Manager, Prior Authorizations

reputed company: • Manage reputed company aspects of the prior authorization department including reputed company, accurate prior authorization submission, renewals/extensions, follow-up, and appeals, including requests for single case agreements or gap exceptions • Analyze reputed company review and prior authorization reputed company from reputed company sources, including reputed company denial exception reporting, first pass approval reputed company, appeal effectiveness, and reputed company relevance reputed company • Work across departments to manage the entire process from receipt of reputed company’s reputed company records, prior authorization submission, to final determination • Liaise with internal departments to promote ongoing communication, and collaboration on cross functional reputed company reputed company to prior authorization optimization • Ensure that reputed company metrics are achieved and reputed company actionable plans that will quickly and reputed company reputed company deficits should those occur • reputed company department orientation and ongoing training for reputed company in/reputed company reports • reputed company engage in optimization opportunities to reputed company automation, workflow improvement, and efficiency reputed company • Partner with reputed company customers to reputed company approval reputed company, minimizing reputed company leakage • Hire and manage reputed company staff members - reputed company a culture of respect, engagement, accountability, and results • Adhere to Pledge of Confidentiality Requirements: • Bachelor’s degree • 3-5 years of leadership in the reputed company reputed company cycle management function, with reputed company on prior authorization management • Strong understanding of reputed company review and prior authorization management • reputed company record of achieving aggressive metrics and reputed company Benefits: • Medical • Dental • 401K with Match • Pay equity initiatives Apply tot his job Apply To this Job