork for All clinical sites * Under the direction of the Nurse Manager, work on clinical tasks, including Athena buckets
Responds to Medical records, medication prior authorizations, and paperwork for All clinical sites * Under the direction of the Nurse Manager, work on clinical tasks, including Athena buckets
Responds to Medical records, medication prior authorizations, and paperwork for All clinical sites * Under the direction of the Nurse Manager, work on clinical tasks, including Athena buckets
Responds to Medical records, medication prior authorizations, and paperwork for All clinical sites * Under the direction of the Nurse Manager, work on clinical tasks, including Athena buckets
Responds to Medical records, medication prior authorizations, and paperwork for All clinical sites * Under the direction of the Nurse Manager, work on clinical tasks, including Athena buckets
Quick apply
Responds to Medical records, medication prior authorizations, and paperwork for All clinical sites * Under the direction of the Nurse Manager, work on clinical tasks, including Athena buckets
Educate provider office staff with understanding the payers' coverage management strategies for product, including coding, billing, formulary, prior authorization, and appeal processes. * Probe to ...
Educate provider office staff with understanding the payers' coverage management strategies for product, including coding, billing, formulary, prior authorization, and appeal processes. * Probe to ...
Huntsville, AL · On-site
$110 - $140/hr
... the prior-authorization and coverage process. * Identify eligibility for manufacturer assistance, co-pay support, and patient assistance programs. * Coordinate with providers, case managers, and ...
Huntsville, AL · On-site
$110 - $140/hr
... the prior-authorization and coverage process. * Identify eligibility for manufacturer assistance, co-pay support, and patient assistance programs. * Coordinate with providers, case managers, and ...
Birmingham, AL · On-site
$90 - $110/hr
... the prior-authorization and coverage process. * Identify eligibility for manufacturer assistance, co-pay support, and patient assistance programs. * Coordinate with providers, case managers, and ...
Birmingham, AL · On-site
$90 - $110/hr
... the prior-authorization and coverage process. * Identify eligibility for manufacturer assistance, co-pay support, and patient assistance programs. * Coordinate with providers, case managers, and ...
Huntsville, AL · On-site
$55.50 - $66.75/hr
... the prior-authorization and coverage process. * Identify eligibility for manufacturer assistance, co-pay support, and patient assistance programs. * Coordinate with providers, case managers, and ...
Huntsville, AL · On-site
$55.50 - $66.75/hr
... the prior-authorization and coverage process. * Identify eligibility for manufacturer assistance, co-pay support, and patient assistance programs. * Coordinate with providers, case managers, and ...
Center Point, AL · On-site
$53.75 - $64.50/hr
... the prior-authorization and coverage process. * Identify eligibility for manufacturer assistance, co-pay support, and patient assistance programs. * Coordinate with providers, case managers, and ...
Center Point, AL · On-site
$53.75 - $64.50/hr
... the prior-authorization and coverage process. * Identify eligibility for manufacturer assistance, co-pay support, and patient assistance programs. * Coordinate with providers, case managers, and ...
$14.75 - $19.25/hr
... prior authorizations, and ensuring proper documentation for medical necessity. * The coordinator ... Ability to communicate effectively with physicians, the public and various levels of management.
Quick apply
$14.75 - $19.25/hr
... prior authorizations, and ensuring proper documentation for medical necessity. * The coordinator ... Ability to communicate effectively with physicians, the public and various levels of management.
$14.75 - $19.25/hr
... prior authorizations, and ensuring proper documentation for medical necessity. * The coordinator ... Ability to communicate effectively with physicians, the public and various levels of management.
$14.75 - $19.25/hr
... prior authorizations, and ensuring proper documentation for medical necessity. * The coordinator ... Ability to communicate effectively with physicians, the public and various levels of management.
Certified Case Manager (CCM) Certification or is in process of completing certification when ... Knowledge of Coordination of Care, Medicare regulations, prior authorization, level of care and ...
Certified Case Manager (CCM) Certification or is in process of completing certification when ... Knowledge of Coordination of Care, Medicare regulations, prior authorization, level of care and ...
Birmingham, AL · On-site
$180K - $190K/yr
Provide education to HCP offices on coverage status, prior authorization processes, appeals, and ... Digital fluency with CRM platforms and comfort educating patients on technology-enabled support ...
Birmingham, AL · On-site
$180K - $190K/yr
Provide education to HCP offices on coverage status, prior authorization processes, appeals, and ... Digital fluency with CRM platforms and comfort educating patients on technology-enabled support ...
$19.50 - $26.75/hr
Knowledge of third-party payers (Medicare, Medicaid, commercial) and case management process (prior authorization and appeals). * Demonstrated technical aptitude and working proficiency in using iPad ...
$19.50 - $26.75/hr
Knowledge of third-party payers (Medicare, Medicaid, commercial) and case management process (prior authorization and appeals). * Demonstrated technical aptitude and working proficiency in using iPad ...
... prior authorization requests, educating patients on DCH retail pharmacy services, proactively ... This position is also responsible for managing all duties of the medication patient assistance ...
... prior authorization requests, educating patients on DCH retail pharmacy services, proactively ... This position is also responsible for managing all duties of the medication patient assistance ...
Support prior-authorization and appeals processes when needed. * Educate patients and caregivers on regimens and disease-state management. * Document case activities and outcomes in compliance with ...
Support prior-authorization and appeals processes when needed. * Educate patients and caregivers on regimens and disease-state management. * Document case activities and outcomes in compliance with ...
... prior authorization requests, educating patients on DCH retail pharmacy services, proactively ... This position is also responsible for managing all duties of the medication patient assistance ...
... prior authorization requests, educating patients on DCH retail pharmacy services, proactively ... This position is also responsible for managing all duties of the medication patient assistance ...
$19 - $24.50/hr
... prior authorization requests, educating patients on DCH retail pharmacy services, proactively ... This position is also responsible for managing all duties of the medication patient assistance ...
$19 - $24.50/hr
... prior authorization requests, educating patients on DCH retail pharmacy services, proactively ... This position is also responsible for managing all duties of the medication patient assistance ...
$28.6K - $38.3K
9% of jobs
$38.3K - $48.1K
13% of jobs
$51.9K is the 25th percentile. Wages below this are outliers.
$48.1K - $57.8K
7% of jobs
$57.8K - $67.6K
17% of jobs
The median wage is $69.6K / yr.
$67.6K - $77.4K
18% of jobs
$77.4K - $87.1K
7% of jobs
$90.3K is the 75th percentile. Wages above this are outliers.
$87.1K - $96.9K
11% of jobs
$96.9K - $106.7K
5% of jobs
$106.7K - $116.4K
5% of jobs
$116.4K - $126.2K
3% of jobs
$126.2K - $136K
4% of jobs
$28.6K
$75.7K
$136K
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.
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.
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.
The most popular types of Prior Authorization jobs in Alabama are:
For Manager Prior Authorization jobs in Alabama, the most frequently searched job titles are:
The top searched job categories for Manager Prior Authorization jobs in Alabama are:
Cities in Alabama with the most Manager Prior Authorization job openings:
$55.50 - $66.75/hr
Other
Posted 8 days ago
Formulary Management Pharmacist - Influence Therapy Access at Scale | Hybrid/Remote Friendly
Shape which medications patients can access by evaluating new drugs, analyzing clinical and economic data, and supporting P&T; Committee decisions. This role offers strong intellectual challenge and often hybrid or remote flexibility.
Key Responsibilities
