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 requirements Oversee the prior authorization process and manage a team while maintaining knowledge of payer requirements Build and manage reauthorization processes to ensure continuous patient care without lapses Required Qualifications: 5+ years of experience in Colorado Medicaid authorization with a strong track record in managing complex portfolios Bachelor's degree in Healthcare Administration, Business, or equivalent preferred; certification and training in LTHH authorization strongly preferred Deep knowledge of Colorado's LTHH ecosystem, including policies and prior authorization operations Proven ability to build relationships and work effectively with state agencies and payer entities Experience in navigating ambiguous regulatory environments with a focus on metrics and process execution
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