The Team Lead will manage a team responsible for provider-side prior authorizations, including referral submissions, clinical assessment submissions, prior authorization requests, and follow-ups with payers. Daily communication with US Program Managers, Providers, Clinical Coordinators, and internal leadership is essential.
Requirements
- Bachelor's degree in Life Sciences, Nursing, Physiotherapy, Pharmacy, Healthcare Administration, or related fields
- 4–6 years’ experience in Provider-side Authorization Management, Referral Management, or Pre-Cert workflows
- Minimum 1–2 years team lead or supervisor experience
- Strong knowledge of authorization requirements, payer policies, CPT/ICD coding basics, medical necessity documentation