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Manager Prior Authorization Jobs (NOW HIRING)

MTK HealthCare

Prior Authorization Specialist

Hopedale, IL · On-site

$17 - $21.50/hr

... denial management and appeals support * Provide patient financial counseling and charity ... Prior Authorization Processing * Insurance Verification & Benefits Coordination * Medical Office ...

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Curant Health

Prior Authorization Specialist

Smyrna, GA · On-site

$17.50 - $23.50/hr

Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is searching for an Prior Authorization Specialist to join its team in Smyrna, GA . We are committed to ...

Axelon

Prior Authorization Specialist

$18.50 - $24.50/hr

Job Title Responsible for screening and processing prior authorization requests in the medical care management program. Adheres to policies and procedures to comply with performance and compliance ...

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Lifespan

Prior Authorization Coord

Providence, RI · On-site

$19.03 - $31.39/hr

Under supervision of the Manager Diagnostic Imaging Support Services is responsible for the integrity of the pre-registration and prior authorization processes for outpatient radiological services ...

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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 the United States is $83,482.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,000.00 and $103,000.00 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.

More about Manager Prior Authorization jobs
What cities are hiring for Manager Prior Authorization jobs? Cities with the most Manager Prior Authorization job openings:
What are the most commonly searched types of Prior Authorization jobs? The most popular types of Prior Authorization jobs are:
What states have the most Manager Prior Authorization jobs? States with the most job openings for Manager Prior Authorization jobs include:
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Manager Prior Authorization jobs near you
Infographic showing various Manager Prior Authorization job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $83,482 per year, or $40.1 per hour.
Prior Authorization Specialist

Prior Authorization Specialist

Inspire Medical Systems I

Remote

$51K - $70K/yr

Other

Medical, Dental, Vision, Life, Retirement

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

Job description

Prior Authorization Specialist

Minneapolis, MN

Inspire is the first of its kind medical device designed to make a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are revolutionizing the sleep industry with our FDA-approved medical device, designed to reduce OSA severity for those who cannot tolerate or get consistent benefit from CPAP. Inspire Medical Systems is committed to enhancing patients' lives through sleep innovation. We are steadfast in our commitment to prioritize patient outcomes, act with integrity and lead with respect. With positive persistence at our core, we are committed to all those we serve.

If you're passionate about making a difference in people's lives and want to work with innovative technology, come be a part of our great team!

*Fully Remote Position*

About This Position

We are recruiting for a Prior Authorization Specialist to join our team. In this role, you will be providing expertise in the area of prior authorization and will be responsible for implementing the Inspire Prior Authorization Program in the United States. You will be working with the Territory Managers and the prior authorization team to ensure all coding and coverage questions are answered correctly and concisely.

Opportunities You Will Have In This Role

  • Support Inspire's Prior Authorization Program, including:
    • Entering and managing patient information in database
    • Assisting with patient intake and verifying of insurance coverage
    • Calling insurances to obtain the status of Prior authorization requests
    • Working with patients and sites to pursue authorization success.
  • Assist in tracking and monitoring progress of prior authorization requests, along with all related appeals through to EMR.
  • Participate in updating the packet of materials and best practices methods to support the prior authorization and appeals processes, including External Medical Review, (EMR) for upper airway stimulation.
  • Seek continuous process improvement to increase success rates and reduce time to success.
  • Implement Inspire's Prior Authorization Program, including:
    • Training sites on program requirements
    • Entering and managing patient information in database
    • Completing prior authorization requests
    • Providing guidance to participating sites on all levels of appeals including EMR
    • Working directly with the patient to pursue EMR success.
  • Provide general coding information to physician customers upon request.
  • Work in conjunction with manager and staff to execute action plans and objectives to support internal/external clients.

Quality System Responsibilities

  • Document product and therapy related field reports within the prescribed timelines and provide any necessary documents required to complete the investigation. Provide follow-up reporting as needed.
  • Complete training requirements and competency confirmations as required for this position within the required timeline.
  • Comply with applicable quality system procedures/policies and make suggestions for continuous process improvement.

What You Can Bring To Our Great Team

Required:

  • 2+ years of related work experience in reimbursement
  • Demonstrated knowledge of reimbursement compliance requirements and a maintaining a high level of personal integrity to promote a compliant reimbursement environment
  • Ability to read, interpret and appropriately respond to payer requirements relating to prior authorization
  • Ability to read, interpret and summarize clinical and cost literature
  • Excellent written and oral communication skills
  • Proficient in Microsoft Office applications, including Word, PowerPoint, Excel
  • High attention to detail and strong team attitude
  • Comfortable in a small, dynamic company environment with frequent changes in direction

Preferred:

  • Bachelor's degree
  • Medical device experience

Salary

$51,000 - $70,000 USD

Benefits And Other Compensation

Inspire offers a highly competitive benefits package including:

  • Multiple health insurance plan options.
  • Employer contributions to Health Savings Account.
  • Dental, Vision, Life and Disability benefits.
  • 401k plan + employer match.
  • Identity Protection.
  • Flexible time off.
  • Tuition Reimbursement.
  • Employee Assistance program.
  • All employees have the opportunity to participate in the ownership and success of Inspire. Employees at all levels can participate through equity awards and the Employee Stock Purchase Program.

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