Prior Authorizations Manager
Aidin
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- Oversee daily Prior Authorizations operations, ensuring queues are managed efficiently and authorizations are submitted accurately and on time
- Define and monitor key performance metrics; use data to identify trends, risks, and improvement opportunities
- Own payer onboarding and eligibility demarcation strategies across hospitals and markets
- Serve as the primary point of accountability for issue resolution with payers, including portal-based workflows such as Availity
- Provide real-time guidance and escalation support for complex authorization challenges
- Establish training, onboarding, and ongoing education programs to ensure team readiness as Aidin scales
- Design, document, and continuously refine standard operating procedures that scale with the business
- Identify opportunities to improve authorization workflows through automation, tooling, and process redesign
- Partner with Product to identify, quantify, and prioritize feature enhancements that meaningfully advance the Prior Authorizations business
- Contribute to broader Client Operations strategy, ensuring alignment with Aidin’s growth objectives
- Work closely with Client Operations leadership, Product, and Customer-facing teams to ensure alignment and clarity
- Translate payer and operational complexity into actionable insights for internal stakeholders
- Represent the Prior Authorizations function as Aidin expands into new markets and payer relationships
Requirements
- 5+ years of direct experience in Prior Authorizations, including extensive payer portal and direct payer engagement across the U.S.
- Demonstrated experience leading or mentoring others, with a track record of driving operational results
- Deep understanding of payer workflows, eligibility requirements, and authorization best practices
- Strong problem-solving skills and comfort navigating ambiguity and complex edge cases
- A growth mindset, with ambition to build, scale, and improve systems and teams
- Excellent communication skills and the ability to influence across functions
- Adaptability and resilience in a fast-moving environment
- Startup, B2B SaaS, Healthcare IT, or health-tech experience strongly preferred
Benefits
- Generous PTO Policy, plus 12 national holidays
- Several Team Offsites each year where we come together and align on our vision, mission, values, and strategic initiatives
- Comprehensive benefits package
- Flexible remote work environment
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Prior Authorizationspayer workflowseligibility requirementsauthorization best practicesdata analysisperformance metricsprocess redesignautomationstandard operating proceduresissue resolution
Soft skills
leadershipmentoringproblem-solvingcommunicationinfluenceadaptabilityresiliencegrowth mindsetteam readinesscollaboration