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Manager Prior Authorization Jobs in Colorado (NOW HIRING)

Valeris

Remote Field Reimbursement Manager

Denver, CO · Remote

... prior authorizations, appeals processes, and patient support financial assistance offerings. This ... Maintain current knowledge of managed care, reimbursement trends, and relevant healthcare policies ...

AArete

Analyst, Claims Analytics

Denver, CO · On-site

$82K - $97K/yr

This role will support the analytics pod, with a focus on medical management and prior authorization use cases. The Analyst will work closely with Consultants and Senior Consultants to execute ...

AArete

Analyst, Claims Analytics

Denver, CO · On-site

$82K - $97K/yr

This role will support the analytics pod, with a focus on medical management and prior authorization use cases. The Analyst will work closely with Consultants and Senior Consultants to execute ...

Elevance Health

Authorization Representative I

Denver, CO · On-site

$18.15 - $22.69/hr

Requires a HS diploma or GED and a minimum of 1 year of experience processing pharmacy prior ... Non-Management Non-Exempt Workshift: Job Family: CUS > Care Support Please be advised that Elevance ...

Elevance Health

Authorization Representative I

Denver, CO · On-site

$18.15 - $22.69/hr

Requires a HS diploma or GED and a minimum of 1 year of experience processing pharmacy prior ... Non-Management Non-Exempt Workshift: Job Family: CUS > Care Support Please be advised that Elevance ...

UCHealth

Medication Access Specialist

Denver, CO · On-site

$23.49 - $30.53/hr

... managing PAR and prescriptions renewal dates. Responsibilities: * Coordinates with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for ...

Walgreens

Specialty Billing Technician

Englewood, CO · On-site

$18 - $23.25/hr

Verify services and products are correctly authorized and required documentation is on file ... Manage and collect patient balances prior to prescription dispensing, or in accordance with company ...

Zynex Medical

Manager of Order Processing

Denver, CO · On-site +1

Experience supervising or leading a documentation review, prior authorization, utilization review support, durable medical equipment, home health, specialty pharmacy, claims, or healthcare operations ...

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All JobsPrior Authorization JobsManager Prior Authorization JobsManager Prior Authorization Jobs in Colorado

Manager Prior Authorization information

See Colorado salary details

$33.1K

$87.8K

$157.7K

How much do manager prior authorization jobs pay per year?

As of Sep 6, 2026, the average yearly pay for manager prior authorization in Colorado is $87,783.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,000.00 and $108,300.00 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.

What are the most commonly searched types of Prior Authorization jobs in Colorado?

The most popular types of Prior Authorization jobs in Colorado are:

What are popular job titles related to Manager Prior Authorization jobs in Colorado?

For Manager Prior Authorization jobs in Colorado, the most frequently searched job titles are:

What job categories do people searching Manager Prior Authorization jobs in Colorado look for?

The top searched job categories for Manager Prior Authorization jobs in Colorado are:

What cities in Colorado are hiring for Manager Prior Authorization jobs?

Cities in Colorado with the most Manager Prior Authorization job openings:

Manager Prior Authorization jobs near you
Infographic showing various Manager Prior Authorization job openings in Colorado as of August 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $87,783 per year, or $42.2 per hour.

Remote Field Reimbursement Manager

Valeris

Denver, CO • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 10 days ago

Job description

*** Seeking candidates that reside in the West and Mid-West Regions of the United States ***
Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life sciences innovation to real-life impact to build a world in which every patient gets the care they need. Valeris works on behalf of life sciences companies to improve the patient experience so that patients can access and adhere to critical medications. Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Valeris provides commercialization solutions to more than 500 life sciences customers and has provided access and affordability support to millions of patients. The company is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana. To learn more about Valeris, please visit www.valeris.com.
As a Remote Field Reimbursement Manager you will help support patient access to critical therapies by resolving access challenges through virtual education of healthcare provider (HCP) and support staff at sites of care. The FRM will be HCP-facing and serve as the subject-matter expert on regional payer access, prior authorizations, appeals processes, and patient support financial assistance offerings. This role focuses on ensuring timely and effective patient access and is strictly non-promotional and does not involve sales or the provision of clinical care/medical advice.
Responsibilities
  • Educate HCPs on Patient Support Programs: Provide reactive, approved, tailored education to healthcare providers and their staff on available financial support programs for eligible patients
  • Provide Reimbursement Expertise: Educate HCPs and their office support on the local payer landscape through virtual education engagements, including national and regional payer policies, prior authorization criteria including letter of medical necessity and appeals templates, quantity limits, stocking information, and appropriate access pathways and processes for payers and PBMs
  • Address Access Barriers: Provide assistance to HCPs to compliantly troubleshoot claims at retail pharmacies for eligible patients who have used patient support financial assistance offerings
  • Stay informed on national and regional payer policies: Maintain current knowledge of managed care, reimbursement trends, and relevant healthcare policies and regulations (e.g., Commercial, Medicare, and Medicaid”.
  • Work and compliantly with field team representatives to receive engagement requests and communicate outcome of interactions Role models ethics and integrity in the work that you do to support a culture of compliance and earn trust with external stakeholders
  • Communicate access concerns and issues with appropriate internal stakeholders
  • Operate in Compliance with HIPAA within program guidelines
  • On time adherence to training deadlines for all corporate policies and procedures governing access to confidential data
  • Ensures compliant use of approved materials, resources and talking points only
  • Ensure all SOPs and BRDs are followed with consistency
  • Conducts miscellaneous tasks or projects assigned
Qualifications:
  • Bachelor’s degree
  • 5+ experience in Case Management Reimbursement Experience; product launch experience is highly desired
  • 5+ in the Pharma/Healthcare industry; working with Hubs, Payers, HCP or related area
  • Advanced understanding of the U.S. reimbursement landscape, including commercial and government payers, patient access support programs and prior authorization requirements
  • Demonstrated ability to conduct virtual access support and education
  • Excellent written and verbal communication skills, and presentation expertise to effectively educate diverse stakeholders
  • Proven ability to seamlessly address and resolve access barriers to enable patient access and affordability to prescribed therapies
  • Highly competent in a multitude of IT capabilities to support the business needs including Veeva CRM
  • A deep understanding of and strict adherence to all federal and state compliance guidelines and regulations, including HIPAA
Travel Requirements:
  • Infrequent travel may be required for various national meetings, training programs and POAs
  • Valid driver’s license required for travel
Physical Demands amp; Work Environment
While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy.
Although very minimal, flexibility to travel as needed is preferred.
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.
Why Work for Valeris?
We’re committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect:
  • Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
  • Additional health support, including telehealth and Employee Assistance Program (EAP) services
  • Company match on Health Savings Account contributions
  • Free Basic Life and AD amp;D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000
  • Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability
  • 401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting
  • Paid Time Off (PTO) and Sick Leave to support work-life balance
  • Team members receive nine paid holidays plus two floating holidays
  • Opportunities for advancement in a company that supports personal and professional growth
  • A challenging, stimulating work environment that encourages new ideas
  • Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
  • A mission-driven, inclusive culture where your work makes a meaningful impact
Any offer of employment is contingent upon the successful completion of a background check and, depending on the position, a drug screen in accordance with company standards. Please note that this job description is not intended to be an exhaustive list of all duties, responsibilities, or activities associated with the position. Responsibilities and tasks may be modified at any time, with or without notice.
Our Commitment to Equal Opportunity
At Valeris, we don’t just accept difference – we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. Valeris is proud to be an equal opportunity employer.
#INDFRM

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