Prior Authorizations Manager

Aidin

2d • Remote

About The Position

We are seeking a dynamic, strategic leader and subject matter expert in Prior Authorizations to drive operational excellence and innovation at Aidin. This role is responsible for owning and scaling Aidin’s Prior Authorizations function—ensuring consistent, high-quality execution while continuously improving processes, systems, and outcomes for clients, staff, and patients. As Prior Authorizations Manager, you will lead day-to-day operations and serve as the escalation point for complex payer, hospital, and provider issues. This is a hands-on role, requiring both ownership of the process and execution of the day to day activities as we grow and enhance this functionality at Aidin. You will partner closely with Client Operations, Product, and other cross-functional teams to shape strategy, influence roadmap decisions, and build a best-in-class authorization capability that supports Aidin’s growth and mission: ensuring patients transition, on-time, to the best provider every time. This role reports to the Senior Director, Client Operations.

Requirements

• 5+ years of direct experience in Prior Authorizations, including extensive payer portal and direct payer engagement across the U.S.
• Demonstrated experience leading or mentoring others, with a track record of driving operational results
• Deep understanding of payer workflows, eligibility requirements, and authorization best practices
• Strong problem-solving skills and comfort navigating ambiguity and complex edge cases
• A growth mindset, with ambition to build, scale, and improve systems and teams
• Excellent communication skills and the ability to influence across functions
• Adaptability and resilience in a fast-moving environment

Nice To Haves

• Startup, B2B SaaS, Healthcare IT, or health-tech experience strongly preferred

Responsibilities

• Oversee daily Prior Authorizations operations, ensuring queues are managed efficiently and authorizations are submitted accurately and on time
• Define and monitor key performance metrics; use data to identify trends, risks, and improvement opportunities
• Own payer onboarding and eligibility demarcation strategies across hospitals and markets
• Serve as the primary point of accountability for issue resolution with payers, including portal-based workflows such as Availity
• Provide real-time guidance and escalation support for complex authorization challenges
• Establish training, onboarding, and ongoing education programs to ensure team readiness as Aidin scales
• Design, document, and continuously refine standard operating procedures that scale with the business
• Identify opportunities to improve authorization workflows through automation, tooling, and process redesign
• Partner with Product to identify, quantify, and prioritize feature enhancements that meaningfully advance the Prior Authorizations business
• Contribute to broader Client Operations strategy, ensuring alignment with Aidin’s growth objectives
• Work closely with Client Operations leadership, Product, and Customer-facing teams to ensure alignment and clarity
• Translate payer and operational complexity into actionable insights for internal stakeholders
• Represent the Prior Authorizations function as Aidin expands into new markets and payer relationships

Benefits

• Flexible remote work environment
• Generous PTO Policy, plus 12 national holidays
• Several Team Offsites each year where we come together and align on our vision, mission, values, and strategic initiatives
• Comprehensive benefits package

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 1-10 employees