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Manager Prior Authorization Jobs in Virginia (NOW HIRING)

WomanCare Centers

Prior Authorization Nurse

Norfolk, VA · On-site

$25 - $31/hr

Manage medication prior authorizations as the primary responsibility of the position, including initiating, completing, submitting, and tracking prior authorization requests. * Review medication ...

VSI

Insurance Authorization Specialist

Reston, VA · On-site

$19 - $25.25/hr

Coordinates with workers' compensation case managers to streamline authorizations for care * Tracks and monitors prior authorization status throughout the insurance approval process. * Utilizes a ...

VSI

Insurance Authorization Specialist

Reston, VA · On-site

$52 - $68/hr

Coordinates with workers' compensation case managers to streamline authorizations for care * Tracks and monitors prior authorization status throughout the insurance approval process. * Utilizes a ...

Riverside

$23.90 - $31.10/hr

Follows prior authorization and/or patient assistance workflows and policies/procedures. * Demonstrates the ability to work independently, meet deadlines and possesses excellent time management ...

Riverside Health System Non-Providers

$23.90 - $31.10/hr

Follows prior authorization and/or patient assistance workflows and policies/procedures. * Demonstrates the ability to work independently, meet deadlines and possesses excellent time management ...

ARM Consulting

Reimbursement Specialist

Fort Belvoir, VA · On-site

$21.75 - $30/hr

Managed Medicaid * * Employer-sponsored plans * * Government-sponsored plans * * Determine benefit coverage requirements, including: * * Deductibles * * * Prior Authorization Support & Access ...

Integrated Resources INC

Pharmacy Technician

Glen Allen, VA · On-site

$16.50 - $20/hr

Communicates decision to physicians, physician's office staff, medical management staff and/or pharmacists. - Researches, resolves and documents prior authorization outcomes in pharmacy system ...

Sentara Healthcare

Authorization Coordinator

Norfolk, VA · On-site +1

$18 - $22.25/hr

The Authorization Coordinator is responsible for review of clinical information received from ... in the system prior to authorizing services. Requires knowledge of managed care contracting ...

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Manager Prior Authorization information

See Virginia salary details

$31.2K

$82.8K

$148.7K

How much do manager prior authorization jobs pay per year?

As of Sep 4, 2026, the average yearly pay for manager prior authorization in Virginia is $82,766.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,500.00 and $102,100.00 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 Virginia?

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

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

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

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

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

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

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

Manager Prior Authorization jobs near you
Infographic showing various Manager Prior Authorization job openings in Virginia as of August 2026, with employment types broken down into 86% Full Time, 13% Part Time, and 1% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $82,766 per year, or $39.8 per hour.

Prior Authorization Nurse

WomanCare Centers

Norfolk, VA • On-site

$25 - $31/hr

Full-time

PTO

Posted 18 days ago

Job description

WomanCare Centers
Prior Authorization Nurse 

We are a busy, patient-centered OB/GYN outpatient practice dedicated to providing compassionate, comprehensive care to women at every stage of life. Our team values communication, collaboration, and continuity of care—both in and out of the office. 

We’re seeking an experienced Medication Prior Authorization Nurse to join our dynamic team in an in-person, non-remote position. The primary focus of this role is the timely and accurate management of medication prior authorizations, working closely with providers, pharmacies, insurance companies, and patients to facilitate access to prescribed medications. 

Responsibilities: 
  • Manage medication prior authorizations as the primary responsibility of the position, including initiating, completing, submitting, and tracking prior authorization requests. 
  • Review medication orders and insurance requirements to determine appropriate prior authorization processes and required documentation. 
  • Gather and submit supporting clinical documentation, including diagnoses, treatment history, laboratory results, and other information required for authorization. 
  • Monitor pending prior authorizations and proactively follow up to ensure timely resolution and minimize delays in patient treatment. 
  • Assist with appeals, reconsiderations, peer-to-peer requests, and alternative medication options when prior authorization requests are denied, as directed by the provider.
  • Maintain accurate and timely documentation of all prior authorization activities in the electronic health record (EHR). 
  • Process medication refill requests as appropriate, ensuring clinical appropriateness and adherence to established protocols. 
  • Stay current with payer requirements, medication authorization processes, and changes that may affect patient access to medications. 
  • Other duties as assigned. 

Qualifications Desired:
  • Minimum of 2 years of nursing experience in Prior Authorizations. 
  • Strong clinical assessment, critical thinking, and problem-solving skills. 
  • Excellent communication, organization, documentation, and time-management skills. 
  • Strong attention to detail and ability to manage multiple prior authorizations and follow-up tasks simultaneously. 
  • Ability to work independently while collaborating effectively with providers, pharmacies, insurance companies, and members of the care team. 
  • Compassionate, patient-centered approach to care. 
  • Ability to work in person; this position is not eligible for remote work. 
  • Familiarity with medication formularies.
  • Knowledge of common OB/GYN conditions, including prenatal care, contraception, menstrual issues, menopause, infections, and pregnancy complications. 

Why Join Our Team? 
  • Paid time off that increases with tenure. 
  • Major federally recognized holidays off with pay. 
  • Competitive benefits package with optional supplemental benefits. 
  • Leadership dedicated to cultivating and maintaining a positive environment that encourages professional growth. 
  • Opportunities to take on healthy challenges and develop your clinical and administrative skills. 
  • A collaborative team environment with coworkers who encourage and support one another in achieving success.