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Manager Prior Authorization Jobs in Chicago, IL (NOW HIRING)

ReliaMed

Prior Authorization Specialist

Aurora, IL · On-site

$19.50 - $21.50/hr

Initiate and manage appeals for denied authorizations, exploring every possibility for patient ... Prior work experience in a professional office environment is essential. * Previous experience in ...

Onco360

Pharmacy Prior Authorization Specialist

Woodridge, IL · On-site

$20.25 - $26.25/hr

Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...

Onco360

Pharmacy Prior Authorization Specialist

Woodridge, IL · On-site +1

$20.25 - $26.25/hr

Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...

Pharmacy Careers

Formulary Management Pharmacist

Chicago, IL · On-site

$60 - $72.25/hr

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...

AltaStaff, LLC

UM RN Care Review Clinician

Chicago, IL · Remote

$40 - $42/hr

Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team. * Additional duties assigned Education ...

AltaStaff

UM Care Review Clinician

Chicago, IL · On-site

$40 - $42/hr

Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team. * Additional duties assigned Education ...

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Manager Prior Authorization information

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How much do manager prior authorization jobs pay per year?

As of Aug 31, 2026, the average yearly pay for manager prior authorization in Chicago, IL is $85,998.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,800.00 and $106,100.00 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 Chicago, IL?

The most popular types of Prior Authorization jobs in Chicago, IL are:

What are popular job titles related to Manager Prior Authorization jobs in Chicago, IL?

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

What job categories do people searching Manager Prior Authorization jobs in Chicago, IL look for?

The top searched job categories for Manager Prior Authorization jobs in Chicago, IL are:

What cities near Chicago, IL are hiring for Manager Prior Authorization jobs?

Cities near Chicago, IL with the most Manager Prior Authorization job openings:

Manager Prior Authorization jobs near you
Infographic showing various Manager Prior Authorization job openings in Chicago, IL as of August 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 87% In-person, and 13% Hybrid job distribution, with an average salary of $85,998 per year, or $41.3 per hour.

Prior Authorization Specialist

Matteson, IL • On-site

Keystone Advisors LLC
See more jobs at Keystone Advisors LLCexternal

$17.75 - $23.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Job description

Keystone Advisors is looking for a Prior Authorization Specialist to join our team in Matteson, IL supporting one of our healthcare clients. 
Job Summary

The Prior Authorization Specialist is responsible for obtaining and processing all prior authorization requests, coordinating phone calls, entering and tracking data from insurance providers and health plans regarding authorization, expedited reviews, and appeals. The Prior Authorization Specialist is required to document and track all communication attempts with insurance providers and health plans, follow up on all denials while working to ensure services are validated.  

Typical Duties

  • Reviews accounts, and initiate pre-authorizations, and other requirements related to managed care; route to appropriate departments as needed.
  • Collects demographic, insurance, and clinical information to ensure that all reimbursement requirements are met.
  • Notifies the necessary parties within the required timeframe for routine and urgent requests for services.
  • Assists in monitoring utilization services to assure cost effective use of medical resources through processing prior authorizations.
  • Communicates with patients and/or referring physicians on non-covered benefits or procedure coverage issues.
  • Assists with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed.
  • Provides consistent and comprehensive information (both in writing and verbally) to facilitate approvals.
  • Ensures insurance carrier documentation requirements are met and authorization documentation is entered and recorded in the patient’s records.
  • Appeals pre-authorization denials and/or set-up peer to peer reviews.
  • Maintains an extensive working knowledge and expertise of insurance companies and billing authorization requirements.
  • Identifies and reports undesirable trends and reimbursement modeling errors or underlying causes of incorrect payment; review allowed variances from third party payers.
  • Builds and maintains working relationships with staff, referral sources, insurance companies, and medical providers.

Minimum Qualifications

  • High School diploma or GED equivalent with five (5) years of prior authorization experience OR Bachelor’s degree with two (2) years of prior authorization experience
  • Three (3) years of experience processing insurance requests to obtain prior authorization
  • Experience and familiarity with using insurance portals, i.e., Anthem, Availty, Evicor, Covermymeds, Magellang

Preferred Qualifications

  • Knowledge and experience with payer processes to submit appropriate clinical documentation
  • Experience using Medical Terminology

Knowledge, Skills, Abilities and Other Characteristics

  • Proficiency with Microsoft applications and internet-based programs
  • Strong interpersonal skills with the ability to establish strong working relationships
  • Excellent verbal and written communication skills necessary to communicate with all levels of staff and a patient population composed of diverse cultures and age groups
  • Strong time management skills to prioritize assignments and meet the designated deadline
  • Ability to anticipate, recognize, and meet the needs of the patients and their families
  • Ability to work in a team-based environment to accomplish goals and objectives
  • Ability to demonstrate respect and sensitivity for cultural diversity in client’s work force and patient population
  • Ability to critically think, problem solve and make independent decisions supporting the authorization process, including interactions with payer representatives, physicians, and hospital case managers

Compensation Package:

  • Competitive Salary
  • Paid Time Off
  • Health, Vision & Dental Insurance
  • Health Savings Account (HSA)
  • Flexible Spending Account (FSA)
  • Short & Long Term Disability
  • 401 (K) with company match
  • Life Insurance

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