Prior Authorization Manager

🕒 6 days ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $75.7k - $108.1k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Build, develop, and lead teams of leaders and individual contributors • Support employees and execute day-to-day operations delivery for account(s) • Establish and lead regular routines and utilize tools and reporting to drive team performance • Train and provide ongoing coaching to ensure employee engagement and maintain client satisfaction • Cultivate relationships with account leaders and business partners • Identify and enact opportunities to improve operational products, services, and capabilities • Work with employees and operational leaders to achieve Client Service Level Agreements (SLAs) • Drive accountability and efficiency by adopting standard operating procedures • Remove obstacles and champion change • Identify and manage existing and emerging business risks • Implement mitigation strategies to improve performance

🎯 Requirements

• 7 or more years of people management experience in healthcare • Experience in quality assurance to support accurate utilization decisions based upon nationally recognized guidelines • Minimum of two years’ Medicaid experience in Prior Authorization/Utilization Review preferred • Proficient with Microsoft Office suite required • Experience with software applications to manage back-office operations preferred • Strong written and oral communication and interpersonal skills • Demonstrated strategic initiative implementation and execution, specifically with operating policies and procedures and work process improvements in operations

🏖️ Benefits

• Work flexibility • Learning and career development • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies

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