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Remote Prior Authorization Supervisor Jobs in Boston, MA

Onco360

Pharmacy Prior Authorization Specialist

Waltham, MA · On-site +1

$22.25 - $29/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

RPh on the Go

Pharmacist in Framingham, MA

Framingham, MA · Remote

$55 - $65/hr

A remote Pharmacist opportunity is available with a leading healthcare organization seeking a dedicated professional to support Part B drug and biologic prior authorization requests and appeals. This ...

New

Madrigal Pharmaceuticals

Patient Access Manager

Waltham, MA · Remote

$136K - $167K/yr

Conduct benefit investigations, verify coverage, and facilitate prior authorization, denial, and ... Proficiency in Salesforce CRM. #LI-Remote Madrigal's Total Rewards strategy is based on a biotech ...

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Remote Prior Authorization Supervisor information

See Boston, MA salary details

$13

$33

$60

How much do remote prior authorization supervisor jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for remote prior authorization supervisor in Boston, MA is $33.30, according to ZipRecruiter salary data. Most workers in this role earn between $23.51 and $39.71 per hour, depending on experience, location, and employer.

What does a remote prior authorization supervisor do?

A Remote Prior Authorization Supervisor oversees the team responsible for reviewing and processing prior authorization requests for medical procedures, medications, or treatments, all while working remotely. They ensure compliance with healthcare regulations, monitor staff performance, and streamline workflows to facilitate timely authorizations. Their role also involves training staff, resolving complex cases, and acting as a liaison between providers, payers, and patients to ensure authorization requirements are met efficiently.

What are some common challenges faced by a remote prior authorization supervisor, and how can they be addressed?

A Remote Prior Authorization Supervisor often encounters challenges such as coordinating a dispersed team, maintaining consistent communication, and ensuring adherence to compliance standards across various regions. To address these, supervisors can implement regular virtual meetings, utilize collaborative workflow platforms, and provide ongoing training to keep the team updated on policy changes. Establishing clear protocols for documentation and escalation also helps maintain efficiency and quality in the prior authorization process.

What are the key skills and qualifications needed to thrive as a remote prior authorization supervisor, and why are they important?

To thrive as a Remote Prior Authorization Supervisor, you need a solid background in healthcare administration, insurance processes, and prior authorization procedures, often supported by a degree in health sciences or related fields and relevant experience. Familiarity with healthcare management software, electronic medical records (EMRs), and payer authorization portals is usually required, along with certification such as Certified Prior Authorization Specialist (CPAS) being a plus. Strong leadership, problem-solving abilities, and effective communication are crucial soft skills for managing remote teams and resolving authorization challenges. These skills and qualities ensure timely, accurate authorizations, team productivity, and compliance with regulatory standards in a virtual work environment.

What is the difference between Remote Prior Authorization Supervisor vs Remote Prior Authorization Coordinator?

AspectRemote Prior Authorization SupervisorRemote Prior Authorization Coordinator
CredentialsTypically requires relevant healthcare certifications, experience in insurance or healthcare administrationUsually requires similar certifications, often with less managerial experience
Work EnvironmentSupervises teams, manages workflows, and ensures compliance in healthcare or insurance settingsHandles authorization requests, reviews documentation, and communicates with providers and patients
Employer & Industry UsageCommonly employed by health insurance companies, healthcare providers, and third-party administratorsFound in similar settings, focusing on processing and coordinating prior authorizations

The main difference between a Remote Prior Authorization Supervisor and a Coordinator lies in their responsibilities. Supervisors oversee teams and workflows, while Coordinators focus on processing authorization requests. Both roles require healthcare knowledge and certifications, but supervisors typically have more leadership duties.

What are popular job titles related to Remote Prior Authorization Supervisor jobs in Boston, MA?

For Remote Prior Authorization Supervisor jobs in Boston, MA, the most frequently searched job titles are:

What job categories do people searching Remote Prior Authorization Supervisor jobs in Boston, MA look for?

The top searched job categories for Remote Prior Authorization Supervisor jobs in Boston, MA are:

Remote Prior Authorization Supervisor jobs near you
Infographic showing various Remote Prior Authorization Supervisor job openings in Boston, MA as of August 2026, with employment types broken down into 88% Full Time, 6% Part Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $69,256 per year, or $33.3 per hour.

Prior Authorization Specialist

Somerville, MA • Remote

Massgeneralbrigham

8.0

Company rating: 8.0 out of 10

Based on 348 frontline employees who took The Breakroom Quiz

86th of 895 rated healthcare providers

People enjoy working here

Good employer

Recommended by students

Learn more about Massgeneralbrighamexternal

$19.81 - $28.30/hr

Full-time

Medical

Posted 9 days ago

Job description

Site: Mass General Brigham Incorporated


Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.


Job Summary

Summary
Reviews and processes prior authorization and referral requests for medical services in accordance with organizational policies and payer requirements. Ensures insurance eligibility, coordination of benefits, siteofcare compliance, and medical necessity by gathering and submitting complete medical documentation in alignment with HIPAA standards. Accurately documents authorization outcomes and all payer communications in the electronic health record.
Essential Functions
-Work as part of a group to secure insurance authorizations in an appropriate timeframe. Collects and accurately enters information required by third parties for precertification for procedures, tests and imaging.
-When unclear, collaborates with ordering clinicians to ensure the proper CPT codes are submitted for prior authorization or referrals.
-Refer patients to financial counseling, as appropriate.
-Inform patient of authorization concerns prior to admission/procedure, coordinating with appropriate parties to facilitate authorization as appropriate, collaborating with other departments/offices to resolve complex authorization issues.
-Update authorization status in system and complete workflow.
-Respond to internal and external inquiries regarding authorization decisions and provide explanations as needed.


Qualifications

Education

  • High School Diploma or Equivalent required


Experience

  • Medical authorization or related field experience 1-2 years preferred
  • Epic experience 0-1 year preferred


Knowledge, Skills and Abilities

  • - Excellent attention to detail and organizational skills.
  • - Strong communication and interpersonal skills.
  • - Knowledge of medical terminology and medical insurance benefits, including a complete understanding of the coordination of benefits.
  • - Familiarity with computer systems and databases.
  • - Ability to work independently and as part of a team.
  • - Ability to work in a fast-paced environment.

Additional Job Details (if applicable)

Remote Model Requirements

  • Remote
  • M-F Eastern business hours required
  • Employees must use a stable, secure, and compliant workstation in a quiet environment. Teams video is required and must be accessed using MGB-provided equipment.


Remote Type

Remote


Work Location

399 Revolution Drive


Scheduled Weekly Hours

40


Employee Type

Regular


Work Shift

Day (United States of America)


Pay Range

$19.81 - $28.30/Hourly

Grade

3


At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.


EEO Statement:

0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.


Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

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