Prior Authorization Manager

Gainwell Technologies LLC•Any city, OH

6d•$75,700 - $108,100•Remote

About The Position

As a Manager at Gainwell, you will oversee and guide a team to deliver superior service and achieve account goals and outcomes. You will manage staff performance and engagement, optimize processes, and maintain high quality standards. The role supports day-to-day operational delivery for account(s), employee development, client satisfaction, and improved healthcare and human services outcomes. The position is remote and is being posted for pipeline purposes, with applications welcomed on an ongoing basis.

Requirements

At least 7 years of people management experience in healthcare.
Experience in quality assurance supporting accurate utilization decisions based on nationally recognized guidelines.
Proficiency with the Microsoft Office suite.
Strong written and oral communication and interpersonal skills to work effectively with team members, customers, and clients.
Demonstrated ability to implement and execute strategic initiatives, particularly operating policies and procedures and operational work-process improvements.

Nice To Haves

At least two years of Medicaid experience in Prior Authorization/Utilization Review.
Experience with software applications to manage back-office operations.

Responsibilities

Build, develop, and lead teams of leaders and individual contributors, supporting employees and executing day-to-day operations delivery for account(s).
Establish and lead regular team routines, using tools and reporting to drive team performance; train and provide ongoing coaching to support employee engagement and client satisfaction.
Cultivate relationships with account leaders and business partners to identify and implement opportunities to improve operational products, services, and capabilities.
Work with employees and operational leaders to achieve Client Service Level Agreements (SLAs) and promote accountability and efficiency through standard operating procedures.
Remove obstacles and champion change to support employee awareness and connection to their work and contributions.
Identify and manage existing and emerging risks from business activities and implement mitigation strategies to improve performance.