Prior Authorization Specialist- AVP /TEAM LEAD

Staffingly Outsourcing Services; Hyderabad; On-site; INR 15,00,000 - 25,00,000; Full time

Job summary

A prominent outsourcing service provider in Hyderabad seeks an AVP Prior Authorization (PA) & Eligibility & Verification (EV) / VMA to lead operations for a major U.S. healthcare client. The ideal candidate will have extensive U.S. RCM experience and leadership skills. This role offers competitive pay and opportunities for long-term growth.

Benefits

Competitive pay

Long-term growth opportunities

Qualifications

• 8–12+ years of U.S. RCM experience with strong PA/EV expertise.
• 3–5 years of leadership experience managing large teams.
• Deep understanding of payer rules, benefits verification, and authorizations.

Responsibilities

• Lead PA/EV operations for a major U.S. healthcare client.
• Manage large teams to ensure quality and productivity.
• Serve as primary client-facing leader for escalations.

Skills

Client management

Analytical skills

Communication skills

Job description

Job Title: AVP Prior Authorization (PA) & Eligibility & Verification (EV) / VMA

Responsibilities

• Lead PA/EV operations for a major U.S. healthcare client.
• Manage large teams and ensure SLA delivery, quality, and productivity.
• Serve as primary client-facing leader for escalations and performance reviews.
• Drive process improvements, compliance, and operational efficiency.
• Oversee reporting, analytics, and workflow optimization.

Requirements

• 8–12+ years U.S. RCM experience with strong PA/EV expertise.
• 3–5 years leadership experience managing large teams.
• Strong client management, communication, and analytical skills.
• Deep understanding of payer rules, benefits verification, and authorizations.
• Ability to work U.S. overlap; immediate joiner preferred.

Why Join

• Lead a major healthcare account, competitive pay, long-term growth.