1d ago

Payor Authorization Operations Manager

Denver, Colorado

$70k-$77k / year

full-timeseniorhealthcare

๐Ÿ’ผ About This Role

You'll lead authorization operations for Colorado LTSS and LTHH programs, ensuring 100% compliance with HCPF policies. You'll oversee the prior authorization process and manage a team of doc collectors and re-authorization associates. This role offers the chance to drive team excellence at a mission-driven startup.

๐ŸŽฏ What You'll Do

  • Master Colorado's LTHH landscape and HCBS waiver programs.
  • Oversee end-to-end prior authorization process.
  • Manage reauthorizations for Colorado's waiver programs.
  • Lead complex case resolution with HCPF and Acentra.

๐Ÿ“‹ Requirements

  • 5+ years Colorado Medicaid authorization experience (LTHH, LTSS or waiver programs).
  • Bachelor's degree in Healthcare Administration, Business, or equivalent.
  • Deep knowledge of Colorado's LTHH ecosystem and HCPF policies.
  • Expert relationship builder with strong stakeholder management skills.

โœจ Nice to Have

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

๐ŸŽ Benefits & Perks

  • ๐Ÿ’ฐ Competitive compensation with performance bonus.
  • ๐Ÿฅ Comprehensive health coverage including $0 deductible PPO and HSA.
  • ๐Ÿ–๏ธ Generous PTO with 10 paid holidays.
  • ๐Ÿฆ 401(k) fee coverage and optional FSA.
  • ๐Ÿ‘ถ Paid parental leave.

๐Ÿ“จ Hiring Process

Estimated timeline: 2-4 weeks ยท AI estimate

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