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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Quick apply
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 ...
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 ...
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 ...
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 ...
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 ...
Smyrna, GA · On-site
$18 - $24/hr
Manage prior authorization requests from initiation through resolution, ensuring timely follow-up and completion. * Gather benefit information, perform benefit investigations, submit prior ...
Smyrna, GA · On-site
$18 - $24/hr
Manage prior authorization requests from initiation through resolution, ensuring timely follow-up and completion. * Gather benefit information, perform benefit investigations, submit prior ...
Smyrna, GA · On-site
$18 - $24/hr
Manage prior authorization requests from initiation through resolution, ensuring timely follow-up and completion. * Gather benefit information, perform benefit investigations, submit prior ...
Smyrna, GA · On-site
$18 - $24/hr
Manage prior authorization requests from initiation through resolution, ensuring timely follow-up and completion. * Gather benefit information, perform benefit investigations, submit prior ...
Smyrna, GA · On-site
$17.50 - $23.50/hr
Manage prior authorization requests from initiation through resolution, ensuring timely follow-up and completion. * Gather benefit information, perform benefit investigations, submit prior ...
Smyrna, GA · On-site
$17.50 - $23.50/hr
Manage prior authorization requests from initiation through resolution, ensuring timely follow-up and completion. * Gather benefit information, perform benefit investigations, submit prior ...
Smyrna, GA · On-site
$17.50 - $23.50/hr
Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is searching for a Prior Authorization Specialist to join its team in Smyrna, GA. We are committed to ...
Smyrna, GA · On-site
$17.50 - $23.50/hr
Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is searching for a Prior Authorization Specialist to join its team in Smyrna, GA. We are committed to ...
Smyrna, GA · On-site
$18 - $24/hr
Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is searching for an Prior Authorization Specialist to join its team in Smyrna, GA . We are committed to ...
Smyrna, GA · On-site
$18 - $24/hr
Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is searching for an Prior Authorization Specialist to join its team in Smyrna, GA . We are committed to ...
Smyrna, GA · On-site
$18 - $24/hr
Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is searching for an Prior Authorization Specialist to join its team in Smyrna, GA . We are committed to ...
Smyrna, GA · On-site
$18 - $24/hr
Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is searching for an Prior Authorization Specialist to join its team in Smyrna, GA . We are committed to ...
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 ...
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 ...
Atlanta, GA · On-site
$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 ...
Atlanta, GA · On-site
$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 ...
Atlanta, GA · On-site
$17.25 - $23/hr
The Surgery Prior Authorization Specialist is responsible for managing the prior authorization process for upcoming surgical cases. This role involves ensuring that all authorizations are obtained ...
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Atlanta, GA · On-site
$17.25 - $23/hr
The Surgery Prior Authorization Specialist is responsible for managing the prior authorization process for upcoming surgical cases. This role involves ensuring that all authorizations are obtained ...
The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.
The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.
The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.
The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.
The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.
New
The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.
New
The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.
New
The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.
New
Smyrna, GA · On-site
$58 - $69.75/hr
The Prior Authorization Pharmacist oversees clinical and operational aspects of specialty ... Manage PA appeals and ensure adherence to policies and procedures. * Act as a clinical resource for ...
Smyrna, GA · On-site
$58 - $69.75/hr
The Prior Authorization Pharmacist oversees clinical and operational aspects of specialty ... Manage PA appeals and ensure adherence to policies and procedures. * Act as a clinical resource for ...
Smyrna, GA · On-site
$58 - $69.75/hr
The Prior Authorization Pharmacist oversees clinical and operational aspects of specialty ... Manage PA appeals and ensure adherence to policies and procedures. * Act as a clinical resource for ...
Smyrna, GA · On-site
$58 - $69.75/hr
The Prior Authorization Pharmacist oversees clinical and operational aspects of specialty ... Manage PA appeals and ensure adherence to policies and procedures. * Act as a clinical resource for ...
$26.6K - $35.7K
9% of jobs
$35.7K - $44.8K
13% of jobs
$48.4K is the 25th percentile. Wages below this are outliers.
$44.8K - $53.9K
7% of jobs
$53.9K - $63K
17% of jobs
The median wage is $64.9K / yr.
$63K - $72.1K
18% of jobs
$72.1K - $81.2K
7% of jobs
$84.1K is the 75th percentile. Wages above this are outliers.
$81.2K - $90.3K
11% of jobs
$90.3K - $99.4K
5% of jobs
$99.4K - $108.5K
5% of jobs
$108.5K - $117.6K
3% of jobs
$117.6K - $126.7K
4% of jobs
$26.6K
$70.5K
$126.7K
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.
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.
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.

Full-time
Medical, Vision, Life
This job post has expired today. Applications are no longer accepted.
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
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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Health care and social assistance
51 - 200 Employees
Duluth, GA, US
2000