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Open nowPosted 41 hours ago

Prior Authorization Manager

Alpaca Health417 open roles

Where
United States (Remote)
Work mode
Remote
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Your applicationOpen nowPrior Authorization ManagerAlpaca Health · United States (Remote)

  1. YouYes, apply to this one.

  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

  4. CV RocketApplied on Alpaca Health's own form.

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The clock on this job

Early applications get read.

13.3% of postings close within 7 days. Measured by our own scanner across the market. Alpaca Health postings stay open a median of 20 days.

Share of postings closed within
  1. 2.1%1 day
  2. 4.6%3 days
  3. 13.3%7 days
  4. 21.3%14 days
  5. 35.7%30 days
  6. 59.1%60 days
This job: posted 41 hours ago

Alpaca Health median: 20 days open

The posting

📌 ABOUT ALPACA HEALTH

Alpaca Health enables clinicians to become entrepreneurs, starting in autism care.

We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians.

We've raised over $14M in funding from early-stage investors like Core Innovation Capital, Adverb Ventures, and South Park Commons, and are building for long-term category leadership. More importantly, we're serving thousands of patients, while growing 30% - 50% MoM.

This role is full-time, remote, and based in the United States

🎯 Role: Prior Authorizations Manager

Responsibilities:

- Work with our Prior Authorizations vendor to resolve complex authorization issues including coordinating with our providers, patients and payors

- Be the inhouse expert for all prior authorizations and pre-certification requests and requirements for a region or set of payors

- Support the team in chasing down documentation, resolving auth rejections, and navigating payer requirements

- Work with the operations team to identify bottlenecks, inefficiencies, and opportunities across the intake workflow

- Develop processes and training materials for offshore team members to resolve day-to-day prior authorization issues

- Own Prior Authorization outcomes and KPIs for your region / payors

🧠 Who You Are

- [REQUIRED] 5+ years of experience in ABA intake with a specific focus on Prior Authorizations or Insurance Certification

- [REQUIRED] Strong understanding of the ABA pre-certification process for Tricare East, Medicaid MCOs, BCBS State plans, Aetna, and/or Cigna

- You are highly organized and relentless about follow-through, nothing falls through the cracks on your watch

- Extreme detail orientation and ability to read complex clinical documents, payor feedback, and EHR data with regards to prior authorization workflows

- You communicate clearly and confidently with everyone from parents to clinicians to payor contacts

- You are a problem-solver - you identify the issue and fix it

- You are comfortable with ambiguity and can make good judgment calls in real time

- You hold yourself to a high bar while remaining approachable and supportive

🚀 Why Join

- The opportunity to materially impact the health outcomes of the most vulnerable populations

- Opportunity for rapid career growth as we build out a net new function at Alpaca Health

- Join one of the fastest growing healthcare startups in the world (between 30% - 50% monthly growth)

- Join a team of rockstar performers who are taking a new tech first approach to building a scalable digital health platform

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