Prior Authorization Operations Manager

Remote | Full time | Monday–Friday | 9:00 AM–6:00 PM EST

About Squad Health

Squad Health provides navigation services and software to US medical practices to remove barriers to treatment, especially prescription access.Our services include benefits investigation, prior authorization submission, patient assistance enrollment, pharmacy coordination, and patient engagement. Our team members operate as extensions of provider offices, supporting clinical staff through accurate documentation and consistent follow-up.

Job Summary:

Squad Health is looking for an experienced Prior Authorization Operations Manager to support our growing healthcare operations team.

This is a high-ownership role combining prescription prior authorization expertise, team leadership, training, quality management, recruiting, and process improvement. The ideal candidate has personally worked on prescription PAs and has experience leading teams, improving performance, and solving operational problems independently.

Responsibilities




- Train and onboard new Prior Authorization Specialists on end-to-end prescription PA workflows.
- Lead quality audits and monitor accuracy, productivity, turnaround times, follow-ups, and error trends.
- Support complex PAs, denials, resubmissions, appeals, and workflow escalations.
- Coach team members, identify performance gaps, and implement retraining or improvement plans.
- Recruit and screen offshore candidates for PA and other healthcare operations roles.
- Coordinate interviews, offer letters, onboarding, orientations, and hiring documentation.
- Create and improve SOPs, training materials, trackers, and operational workflows.
- Identify process gaps and implement practical solutions with company leadership.
- Use AI and automation tools to improve recruiting, documentation, training, reporting, research, and operational efficiency.

Requirements
- 5+ years of relevant US healthcare operations experience, including p

📌 Prior Authorization Operations Manager (India)
🏢 Squad Health
📍 India