Sr. Manager, Authorizations

OneOncology; United States; Remote; USD 90,000 - 130,000; Full time

Job summary

OneOncology is seeking a Sr Manager, Authorizations to lead the daily prior authorization operations across our clinical teams. You will drive workflow design, staffing models, and vendor partnerships to protect the practice's financial health while ensuring timely patient care.

In this role, you will mentor staff, analyze performance metrics, and collaborate with clinical and AR teams to reduce denials and revenue leakage.

Qualifications

• Bachelor’s degree or equivalent experience.
• 5+ years of experience in RCM operations.
• 3+ years in leading teams.
• Deep understanding of prior authorization process and payer guidelines.
• Experience coordinating with vendors and cross-functional teams.

Responsibilities

• Manage the daily prior authorization operations and team performance.
• Hire and develop team members; maintain staffing models.
• Create standard workflows for obtaining prior authorizations.
• Oversee denials, escalations, and communication to reduce revenue leakage.
• Design and deliver comprehensive training for staff and vendor partners.
• Align clinical and authorization workflows; partner with AR to analyze denials and implement fixes.

Skills

RCM operations

Team leadership

Vendor management

Training program design

Performance metrics analysis

Cross-functional collaboration

Compliance knowledge

Education

Bachelor’s degree or equivalent experience

Job description

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

Job Description:

Role Summary:

The Sr Manager, Authorizations will be responsible for managing the daily prior authorization operations. This role oversees the collaboration between all RCM authorization team members, authorization vendor partners, practice staff and operational leadership to obtain authorizations for patient services in a timely and accurate fashion. The position is responsible for creating sustainable workflows and communicating effectively to protect the financial health of the practice and reduce revenue leakage.

Primary Responsibilities:

• Complete management of the prior authorization team
• Hire new team members as necessary and manage the performance of all existing team members
• Create and maintain a staffing model that adequately meets the demand for prior authorizations within the practice
• Set expectations on service delivery for vendor partners responsible for obtaining prior authorizations for patient services
• Develop and maintain standard workflows for obtaining prior authorizations
• Manage prior authorizations denials and escalations to ensure patients can be treated in a timely fashion
• Communicate effectively with practice staff and operational leadership to reduce revenue leakage during the prior authorization process

Training & Education

• Design and implement a comprehensive training program for all prior authorization team members and vendor partners
• Deliver hand-on training for new workflows and system updates
• Establish onboarding programs for new hires

Cross-Functional Alignment

• Ensure alignment between clinical and prior authorization workflows
• Partner with the AR team to perform a root cause analysis on all denials to reduce gaps in the process and provide retraining to team members.

Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.

Required Qualifications:

• Bachelor’s degree or equivalent experience
• 5+ of experience in RCM operations
• 3+ years in leading teams
• Deep understanding of the prior authorization process and payer medical necessity guidelines
• Proven experience leading global teams and vendor partners
• Strong working knowledge of healthcare compliance
• Experience designing and delivering role-based training programs for staff, including onboarding, workflow changes, and system updates
• Ability to define, track, and interpret operational and revenue cycle metrics (e.g., charge lag, denials, documentation accuracy), conduct root-cause analysis, and drive corrective actions
• Experience with workflow optimization, system implementation, and training delivery
• Experience working cross-functionally with clinical, operational, and RCM teams

Essential Competencies:

• Attendance is an essential job function.
• Ability to lead end-to-end workflow design, system implementation, and stabilization efforts, identifying inefficiencies and managing change
• Ability to establish governance standards and ensure alignment between clinical and revenue cycle stakeholders
• Ability to design, deliver, and sustain role-based training programs tailored to clinical and operational audiences
• Skilled in analyzing performance metrics, conducting audits, leading root cause analysis, and driving corrective actions
• Demonstrated continuous improvement mindset, with experience scaling best practices across sites or markets
• Proven ability to drive operational performance and revenue improvement
• Strong collaboration, verbal, and written communication skills

#LI-REMOTE