Remote Prior authorization operations manager (in) Jobs – 4 Open Jobs Today

Prior Authorization Operations Manager (IN)
Squad Health —Remote
- ₹95,000 - ₹1,15,000 a month
- Full-time
- Remote
- English
- EMR systems
- AI
Quick apply
Account Manager
Harris Computer Systems —Remote
- Full-time
- Remote
- English
- Analysis skills
- Presentation skills
- Health insurance
14d
Business Analyst (Healthcare Domain)
HelixBeat —Remote
- Full-time
- Remote
- HIPAA
- Databases
- Analysis skills
- Health insurance
- Work from home
Quick apply

More jobs to discover

Find similar jobs that you might be interested in.

Account Manager
Numoo HR —Remote
We believe every client should feel like they’re our only client. We’re looking for an Account Manager who can become the trusted partner for our clients.
₹5,00,000 a year
Accounting Manager
GrowthBuddy —Remote
Rather than working on a single business, you'll manage accounting across multiple client accounts, balancing competing priorities while ensuring every client…
Up to ₹30,00,000 a year
Quick apply
6h

I want to receive the latest job alerts for prior authorization operations manager (in) in remote

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

prior authorization operations manager (in) jobs near remote

Prior Authorization Specialist jobs in Remote

Business Analyst jobs in Remote

Account Manager jobs in Remote

Document Specialist jobs in Mumbai, Maharashtra

Prior Authorization Specialist jobs in Thoraipakkam, Chennai, Tamil Nadu

It Support Specialist jobs in Calicut, Kerala

Government Data Analyst jobs in Delhi, Delhi

Infopark , Data Analyst jobs in Kochi, Kerala

Business Analyst jobs in Kondhwa, Pune, Maharashtra

Business Analyst jobs in Kerala

Business Analyst jobs in Jaipur, Rajasthan

Business Analyst jobs in Electronic City, Bengaluru, Karnataka

Business Analyst jobs in Noida, Uttar Pradesh

Financial Analyst jobs in Chennai, Tamil Nadu

Hotel It Manager jobs in Tamil Nadu

Account Manager jobs in Kottayam, Kerala

Project Manager jobs in Delhi

Real Estate Marketing Manager jobs in Mumbai, Maharashtra

Account Manager jobs in Mathura Road Faridabad, Faridabad, Haryana

Account Manager jobs in Silvassa, Dadra And Nagar Haveli

Prior Authorization Operations Manager (IN)

Squad Health
Remote

Quick apply

Job details

Full-time
₹95,000 - ₹1,15,000 a month

Qualifications

EHR systems
English
Quality management
EMR systems
Interviewing
AI
Leadership

Full job description

Prior Authorization Operations Manager

Remote | Full-Time | Monday–Friday | 9:00 AM–6:00 PM EST

About Squad Health

Squad Health provides navigation services and software to US medical practices to remove barriers to treatment, especially prescription access.Our services include benefits investigation, prior authorization submission, patient assistance enrollment, pharmacy coordination, and patient engagement. Our team members operate as extensions of provider offices, supporting clinical staff through accurate documentation and consistent follow-up.

Job Summary:

Squad Health is looking for an experienced Prior Authorization Operations Manager to support our growing healthcare operations team.

This is a high-ownership role combining prescription prior authorization expertise, team leadership, training, quality management, recruiting, and process improvement. The ideal candidate has personally worked on prescription PAs and has experience leading teams, improving performance, and solving operational problems independently.

Responsibilities

Train and onboard new Prior Authorization Specialists on end-to-end prescription PA workflows.
Lead quality audits and monitor accuracy, productivity, turnaround times, follow-ups, and error trends.
Support complex PAs, denials, resubmissions, appeals, and workflow escalations.
Coach team members, identify performance gaps, and implement retraining or improvement plans.
Recruit and screen offshore candidates for PA and other healthcare operations roles.
Coordinate interviews, offer letters, onboarding, orientations, and hiring documentation.
Create and improve SOPs, training materials, trackers, and operational workflows.
Identify process gaps and implement practical solutions with company leadership.
Use AI and automation tools to improve recruiting, documentation, training, reporting, research, and operational efficiency.

Requirements

5+ years of relevant US healthcare operations experience, including prior authorization, Benefits Investigation, speciality medications, payer’s team leadership.
Strong hands-on knowledge of the end-to-end prescription PA process, including denials and appeals.
Experience managing, coaching, auditing, or training PA teams.
Experience monitoring team KPIs, quality, productivity, or error rates.
Experience hiring, interviewing, or onboarding employees.
Strong problem-solving, organization, and written/verbal English communication.
Comfortable creating SOPs, reports, trackers, and process documentation.
Hands-on experience using AI tools in day-to-day work for research, documentation, process improvement, training, dashboards or similar responsibilities.

Preferred

Specialty medication / biologics prior authorization experience.
CoverMyMeds and EMR/EHR experience.
Experience managing remote or offshore healthcare teams.
Experience in a healthcare startup, specialty pharmacy, physician practice, or medication-access organization.

Pay: ₹95,000.00 - ₹115,000.00 per month

Application Question(s):

Have you worked directly with U.S.-based clinics or specialty pharmacies? Which specialties did you support, and please list 5 specialty medications you regularly handled for prior authorizations.

Give us one example where you used AI, automation, or technology to solve a work problem or make a process more efficient.

How have you trained new Prior Authorization Specialists? How did you determine when someone was ready to handle cases independently?

Tell us about the largest PA/healthcare operations team you managed. What metrics did you track, and how did you audit individual performance?

This is a full-time role working Monday–Friday, 9:00 AM–6:00 PM Eastern Time. Are you fully available during these hours?

Work Location: Remote

Quick apply

Refine Your Search

prior authorization operations manager (in) jobs in remote

Prior Authorization Operations Manager (IN)

Account Manager

Business Analyst (Healthcare Domain)

More jobs to discover

I want to receive the latest job alerts for prior authorization operations manager (in) in remote

Explore jobs in more locations

Jobseeker tools

Employer Tools

Browse

Stay Connected