Healthcare RCM Manager, Authorization Operations

About this role

Our RCM Team is growing and we're hiring a Manager, Authorization Operations to join our team! This role is fully remote and we're willing to consider candidates based on location.


The Manager, Authorization Operations is responsible for leading and overseeing authorization operations that support timely patient care, preserve provider utilization, minimize preventable denials, and protect revenue integrity across the organization. This role oversees authorization workflows for scheduled services, procedures, specialty services, and high-priority patient encounters while ensuring compliance with payer requirements, medical necessity guidelines, and operational turnaround expectations.

This position partners closely with clinical, operational, scheduling, revenue cycle, and offshore teams to drive efficient authorization workflows, timely escalation management, standardized operating procedures, and continuous process improvement initiatives. The Manager is responsible for supporting operational performance through strong leadership, workflow optimization, accountability, and proactive issue resolution.

This role requires a highly motivated operational leader with strong knowledge of authorization management, payer requirements, medical necessity review, utilization impact, and healthcare operations. This position is expected to operate with a high degree of ownership, initiative, accountability, and operational leadership.

Duties and Responsibilities

• Lead and oversee daily authorization operations across multiple markets, practices, and service lines to ensure timely and accurate authorization processing.
• Partner collaboratively with offshore operational teams to support workflow coordination, turnaround times, escalation management, and authorization quality outcomes.
• Ensure authorization activities are completed accurately, timely, and in compliance with payer requirements, medical necessity guidelines, National Coverage Determinations (NC...