14h ago
Payor Authorization Operations Manager
Denver, CO
$70k-$77k / year
full-timesenior Remotehealthcare
๐ผ About This Role
You'll lead authorization operations for Colorado's LTSS and LTHH programs at a tech-powered family care platform. Your work ensures uninterrupted care for vulnerable populations by navigating complex Medicaid systems and building trust with stakeholders.
๐ฏ What You'll Do
- Master Colorado's LTHH landscape and HCBS waiver programs
- Oversee end-to-end prior authorization process and team
- Manage reauthorizations for waiver programs and LTHH services
- Act as escalation point for disputed authorizations and appeals
๐ Requirements
- 5+ years Colorado Medicaid authorization experience (LTHH, LTSS, or waiver programs)
- Bachelor's degree in Healthcare Administration, Business, or equivalent preferred
- Deep knowledge of Colorado LTHH ecosystem including HCPF policies and ColoradoPAR
- Expert relationship builder with stakeholder management skills
โจ Nice to Have
- Colorado Medicaid certification and LTHH authorization training
- Experience with CRM systems and data analysis
๐ Benefits & Perks
- ๐ต Competitive compensation with annual bonus
- ๐ฅ Comprehensive health coverage including $0 deductible PPO
- ๐๏ธ Generous paid time off and 10 paid holidays
- ๐ฅ Team bonding activities and annual retreat
- ๐ถ Paid parental leave to support growing family
๐จ Hiring Process
Estimated timeline: 2-4 weeks ยท AI estimate
- 1Recruiter Callยท 30 min
- 2Technical Interviewยท 60 min
- 3Hiring Manager Interviewยท 45 min
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