System Director – Patient Access & Authorization Management

Sarasota Memorial Hospital; Louisville, Northern (KY, KY); Hybrid; USD 180,000 - 260,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

401k

Job summary

Norton Healthcare is seeking a System Director of Authorization Management & Pre-Service to lead strategy, operations, and optimization across the integrated health system. The role focuses on timely authorizations, financial clearance, and a positive patient access experience, with emphasis on performance improvement and regulatory compliance.

The executive will oversee denials reduction, workflow design, and collaboration with clinical and revenue cycle leaders, leveraging analytics and

Qualifications

• Strong leadership, change management and communication skills in a complex healthcare environment.
• Proven track record leading authorization, pre-service, or revenue cycle operations in a health system.
• Certification in process improvement (e.g., Lean, Six Sigma) preferred.

Responsibilities

• Provide strategic leadership for authorization management and pre-service operations across Norton Healthcare.
• Design and optimize workflows to ensure timely, accurate authorizations and financial clearance.
• Collaborate with clinical, revenue cycle, and access teams to enhance patient experience and throughput.
• Monitor KPIs, analyze trends, and implement process improvements to reduce denials and delays.
• Ensure compliance with payer, regulatory, and accreditation requirements.
• Lead, develop, and mentor managers and staff, fostering a culture of accountability and engagement.
• Partner with IT to leverage technology, automation, and analytics for operational efficiency.

Skills

Leadership

Change management

Communication

Data analytics

KPI development

Process improvement

Collaboration

Education

RN, RHIA, RHIT, CHAM, CRCR or related certification

Tools

EHR/EMR

Authorization platforms

Job description

Norton Healthcare seeks a System Director, Authorization Management & Pre-Service to lead strategy, operations, and optimization of authorization and pre-service functions across our integrated health system. This executive will oversee workflows that support timely authorizations, financial clearance, and a positive patient access experience. Responsibilities include driving performance improvement, managing KPIs and denials, ensuring regulatory and payer compliance, collaborating with clinical and revenue cycle leaders, and leveraging technology and analytics. The role requires strong leadership, change management, and communication skills in a complex healthcare environment.

• Provide strategic leadership for authorization management and pre-service operations across Norton Healthcare.
• Design and optimize workflows to ensure timely, accurate authorizations and financial clearance.
• Collaborate with clinical, revenue cycle, and access teams to enhance patient experience and throughput.
• Monitor KPIs, analyze trends, and implement process improvements to reduce denials and delays.
• Ensure compliance with payer, regulatory, and accreditation requirements.
• Lead, develop, and mentor managers and staff, fostering a culture of accountability and engagement.
• Partner with IT to leverage technology, automation, and analytics for operational efficiency.
• Develop and manage budgets, resource plans, and performance goals for assigned functions.

• Revenue cycle management
• Prior authorization workflows
• Pre-service financial clearance
• Utilization management
• Healthcare operations leadership
• Data analytics and KPI development
• Compliance and regulatory knowledge (CMS, payer rules)
• EHR/EMR and authorization platforms
• Process improvement/Lean/Six Sigma
• Budgeting and financial management

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• 401k

• RN, RHIA, RHIT, CHAM, CRCR, or related certification preferred
• Formal training or certification in process improvement (e.g., Lean, Six Sigma) preferred
• Proven track record leading authorization, pre-service, or revenue cycle operations in a health system