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Manager Prior Authorization Jobs in Red Bud, IL (NOW HIRING)

Stivers

Authorization Specialist

Saint Louis, MO · On-site

$21 - $23/hr

Submitting prior authorization requests via phone, fax, and online payer portals. * Coordinating ... Management (PCM). * Following up on pending authorization requests to ensure timely approval.

Arch Vista

UR Coordinator

Saint Louis, MO

$15 - $22/hr

... managing multiple time-sensitive requests while maintaining confidentiality and regulatory compliance. Key Responsibilities * Coordinate and track utilization review and prior authorization requests.

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All JobsPrior Authorization JobsManager Prior Authorization JobsManager Prior Authorization Jobs in Red Bud, IL

Manager Prior Authorization information

See Red Bud, IL salary details

$29.1K

$77.1K

$138.5K

How much do manager prior authorization jobs pay per year?

As of Sep 1, 2026, the average yearly pay for manager prior authorization in Red Bud, IL is $77,093.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,500.00 and $95,100.00 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 cities near Red Bud, IL are hiring for Manager Prior Authorization jobs?

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

Manager Prior Authorization jobs near you
Infographic showing various Manager Prior Authorization job openings in Red Bud, IL as of August 2026, with employment types broken down into 84% Full Time, 14% Part Time, and 2% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $77,093 per year, or $37.1 per hour.

Pharmacy Prior Authorization Specialist

Onco360

Saint Louis, MO • On-site

$23/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

20th of 113 rated pharmacies

Job description

Pharmacy Prior Authorization Specialist - Onco360 Pharmacy
Full-Time | Starting at $23.00/hr and up
Full-Time position working out of the State of Missouri. This position may work remotely.
Sign-On Bonus: $5,000 for employees starting before August 31, 2026!
As our company continues to grow, we strive to hire new team members with a passion for making a difference in our patient's lives.
Why Join Us?
  • A career with purpose: Help patients access life-saving medications.
  • Supportive culture: We value teamwork, respect, integrity, and passion.
  • Growth opportunities: We invest in your professional and personal development.
Company Benefits
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Quarterly Incentive Bonus
  • Paid Volunteer Day
  • Referral Incentive Program
  • Company Paid Life Insurance; and Short/Long-Term Disability
What You'll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
How You'll Do This
  • Manage prior authorization requests and appeals with insurance carriers.
  • Collaborate with physicians, pharmacists, and other departments.
  • Ensure HIPAA compliance while handling sensitive patient information.
  • Maintain accurate documentation of authorization details.
  • Proactively monitor and renew expiring authorizations.
What You Bring
Required:
  • High School Diploma or GED
  • 1+ years of pharmacy or prior authorization experience
  • Pharmacy Technician License/Registration with Board of Pharmacy (as required by state law)
  • Strong communication, organizational, and customer service skills
  • Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
Preferred:
  • Associate degree or Certified Pharmacy Technician (PTCB)
  • 3+ years of experience in pharmacy or prior authorizations
  • Specialty pharmacy experience

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