Colorado Medicaid Authorization Manager
A company is looking for a Payor Authorization Operations Manager. Key Responsibilities: Lead authorization operations for Colorado's HCBS waiver programs and Long Term Home Health services, ensuring compliance with policies and system requirements Manage the prior authorization process and oversee a team of Doc Collectors and Re-Authorization Associates Serve as the escalation point for disputed Medicaid authorizations and coordinate with internal teams to resolve authorization issues Required Qualifications: 5+ years of experience in Colorado Medicaid authorization with a track record of managing complex portfolios Bachelor's degree in Healthcare Administration, Business, or equivalent preferred; certification and training in Colorado Medicaid and LTHH authorization strongly preferred Deep knowledge of Colorado's LTHH ecosystem, including prior authorization operations and case coordination Expert relationship builder with proven ability to work effectively with state agencies and payer entities Process-driven operator with experience in CRM systems and data analysis
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