Prior Authorization Manager

Summary

As a Manager at Gainwell, you will be part of an innovative product company with a mission to serve the healthcare needs of our communities. You will oversee and guide your team to deliver superior service and achieve account goals and outcomes. You manage the performance and engagement of your staff, optimize processes, and maintain the highest quality standards. 

Your role in our mission

Gainwell empowers you through innovative technologies and solutions to deliver better health and human services outcomes. When joining Gainwell, you will:

• Build, develop, and lead teams of leaders and individual contributors, supporting employees and executing day-to-day operations delivery for an account(s).
• Establish and effectively lead routines regularly and utilize tools and reporting to drive team performance; train and provide ongoing coaching to ensure employee engagement while maintaining client satisfaction.
• Effectively cultivate relationships with account leaders and business partners to proactively identify and enact opportunities to improve the delivery of operational products, services, and capabilities.
• Work with employees and operational leaders to achieve Client Service Level Agreements (SLAs) and drive accountability and efficiency by adopting standard operating procedures.
• Create conditions for success by removing obstacles and championing change to drive employee awareness and a connection to their work and contributions.
• Identify and manage existing and emerging risks from business activities and implement mitigation strategies to improve performance.

What we're looking for

• 7 or more years of people management experience in healthcare.
• Experience in quality assurance to support accurate utilization decisions based upon nationally recognized guidelines
• Minimum of two years’ Medicaid experience in Prior Authorization/Utilization Review preferred.
• Proficient with Microsoft Office suite required and experience with software applications to manage and back-office operations preferred.
• Strong written and oral communication and interpersonal skills to work effectively with team members, customers, and clients.
• Demonstrated strategic initiative implementation and execution, specifically with operating policies and procedures and work process improvements in operations.

What you should expect in this role

• Remote

Applications for this position will be accepted until 11/19/2026.