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Senior Prior Authorization Analyst Jobs (NOW HIRING)

PharMerica

Prior Authorization Specialist

Louisville, KY

$16.50 - $22/hr

... senior living clients. We offer a non-retail pharmacy environment. Our organization is in high ... The Prior Authorization Coordinator is responsible for striving to complete either approval for ...

MC-Rx

Prior Authorization Coordinator

Gainesville, GA · On-site

$21 - $23/hr

Conduct comprehensive benefits verification and coverage analysis to identify prior authorization requirements, payer restrictions, and potential access barriers; initiate and track PA submissions ...

PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... Strong analytical and problem-solving abilities * Excellent organizational skills and attention to ...

PainPoint

Prior Authorization Coordinator

$19 - $21/hr

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... Strong analytical and problem-solving abilities * Excellent organizational skills and attention to ...

CentraState

Prior Authorization Specialist

Freehold, NJ · On-site

$18 - $24/hr

Prior Authorization Specialist CentraState Medical Center is currently seeking a Prior ... senior living communities, a charitable foundation, and convenient satellite health pavilions.

ReliaMed

Prior Authorization Specialist

Aurora, IL · On-site

$19.50 - $21.50/hr

Prior Authorization Specialist Since our doors opened in 1989, Reliable Medical has been committed ... Strong analytical skills for interpreting complex chart notes and billing codes. * Proactive and ...

BCforward

Prior Authorization

Raleigh, NC · On-site

$17.50 - $23.25/hr

Provide functional and/or technical expertise to plan, analyze, define and support the delivery of future functional and technical capabilities for an application or group of applications. Assist in ...

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Senior Prior Authorization Analyst information

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$48.5K

$102.5K

$130.5K

How much do senior prior authorization analyst jobs pay per year?

As of Aug 7, 2026, the average yearly pay for senior prior authorization analyst in the United States is $102,527.00, according to ZipRecruiter salary data. Most workers in this role earn between $88,000.00 and $116,500.00 per year, depending on experience, location, and employer.

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

To thrive as a Senior Prior Authorization Analyst, you need a comprehensive understanding of healthcare policies, insurance guidelines, and medical terminology, typically backed by relevant experience or a degree in healthcare administration or a related field. Familiarity with prior authorization software, claims management systems, and electronic health records (EHRs) is essential, along with certifications such as Certified Professional Coder (CPC) being advantageous. Strong analytical skills, attention to detail, and effective communication are vital soft skills for collaborating with providers and payers. These competencies ensure accurate and efficient authorization processing, reduce claim denials, and support seamless patient care delivery.

What does a senior prior authorization analyst do?

A Senior Prior Authorization Analyst is responsible for reviewing and processing requests for medical procedures, medications, or services to ensure they meet insurance or regulatory requirements before approval. They evaluate clinical documentation, communicate with healthcare providers, and ensure compliance with policies and guidelines. Additionally, they may provide training, resolve complex cases, and help develop procedures to improve efficiency and accuracy in the prior authorization process.

What is the difference between Senior Prior Authorization Analyst vs Prior Authorization Coordinator?

AspectSenior Prior Authorization AnalystPrior Authorization Coordinator
CredentialsTypically requires relevant healthcare certifications and experienceOften requires similar certifications but may have less experience requirement
Work EnvironmentPerforms analysis, reviews, and decision-making in healthcare settingsHandles administrative tasks, patient communication, and documentation
Employer & Industry UsageUsed in hospitals, insurance companies, and healthcare providersCommon in clinics, outpatient facilities, and insurance offices

The Senior Prior Authorization Analyst and Prior Authorization Coordinator roles share overlapping credentials and work environments but differ mainly in responsibilities. The analyst focuses on review and decision-making, while the coordinator handles administrative tasks. Both roles are essential in healthcare authorization processes, with the analyst typically requiring more experience and analytical skills.

What are some common challenges faced by senior prior authorization analysts, and how can they be managed effectively?

Senior Prior Authorization Analysts often encounter challenges such as navigating complex insurance guidelines, managing high volumes of authorization requests, and ensuring timely communication between providers, payers, and patients. Staying organized and up to date with policy changes is essential, as is leveraging workflow tools and collaborating closely with clinical and administrative teams. Proactively addressing issues and maintaining clear documentation can help streamline processes and minimize delays.
More about Senior Prior Authorization Analyst jobs
What cities are hiring for Senior Prior Authorization Analyst jobs? Cities with the most Senior Prior Authorization Analyst job openings:
What are the most commonly searched types of Prior Authorization Analyst jobs? The most popular types of Prior Authorization Analyst jobs are:
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Senior Prior Authorization Analyst jobs near you
Infographic showing various Senior Prior Authorization Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $102,527 per year, or $49.3 per hour.

Prior Authorization Specialist

BrightSpring Health Services

Louisville, KY

$16.50 - $22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago

BrightSpring Health Services rating

4.8

Company rating: 4.8 out of 10

Based on 62 frontline employees who took The Breakroom Quiz

220th of 239 rated social care providers

Job description

Pharmacy Alternatives


Join our PharMerica team!  PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients.  We offer a non-retail pharmacy environment.  Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression! 

The ideal candidate has experience in healthcare billing environment (pharmacy preferred) and is familiar with on-line claims processing and Medicaid and Medicare billing practices

Schedule: Mon-Fri(8:30am to 5pm)

This is not a remote opportunity. Applicants must reside in, or commutable distance, to Louisville, KY. A Hybrid schedule will be available after training: office on Wednesdays and home off on other days

We offer:

DailyPay 

Flexible schedules

Competitive pay

Shift differential

Health, dental, vision and life insurance benefits

Company paid STD and LTD

Tuition Assistance

Employee Discount Program

401k

Paid-time off

Tuition reimbursement

Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today!

*Position will be posted for a minimum of 7 business days


  • The Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a preferred alternative due to insurance not covering the treatment in question

Essential Job Responsibilities:

  • Ensure accurate and timely completion of client prior authorization and/or change of therapy paperwork by collaborating with prescribers and facility contacts
  • Follows up on all claims requiring prior authorization within four to five business days
  • Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of Pharmacy on weekly basis
  • Compares system report of unbilled claims requiring prior approval to QuickBase tracking system to ensure any claim requiring prior authorization is being followed up on
  • Assists Billing Department with resolving unbilled claims at each month end close
  • Advocates for clients as needed
  • Support for Pharmacy Operations
  • Adjudicates and resolution of claim rejections as needed
  • Utilizes Frameworks, QuickBase, Docutrack, and CoverMyMeds in order to complete workflow on daily basis
  • Other responsibilities as assigned

  • High School Diploma/General Education Diploma required
  • Kentucky Pharmacy Technician License preferred
  • Excellent customer service and communication skills, both written and verbal
  • Ability to prioritize and meet pre-determined deadlines
  • Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills
  • Experience in healthcare billing environment (pharmacy preferred)
  • Familiarization with on-line claims processing and Medicaid and Medicare billing practices
  •  Proficient with Microsoft Word & Excel required

Pharmacy Alternatives, an affiliate of PharMerica, is a specialized pharmacy provider focused on serving individuals with cognitive or intellectual and developmental disabilities (I/DD). Pharmacy Alternatives offers long-term pharmacysolutions specializing in serving special-needs populations who live in intermediate care facilities, waiver homes, group homes, assisted living, supported-living or foster care.Our state-of-the-art approach includes packaging technology specially designed for the population we serve and electronic medication management that helps people live their best lives.For more information, please visit www.pharmacyalternatives.com. Follow us on Facebook and LinkedIn.

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