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Manager Prior Authorization Jobs in Virginia (NOW HIRING)

VSI

Insurance Authorization Specialist

Reston, VA · On-site

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

Specialty Pharmacy Technician

Newport News, VA · On-site

$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 ...

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 ...

HORIZON HEALTH SERVICES INC

LPN/MA

Dendron, VA · On-site

$45K - $70K/yr

Obtain and manage prior authorizations as required by insurance carriers. * Follow up on referral status and ensure receipt of consultation reports. * Communicate referral information, appointment ...

HORIZON HEALTH SERVICES INC

LPN/MA

Dendron, VA · On-site

$45K - $70K/yr

Obtain and manage prior authorizations as required by insurance carriers. * Follow up on referral status and ensure receipt of consultation reports. * Communicate referral information, appointment ...

HORIZON HEALTH SERVICES INC

LPN/MA

Dendron, VA · On-site

$45K - $70K/yr

Obtain and manage prior authorizations as required by insurance carriers. * Follow up on referral status and ensure receipt of consultation reports. * Communicate referral information, appointment ...

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All JobsPrior Authorization JobsManager Prior Authorization JobsManager Prior Authorization Jobs in Virginia

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 Aug 3, 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 job?

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 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.

What are the key skills and qualifications needed to thrive in the Manager Prior Authorization position, and why are they important?

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 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 July 2026, with employment types broken down into 1% As Needed, 82% Full Time, 12% Part Time, 3% Temporary, and 2% Contract. Highlights an 91% Physical, 4% Hybrid, and 5% Remote job distribution, with an average salary of $82,766 per year, or $39.8 per hour.

Prior Authorization Pharmacist

Accede Solutions Inc.

Mclean, VA • On-site

$59.75 - $71.75/hr

Other

Re-posted 14 days ago

Job description

Prior Authorization (PA) Pharmacist

The Prior Authorization (PA) Pharmacist would facilitate efforts in the review of clinical documentation and the Preferred Drug list (PDL) to determine proper medication therapy. The PA pharmacist will work with internal and external stakeholders in evaluating and continually developing a strategy for Utilization Management.

Responsibilities:

  • Clinical evaluation of medication therapy using established clinical or PDL criteria, drug compendia, and appropriate methods that support the principles of high-quality evidence-based medicine
  • Peer to Peer discussions with medical providers to discuss Prior Authorization reviews.
  • Consultations/Interventions: work with staff in contacting prescribers needing consultation to provide clinical information on prescribing practices that have been identified as outliers. Reviews prior authorizations data and determine opportunities for interventions.
  • Intervention Refinements: Collaborates on the refinement of consultation scripting; solicits and utilizes input from those contacted toward scripting improvements.
  • Operations: Contributes to the success of the Clinical Call Centers and Prior Authorization department by assisting with the implementation and management of both written and verbal communications to members and physicians. Is available for consultation on pharmacy-related questions and issues for others within the organization.
  • Quality Improvement: Contributes to program improvements by using continuous quality improvement processes, by being proactive in identifying improvement opportunities and by contributing on-going consultation and collaboration with product leaders.
  • Medical/Clinical: Upholds clinical integrity of pharmaceutical solutions by staying up to date on medication information, contributing to the identification of pharmacy program best practices, collaborating with Medical Directors, Clinical Pharmacist, and Clinical Specialty Pharmacist to provide pharmacy expertise.
  • Drug Review: Provides clinical input during the weekly drug file updates, making recommendations on applying utilization controls
  • Other duties as assigned. Contributes creative solutions to improve operational efficiency and effectiveness of pharmacy team

Qualifications:

  • Experience in the coordination of and collaboration of work teams preferred.
  • Ability to perform clinical reviews using relevant compendia and clinical trial data.
  • Managed care pharmaceutical service experience a plus.
  • Strong research and implementation skills in practical settings.
  • Analytical skills which can translate into practical and pragmatic recommendations.
  • Strong team orientation with respect for all members.
  • People skills are essential that allow for the successful consultation and collaboration with internal and external stakeholders who do not directly report to this job.

Requirements:

  • PharmD or B.S. in Pharmacy with relevant Specialty background
  • Registered Pharmacist with respective State Licensure
  • 4 years' experience in clinical pharmacy
  • Strong verbal and written communications skills.
  • Highly skilled with Microsoft office products and ability to quickly learn proprietary systems.

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