15h ago

Prior Authorization Lead

San Francisco, CA

$100k-$140k / year

full-timeseniorhealthcare

💼 About This Role

You'll design, manage, and scale the prior authorization operations for an AI-driven healthcare platform that empowers clinician entrepreneurs. Your work will directly reduce administrative burden for providers, enabling them to focus on patient care. This role offers the opportunity to build scalable systems from the ground up at a well-funded startup backed by top-tier investors.

🎯 What You'll Do

  • Lead end-to-end prior authorization process including verification and submission.
  • Build and optimize workflows to minimize turnaround times.
  • Partner with Product and Engineering on automation opportunities.
  • Develop and track KPIs to monitor authorization performance.

📋 Requirements

  • 5–8 years of experience in healthcare operations or prior authorization management.
  • Bachelor's degree required.
  • Strong understanding of payer requirements and medical necessity documentation.
  • Proven ability to lead cross-functional initiatives.

✨ Nice to Have

  • Experience with automation tools or EMR/EHR integrations.
  • Analytical and systems-oriented thinking.

🎁 Benefits & Perks

  • 💰 Competitive salary and stock options.
  • 🏢 In-person collaboration in San Francisco or New York office.
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