# Prior Authorization Manager

**Company:** [Alpaca Health](https://zerogtalent.com/frontier-companies/alpaca-health)
**Location:** United States (Remote)
**Work mode:** Remote
**Employment type:** Full Time
**Category:** Operations
**Department:** Other
**Listed:** 2026-07-13

[View and apply on Zero G Talent](https://zerogtalent.com/frontier-jobs/alpaca-health/prior-authorization-manager-5a0e2069-f1f9-4422-98be-9fca6f0c2f0c)

## Job description

### **📌 About Alpaca Health**

**Alpaca Health enables clinicians to become entrepreneurs, starting in autism care.**

We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians.

We've raised over $14M in funding from early-stage investors like Core Innovation Capital, Adverb Ventures, and South Park Commons, and are building for long-term category leadership. More importantly, we're serving thousands of patients, while growing 30% - 50% MoM.

  

**This role is full-time, remote, and based in the United States**

  

**🎯 Role: Prior Authorizations Manager**

**Responsibilities:**

-   Work with our Prior Authorizations vendor to resolve complex authorization issues including coordinating with our providers, patients and payors
    
-   Be the inhouse expert for all prior authorizations and pre-certification requests and requirements for a region or set of payors
    
-   Support the team in chasing down documentation, resolving auth rejections, and navigating payer requirements
    
-   Work with the operations team to identify bottlenecks, inefficiencies, and opportunities across the intake workflow
    
-   Develop processes and training materials for offshore team members to resolve day-to-day prior authorization issues
    
-   Own Prior Authorization outcomes and KPIs for your region / payors
    

  

**🧠 Who You Are**

-   \[**REQUIRED\]** 5+ years of experience in ABA intake with a specific focus on Prior Authorizations or Insurance Certification
    
-   \[**REQUIRED\]** Strong understanding of the ABA pre-certification process for Tricare East, Medicaid MCOs, BCBS State plans, Aetna, and/or Cigna
    
-   You are highly organized and relentless about follow-through, nothing falls through the cracks on your watch
    
-   Extreme detail orientation and ability to read complex clinical documents, payor feedback, and EHR data with regards to prior authorization workflows
    
-   You communicate clearly and confidently with everyone from parents to clinicians to payor contacts
    
-   You are a problem-solver - you identify the issue and fix it
    
-   You are comfortable with ambiguity and can make good judgment calls in real time
    
-   You hold yourself to a high bar while remaining approachable and supportive
    

  

**🚀 Why Join**

-   The opportunity to materially impact the health outcomes of the most vulnerable populations
    
-   Opportunity for rapid career growth as we build out a net new function at Alpaca Health
    
-   Join one of the fastest growing healthcare startups in the world (between 30% - 50% monthly growth)
    
-   Join a team of rockstar performers who are taking a new tech first approach to building a scalable digital health platform

## Other open roles at Alpaca Health

- [Board Certified Behavior Analyst (BCBA)](https://zerogtalent.com/frontier-jobs/alpaca-health/board-certified-behavior-analyst-bcba-b08da43c-a399-4904-a8e0-e0c112a19c08) — Columbus, GA
- [Registered Behavior Technician (RBT)](https://zerogtalent.com/frontier-jobs/alpaca-health/registered-behavior-technician-rbt-01853452-2d3b-4678-b58d-a37b97a87ff5) — Phenix City, AL
- [Registered Behavior Technician (RBT)](https://zerogtalent.com/frontier-jobs/alpaca-health/registered-behavior-technician-rbt-de2e6247-2237-47f0-8e69-9a086a0ceb61) — Humble, TX
- [Registered Behavior Technician (RBT)](https://zerogtalent.com/frontier-jobs/alpaca-health/registered-behavior-technician-rbt-7944688e-3876-4c75-8cc4-5bac0bdba9a7) — Harris County, GA
- [Registered Behavior Technician (RBT)](https://zerogtalent.com/frontier-jobs/alpaca-health/registered-behavior-technician-rbt-6e35ec15-502a-45a8-a3d5-31d976c38ab9) — Cataula, GA

---
*Source: [Zero G Talent](https://zerogtalent.com), the job board for space, defense, AI, robotics and frontier-tech companies.*