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Manager Prior Authorization Jobs in Virginia (NOW HIRING)

Integrated Resources INC

Pharmacy Technician

Richmond, VA · On-site

$17.25 - $21/hr

Communicates selected prior authorization criteria, pharmacy benefit coverage, and formulary alternatives to physicians, physician's office staff, medical management staff, and/or pharmacists.

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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 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.

Pharmacy Technician - Medication Access Programs

Riverside Health System

Newport News, VA • On-site

$23.90 - $31.10/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Newport News, Virginia
Hiring Range
$23.90 - $31.10/HourlyActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.
Overview
The Pharmacy Technician - Medication Access Programs facilitates timely initiation of therapy through benefit investigation, prior authorization support, payer and formulary navigation, financial assistance coordination, and medication access workflow management.
This role partners with providers, pharmacy, infusion operations, revenue cycle, patient assistance, and technology teams to reduce barriers to therapy, improve patient and provider experience, and support efficient, compliant, and patient-centered medication access services across the enterprise.
What you will do
  • Coordinate medication access services through referral intake, benefit investigation, prior authorization support, financial assistance enrollment, and submission of required documentation to facilitate timely initiation of therapy
  • Manage medication access workflows by collaborating with providers, pharmacy, infusion operations, revenue cycle, manufacturers, and assistance programs to reduce barriers and support patient access outcomes
  • Maintain accurate and timely documentation within the electronic health record and applicable tracking systems while ensuring compliance with established workflows, policies, and regulatory requirements
  • Monitor and coordinate ongoing medication access activities including refill support, authorization renewals, financial assistance recertification, and proactive follow-up to support continuity of therapy
  • Protect patient confidentiality and maintain compliance with organizational policies, HIPAA requirements, and medication access program standards
  • Support operational excellence through participation in audits, reporting, training, workflow improvement initiatives, and other activities that promote quality and service performance

Qualifications
Education
  • Program Graduate, Pharmacy Technician Training Program or equivalent (Preferred) or
  • Program Graduate, Licensed Practical Nurse (Required) or
  • Program Graduate, Certified Medical Assistant (Required)

Experience
  • 3-4 years Experience as a Pharmacy Technician, LPN or CMA (in lieu of education) (Required)
  • 1 year Experience obtaining and managing medication prior authorization as part of job function (Preferred)
  • 1 year Prior experience obtaining and managing patient assistance program applications (Preferred)

Skills and Abilities
  • Familiar with medical and pharmacy terminology
  • Prescription drug and over-the-counter knowledge
  • Basic math skills, including pharmaceutical calculations
  • Basic pharmacy workflow
  • Understanding of pharmacy computer systems
  • Ability to navigate and read electronic health record
  • Strong written and verbal communication skills
  • Ability to prioritize, problem solve and multi-task
  • Excellent customer service skills
  • Knowledge of patient assistance programs
  • Experience with prior authorization of medications
  • Strong organizational skills and detail oriented

Licenses and Certifications
  • Registered Pharmacy Technician - Virginia Department of Health Professions (VDHP) Upon Hire(Required) and
  • Pharmacy Technician Certification Board (PTCB) - Pharmacy Technician Certification Board (PTCB) PTCB or ExCPT Upon Hire(Required) or
  • Licensed Practical Nurse (LPN) - Virginia Department of Health Professions (VDHP) Upon Hire(Required) or
  • Certified Medical Assistant (CMA) - American Association of Medical Assistants (AAMA) Upon Hire(Required)
  • Advanced certification in specialty pharmacy field (PTCB, ASHP, NCODA and other approved programs) (Preferred)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.

Apply