Remote-Eligible Patient Access Operations Manager

Mainstay Medical International

San Diego (CA)

Hybrid

USD 90,000 - 115,000

Full time

8 hours ago
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Job summary

Mainstay Medical, a medical device company in San Diego, is seeking a Manager, Patient Access Operations. This hands-on leader will coach the Prior Authorization Specialist, Benefit Verification, and Intake Coordinator teams while remaining involved in patient access activities to ensure efficient progress from intake to authorization.

The role requires a Bachelor’s degree with 5+ years in patient access or related healthcare settings, and supervisory experience is preferred.

Qualifications

  • Bachelor’s degree with 5+ years of related experience or equivalent.
  • Experience in patient access, prior authorization, reimbursement, or related healthcare setting.
  • Supervisory or team‑lead experience preferred.
  • Strong knowledge of payer processes and authorization requirements.
  • Proficient in Microsoft Office and systems like Salesforce, Availity, and eFax.

Responsibilities

  • Provide day-to-day leadership and performance management for the patient access team.
  • Collaborate with Case Managers and reimbursement partners to prioritize workload and resolve barriers.
  • Ensure consistent execution of workflows and processes.
  • Serve as SME for payer requirements and prior authorization.
  • Identify operational trends and build scalable processes.
  • Reduce delays and denials while supporting physician offices and field teams.

Skills

People leadership
Operational leadership
Cross-functional collaboration
Process improvement
Communication

Education

Bachelor’s degree
Advanced degree

Tools

Microsoft Office
Salesforce
Availity
eFax
Database management

Job description

Mainstay Medical, a medical device company in San Diego, is seeking a Manager, Patient Access Operations. This hands-on leader will coach the Prior Authorization Specialist, Benefit Verification, and Intake Coordinator teams while remaining involved in patient access activities to ensure efficient progress from intake to authorization.

The role requires a Bachelor’s degree with 5+ years in patient access or related healthcare settings, and supervisory experience is preferred.

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