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Prior Auth Jobs in Tempe, AZ (NOW HIRING)

Arizona Priority Care

Prior Authorization Rep

Chandler, AZ · Hybrid

$39K - $54K/yr

The PA Rep I works closely with all UM Staff, Prior Auth Supervisor, and management to maintain turnaround time requirements of the contracted health plan, regulatory bodies, and internal goals.

Banner Health

RN Medical Management

Phoenix, AZ · Remote

As a RN Medical Management , you will focus on prior authorization. In this desk-based role, you will review cases using clinical guidelines, collaborate with providers, and document prior auth ...

LPL Financial

AI IAM Architect

Tempe, AZ · Remote

$153K - $255K/yr

You will design and validate OAuth/OIDC patterns (Auth Code + PKCE, OBO, token exchange, client ... prior experience, education, base salary of internal peers, demonstrated performance, and ...

Hireblazer

.Net API Platform Engineer

Phoenix, AZ · Remote

... based auth Ability to write and maintain OpenAPI/Swagger specs Strong collaboration and ... similar) Prior experience with cloud providers (AWS/Azure), especially EKS, or with Infoblox ...

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All JobsPrior Auth JobsPrior Auth Jobs in Tempe, AZ

Prior Auth information

See Tempe, AZ salary details

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How much do prior auth jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for prior auth in Tempe, AZ is $18.53, according to ZipRecruiter salary data. Most workers in this role earn between $15.19 and $20.24 per hour, depending on experience, location, and employer.

What is the difference between Prior Auth vs Medical Billing Specialist?

AspectPrior AuthMedical Billing Specialist
Required CredentialsKnowledge of insurance policies, certifications varyCertification often preferred, knowledge of billing codes
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Employer & Industry UsageUsed in healthcare to authorize proceduresUsed to process and submit medical claims
Common Search & ComparisonYesYes

Prior Auth involves obtaining approval from insurance companies before procedures, while Medical Billing Specialists handle the billing process after services are provided. Both roles are essential in healthcare administration but focus on different stages of patient care and reimbursement.

Are prior authorization jobs in high demand?

Prior authorization jobs are in steady demand due to the increasing complexity of healthcare billing and insurance requirements. These roles often require knowledge of medical policies and the use of authorization software, making skilled professionals valuable in healthcare administration. The demand is expected to grow as healthcare providers seek to streamline approval processes and reduce claim denials.

How do I become a prior authorization specialist?

To become a prior authorization specialist, candidates typically need a high school diploma or equivalent, along with experience in healthcare or insurance. Relevant skills include knowledge of medical billing, coding, and insurance policies, and certifications such as Certified Medical Administrative Assistant (CMAA) or Certified Coding Associate (CCA) can enhance job prospects. On-the-job training is common, and strong communication and organizational skills are essential for success in this role.

Is prior authorization a stressful job?

Prior authorization jobs can be stressful due to the need for accuracy, attention to detail, and managing tight deadlines to secure approvals quickly. The role often involves handling complex insurance policies and communicating with healthcare providers, which can contribute to workload pressure. However, stress levels vary depending on the work environment and individual coping strategies.

What job categories do people searching Prior Auth jobs in Tempe, AZ look for?

The top searched job categories for Prior Auth jobs in Tempe, AZ are:

What cities near Tempe, AZ are hiring for Prior Auth jobs?

Cities near Tempe, AZ with the most Prior Auth job openings:

Prior Auth jobs near you
Infographic showing various Prior Auth job openings in Tempe, AZ as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 1% Temporary, and 3% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $38,552 per year, or $18.5 per hour.

Prior Authorization Manager RN

360X Staffing

Chandler, AZ • On-site

Other

Posted 14 days ago

Job description

As the Prior Authorization (PA) Manager, you will lead a high-performing team focused on ensuring timely, accurate, and compliant prior authorization processing across multiple plans and regulatory frameworks. You’ll drive operational excellence, support a culture of continuous learning and exceptional service, and help facilitate care coordination that directly impacts member outcomes.


Working closely with clinical leadership, your team, and external stakeholders, you’ll ensure that all requests are processed according to CMS, NCQA, and payer turnaround requirements, delivering value to both members and providers.


Job Details:

  • Lead and support the Prior Authorization Supervisor and nursing staff to ensure effective daily department operations.
  • Also assist in supporting and providing general oversight of Prior Authorization Coordinators – who report directly to Prior Auth Supervisor.
  • Serves as the escalation point for complex prior authorization requests or operational concerns.
  • Oversee staffing, performance, workflow optimization, and workload distribution across clinical and non-clinical roles.
  • Facilitate departmental huddles, 1:1 meetings, and team training in partnership with the PA leadership.

Compliance & Quality Assurance

  • Monitor and manage turnaround time compliance for Routine/Standard and Urgent/Expedited PA requests according to CMS, NCQA, and contractual standards.
  • Conduct monthly internal audits of staff performance and documentation accuracy; provide coaching and feedback to maintain quality standards (98%+ accuracy goal).
  • Ensure timely and accurate submission of internal and external utilization management (UM) reports and audit data.

Process Improvement & Reporting

  • Analyze trends in prior auth denials, delays, and workload bottlenecks; propose and implement corrective actions.
  • Lead or support process documentation, including SOP reviews, workflow changes, and performance metric tracking.
  • Coordinate semi-annual underutilization review and contribute to the development of the UM Work Plan for executive leadership.

Stakeholder Engagement

  • Acts as a liaison between the PA Team, Medical Directors, office staff, and physicians to resolve PA-related issues and promote collaboration.
  • Providing ongoing training and mentorship to new hires and existing staff, emphasizing customer service, regulatory compliance, and AZPC policies.
  • Support the Director of Clinical Services Operations in preparation for audits by CMS, health plans, or NCQA.

Job Requirements:

  • Graduated from an accredited Registered Nurse (RN) Program.
  • Current, unrestricted RN License in the State of Arizona.
  • 5+ years of experience in Utilization Management with comprehensive knowledge of prior authorization processes.
  • 3+ years of leadership or supervisory experience in a managed care or payer environment.
  • Solid understanding of Medicare, Medicaid, and state/federal managed care regulations, including NCQA Utilization Management standards.
  • Strong working knowledge of Medicare, state and federal managed care regulations, and NCQA guidelines.
  • Proven ability to communicate clearly and professionally in both verbal and written formats – critical for coordinating across clinical teams, providers and payers.
  • Demonstrated attention to detail and documentation accuracy, especially important for regulatory compliance and audit preparedness.
  • Strong analytical and problem-solving skills to identify workflow gaps and implement effective process improvements.
  • Ability to prioritize and manage competing tasks in a high-volume environment with minimal supervision.
  • Proficient in Microsoft Office tools (Outlook, Word, Excel, PowerPoint)

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