Payor Authorization Operations Manager

This is a Full-Time Remote opportunity based in Denver, Colorado. The Payer Authorization Operations Manager is a strategic authorization expert who turns complex Colorado LTSS and LTHH requirements into seamless patient care. They lead authorization operations for Colorado's HCBS waiver programs and Long Term Home Health services, ensuring 100% compliance with HCPF policies and ColoradoPAR system requirements. Key responsibilities include overseeing end-to-end prior authorization processes while leading a team of Doc Collectors and Re-Authorization Associates, managing reauthorizations, coordinating internally to resolve authorization issues, and serving as the escalation point for disputed Colorado Medicaid authorizations. The ideal candidate will navigate dual eligibility complexities and create training programs on Colorado-specific prior authorization requirements.