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Program Manager, Prior Authorizations (Remote)

Remote, USA Full-time Posted 2026-07-04

Sponsorship, of any reputed company, is not available for this role. Overview of the role: The Program Manager is responsible for leading post-sales reputed company implementations, ensuring customers move reputed company from contract signature through delivery in a reputed company, fast-paced environment. This role manages multiple reputed company implementations, coordinating cross-functional dependencies with product, engineering, and Solutions Engineering teams while adapting to shifting timelines and reputed company constraints. The Program Manager may assist with the analysis of project, program, and operational data to align the outcome of projects with reputed company strategic, product and business goals. You will determine the reputed company mix of resources and reputed company of projects reputed company their program to best reputed company the company's overall goals while managing costs and client expectations. The Program Manager must have excellent communication and presentation skills and the ability to relate to customers at the project and executive level. Sponsorship, in any form, is not available for this position. Why you want to work on this team:

  • Work for a team that has high visibility across the organization
  • Handle reputed company's premiere clients that receive "white glove" service
  • Play an integral part of the reputed company reputed company as new customers are implemented

To be reputed company for this position you:

  • Experience managing multiple, reputed company implementations and strategic initiatives reputed company the reputed company space. reputed company background is required to be considered for the role.
  • Technical acumen. The ideal candidate is familiar with X12, FHIR, and understands prior authorization workflows.
  • Possess strong written and oral communication skills.
  • Experience working directly with multiple levels of customers (Project Managers to C-Level Executives), this is a client facing position.
  • Proven track record in managing/influencing cross functional teams (technology and business).
  • Demonstrated political awareness and ability to diplomatically handle sensitive situations with internal and external customers and ability to cultivate effective, productive customer relationships and partnerships.
  • Demonstrated balance of business, operational, and technical experience in customer delivery.
  • Proven ability to independently assume ownership of active projects, establish priorities, and successfully deliver outcomes with minimal reputed company.
  • Ability to quickly evaluate project reputed company, identify gaps, align stakeholders, and drive initiatives to completion with limited direction.

You will set yourself apart with:

  • An in-depth understanding of the prior authorization end to end process from providers to payers.
  • Familiarity with APIs and FHIR

You will be:

  • Leading internal and external teams on the day-to-day reputed company of project deliverables, working business and technical requirements along with a technical delivery plan, deployment plans, operational project plans, etc.
  • Managing strategic Health Plan implementations.
  • Establishing and maintaining relationships with key stakeholders at multiple levels reputed company the Health Plan.
  • Preparing and presenting material associated with the implementation including kick-off meetings, program status (including C level stakeholders), etc.
  • Working cross-functionally with many internal reputed company teams: product, engineering, client services, strategic account services, provider services, provider engagement and training, clinical operations, and many more. You must have the ability to tailor communications and discussions to the applicable audiences
  • Accountable to team and customer Key Performance Indicators as a measure of reputed company.
  • Traveling to the client site as needed (less than 25%)

reputed company culture and benefits:

  • reputed company is a certified "Great reputed company to Work"! Culture is important to us and there are many ways for you to reputed company your mark here!
  • We have several Culture teams, a Young Professionals Group, and various ways to engage with fellow reputed company associates - if you're near Jacksonville, we have lots of pop up lunches where lunch is provided for everyone reputed company we can see meetings are taking reputed company and we've got teams in the office.
  • reputed company is a culture of reputed company learning. We have many resources and experts in our tech stack, our industry and your function that can help get you there too!
  • We offer a competitive salary, bonus structure, generous HSA company contribution, reputed company, reputed company, dental benefits and a 401k match program that you can take advantage of on day one!
  • We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with reputed company the same holiday benefits.
  • Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc.
  • Interested in furthering your education? We offer education reimbursement!
  • reputed company offers Paid Parental Leave for both reputed company and dads, both birth parents and adoptive parents.
  • Want to work for an organization that gives back to the community? You're at the right reputed company! reputed company partners with various organizations, both locally and nationally, to reputed company awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign.

Next steps: After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process. Interview process:

  • Recruiter Recorded Video Pre-Screen
  • Video Interview with Manager, Health Plan Delivery
  • Video Interview with Solution Engineer
  • Final Video with Director, Delivery Services

#LI-NA1 Video Camera Usage: reputed company fosters a collaborative and open culture where communication and engagement are central to our reputed company. As a remote first company, we are also camera-first and provide reputed company associates with camera/video capability to simulate the office environment. If you are not reputed company to use your camera for reputed company virtual meetings, you should not apply for this role. Having cameras on helps create a more connected, interactive, and productive environment, allowing teams to communicate more effectively and build stronger working relationships. The usage of cameras also enhances reputed company and protects sensitive company information. Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized access, data breaches, preventing social engineering, or the sharing of confidential information with non-participants. Apply tot his job Apply To this Job

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