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Manager Prior Authorization Jobs in Rochester, NY

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Manager Prior Authorization information

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$31.1K

$82.4K

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How much do manager prior authorization jobs pay per year?

As of Jul 13, 2026, the average yearly pay for manager prior authorization in Rochester, NY is $82,369.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,200.00 and $101,600.00 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 Rochester, NY? The most popular types of Prior Authorization jobs in Rochester, NY are:
What are popular job titles related to Manager Prior Authorization jobs in Rochester, NY? For Manager Prior Authorization jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Manager Prior Authorization jobs in Rochester, NY look for? The top searched job categories for Manager Prior Authorization jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Manager Prior Authorization jobs? Cities near Rochester, NY with the most Manager Prior Authorization job openings:
Manager Prior Authorization jobs near you
Infographic showing various Manager Prior Authorization job openings in Rochester, NY as of July 2026, with employment types broken down into 100% Full Time. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $82,369 per year, or $39.6 per hour.
Medication Authorization Specialist

Medication Authorization Specialist

Rochester Regional Health

Rochester, NY • On-site

$18 - $25/hr

Part-time

Re-posted 12 days ago

Rochester Regional Health rating

7.4

Company rating: 7.4 out of 10

Based on 216 frontline employees who took The Breakroom Quiz

265th of 882 rated healthcare providers

Job description

  • Job Title: Medication Authorization Specialist
    Location: Rochester General MOB (1415 Portland Avenue, Rochester, NY 14621)
    Department: Pharmacy
    Hours Per Week: 20 Hours, Part-time
    Schedule: Monday, Tuesday and Thursday 8a-4p or 8:30a-5p
    Key Responsibilities:
    • Coordinate and submit medication prior authorization requests to insurance companies, ensuring timely approvals.
    • Monitor, track, and follow up on prior authorizations, step therapy requirements, and appeals processes.
    • Communicate with providers to obtain necessary clinical documentation for insurance submissions.
    • Assist patients in applying for pharmaceutical assistance foundation programs, grants, and/or co pay programs
    • Maintain up-to-date knowledge of manufacturer support programs and eligibility requirements.
    • Track patient enrollment status and renewal needs for financial programs.
    • Contact patients to explain coverage decisions, out-of-pocket costs, and available financial options.
    • Provide empathetic, patient-centered support to help navigate financial barriers to care.
    • Serve as a key point of contact for patients regarding their cardiology medication access issues.
    • Document all activities accurately and timely in the Electronic Health Records (EHR)
    • Work collaboratively with physicians, nurses, pharmacists, and administrative staff to streamline access workflows.
    • Participate in process improvement initiatives to enhance patient experience and medication access efficiency.
    • All other duties as assigned.

    Preferred Qualifications:
    • Associates Degree in healthcare administration or business preferred.
    • Experience with prior authorizations, pharmacy or specialty medications preferred.
    • Proficiency in electronic medical records (EMR) systems and Microsoft Office applications.
    • Excellent communication skills including both oral and written as well as interpersonal skills.
    • Ability to handle simultaneous tasks paying great attention to detail.
    • Flexibility and ability to work as a team player.
    • Understanding of managed care, formularies, and payer policies.
    • Experience with Electronic Health Records (EHR) systems.
    • Strong verbal and written skills for interacting with providers, patients, and insurers.
    • Ability to pay attention to detail and ability to manage high volumes of requests with accuracy.

    Minimum Qualifications:
    • 2 years work experience in a healthcare settings, medical billing, pharmacy, or insurance verification.

    Required Licensure/Certification:
    • N/A

EDUCATION:
LICENSES / CERTIFICATIONS:
PHYSICAL REQUIREMENTS:
M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.
PAY RANGE:
$18.00 - $25.00
CITY:
Rochester
POSTAL CODE:
14621
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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