1d ago
Payor Authorization Operations Manager
Denver, Colorado
$70k-$77k / year
full-timeseniorhealthcare
๐ผ 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.
๐ฏ 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.
๐ 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.
โจ Nice to Have
- Colorado Medicaid certification.
- LTHH authorization training.
- Experience with CRM systems and data analysis.
๐ Benefits & Perks
- ๐ฐ Competitive compensation with performance bonus.
- ๐ฅ Comprehensive health coverage including $0 deductible PPO and HSA.
- ๐๏ธ Generous PTO with 10 paid holidays.
- ๐ฆ 401(k) fee coverage and optional FSA.
- ๐ถ Paid parental leave.
๐จ Hiring Process
Estimated timeline: 2-4 weeks ยท AI estimate
- 1Recruiter Callยท 30 min
- 2Hiring Manager Interviewยท 45 min
- 3Panel Interviewยท 60 min
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