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Manager Prior Authorization Jobs in Madison, AL (NOW HIRING)

Formulary Management Pharmacist

Huntsville, AL · On-site

$55.50 - $66.75/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 ...

Public Health Office Assistant

Fayetteville, TN · On-site

$15 - $19.75/hr

KEY RESPONSIBILITIES: • Schedule and manage patient appointments • Inform patients of any visit ... Obtain prior authorization per guidance, before releasing medical information • Assist in ...

Clerical

Madison, AL · On-site

$14 - $18.50/hr

Any other duties as assigned by the Office Manager/ Clinical Director. RECEPTIONIST DUTIES ... If patient is workman's comp, then prior authorization for frequency and duration must be done ...

Any other duties as assigned by the Office Manager/ Clinical Director. RECEPTIONIST DUTIES ... If patient is workman's comp, then prior authorization for frequency and duration must be done ...

RECEPTIONIST

Huntsville, AL · On-site

$16.25 - $19.75/hr

Notes patient arrival in Practice Management System (eClinical Works). * Identifies patients by ... Verifies if prior authorization from insurance is required; notifies Billing Department, if ...

RECEPTIONIST

Huntsville, AL · On-site

$16.25 - $19.75/hr

Dermatology Solutions Group, LLC ("DSG") provides professional management services to Southeastern ... Verifies if prior authorization from insurance is required; notifies Billing Department, if ...

RECEPTIONIST

Huntsville, AL · On-site

$15.75 - $19/hr

Notes patient arrival in Practice Management System (eClinical Works). * Identifies patients by ... Verifies if prior authorization from insurance is required; notifies Billing Department, if ...

Cyber Security Manager

Huntsville, AL · On-site

$109K - $147K/yr

Prepare and submit classified and unclassified RMF authorization packages to support Authority to ... Prior experience leading or mentoring ISSO, ISSM, or security engineering teams * Experience with ...

Cyber Security Manager

Huntsville, AL · Hybrid

$109K - $147K/yr

Prepare and submit classified and unclassified RMF authorization packages to support Authority to ... Prior experience leading or mentoring ISSO, ISSM, or security engineering teams * Experience with ...

Review, approve, and disseminate Control Account Work Authorizations (CAWA) to team members through ... Demonstrated experience in a prior CAM or EVM role * This position requires knowledge in the ...

Review, approve, and disseminate Control Account Work Authorizations (CAWA) to team members through ... Demonstrated experience in a prior CAM or EVM role * This position requires knowledge in the ...

Review, approve, and disseminate Control Account Work Authorizations (CAWA) to team members through ... Demonstrated experience in a prior CAM or EVM role * This position requires knowledge in the ...

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Showing results 1-20

Manager Prior Authorization information

See Madison, AL salary details

$28.2K

$74.8K

$134.4K

How much do manager prior authorization jobs pay per year?

As of Aug 23, 2026, the average yearly pay for manager prior authorization in Madison, AL is $74,797.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,900.00 and $92,300.00 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 Madison, AL?

The most popular types of Prior Authorization jobs in Madison, AL are:

What job categories do people searching Manager Prior Authorization jobs in Madison, AL look for?

The top searched job categories for Manager Prior Authorization jobs in Madison, AL are:

What cities near Madison, AL are hiring for Manager Prior Authorization jobs?

Cities near Madison, AL with the most Manager Prior Authorization job openings:

Infographic showing various Manager Prior Authorization job openings in Madison, AL as of August 2026, with employment types broken down into 79% Full Time, 17% Part Time, 2% Temporary, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $74,797 per year, or $36 per hour.

Prior Authorization Manager

OneOncology

Huntsville, AL • On-site

Other

Posted 3 days ago

New


OneOncology rating

7.9

Company rating: 7.9 out of 10

Based on 18 frontline employees who took The Breakroom Quiz


Job description

Join Clearview Cancer Institute

Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options.

Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.

Job Description

Job purpose: Oversee the process of obtaining prior authorization for hematology and oncology treatments from insurance companies, ensuring timely access to necessary medications and therapies while adhering to clinical guidelines and payer requirements, by managing a team of prior authorization specialist and coordinating with healthcare providers and insurance companies to navigate complex authorization processes.

Duties Include:

Team Leadership:

  • Manage a team of oncology prior authorization specialists, assigning tasks, monitoring performance and providing coaching to ensure efficient and accurate processing of authorization requests
  • Develop and implement strategies to optimize team productivity and meet established performance metrics

Clinical Review and Decision Making

  • Conduct comprehensive reviews of oncology/hematology treatment plans and patient medical records to determine appropriate prior authorization requests based on clinical guidelines, payer policies, and treatment protocols
  • Analyze complex medical information to assess the clinical necessity of requested therapies and identify potential issues that may impact authorization approvals

Payer Management

  • Stay updated on evolving payer policies and reimbursement guidelines, communicating changes to the team and adapting strategies accordingly

Patient Advocacy

  • Collaborate with healthcare providers, nurses, and patients to address any prior authorization delays or denials, exploring appeals processes when necessary
  • Ensure clear communication with patients regarding their prior authorization status

Data Analysis and Reporting

  • Monitor and analyze prior authorization data to identify trends, areas of improvement, and potential cost savings opportunities
  • Generate reports for leadership regarding prior authorization performance, including approval rates, turnaround times, and denials reasons

Compliance and Quality Assurance

  • Ensure adherence to all relevant regulatory guidelines and compliance standards related to prior authorization processes
  • Implement quality control measures to monitor accuracy and consistency of prior authorization submissions

Education/Experience

  • Required bachelor's degree in nursing, pharmacy, or healthcare administration
  • Master's degree preferred, but not required
  • Extensive knowledge of oncology treatments, clinical guidelines and payer policies
  • Proven experience in prior authorization management, particularly within the oncology setting
  • Strong analytical and problem-solving skills to navigate complex patient cases and payer requirements
  • Excellent communication and interpersonal skills to effectively collaborate with diverse stakeholders.

Working conditions:

This position works as part the business office of a busy outpatient oncology/hematology clinic overseeing the day-to-day operations of the prior authorization department.

Physical requirements:

This position requires that the employee be able to sit at a desk and work on a computer for up to eight hours a day

Direct reports: All Prior Authorization Specialist that are a part of the business office including float prior authorization specialist


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