14h ago

Payor Authorization Operations Manager

Denver, CO

$70k-$77k / year

full-timesenior Remotehealthcare

๐Ÿ’ผ 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.

๐ŸŽฏ 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

๐Ÿ“‹ 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

โœจ Nice to Have

  • Colorado Medicaid certification and LTHH authorization training
  • Experience with CRM systems and data analysis

๐ŸŽ Benefits & Perks

  • ๐Ÿ’ต Competitive compensation with annual bonus
  • ๐Ÿฅ Comprehensive health coverage including $0 deductible PPO
  • ๐Ÿ–๏ธ Generous paid time off and 10 paid holidays
  • ๐Ÿ‘ฅ Team bonding activities and annual retreat
  • ๐Ÿ‘ถ Paid parental leave to support growing family

๐Ÿ“จ Hiring Process

Estimated timeline: 2-4 weeks ยท AI estimate

  1. 1Recruiter Callยท 30 min
  2. 2Technical Interviewยท 60 min
  3. 3Hiring Manager Interviewยท 45 min
0 0 0