Senior Manager, Preauthorization & Revenue Cycle

MUSC Health; Charleston (SC); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Health Insurance

Retirement Plan

Paid time off

Parental Leave

Disability insurance

Tuition Reimbursement

Wellbeing resources

Job summary

MUSC Community Physicians is seeking a Senior Manager of Preauthorization Services to oversee and optimize all preauthorization activities across inpatient and outpatient settings. You will drive strategic direction, standardize workflows, and partner with payers to improve access and reimbursement.

This role requires strong leadership, clinical collaboration, and a track record in process improvement within a health system.

Qualifications

• Bachelor's degree or equivalent education and/or relevant work experience

Responsibilities

• Provide strategic direction and day-to-day leadership for all preauthorization services across inpatient, outpatient, and procedural areas.
• Design, implement, and standardize authorization workflows to ensure efficiency, scalability, and compliance.
• Establish departmental goals, KPIs, and performance benchmarks aligned with revenue cycle and organizational objectives.
• Lead change initiatives to support new service lines, payer requirements, and organizational growth.
• Revenue integrity and financial performance: minimize denials, delays in billing, and revenue leakage.
• Monitor denial trends and drive corrective actions with denial management and appeals teams.
• Lead team leadership and talent development; recruit, coach, and retain a high-performing workforce.
• Partner with payers, clinical leaders, and billing teams to align workflows; support contract discussions.

Skills

Strategic leadership

People management

Process improvement

Cross-functional collaboration

Data analytics

Lean Six Sigma

Payer relations

Education

Bachelor's degree

Job description

MUSC Community Physicians is seeking a Senior Manager of Preauthorization Services to oversee and optimize all preauthorization activities across inpatient and outpatient settings. You will drive strategic direction, standardize workflows, and partner with payers to improve access and reimbursement.

This role requires strong leadership, clinical collaboration, and a track record in process improvement within a health system.