{"id":3610969,"url":"https://alion.io/job/alpaca-health-prior-authorization-manager","title":"Prior Authorization Manager","company":{"id":668674,"name":"Alpaca Health","domain":"alpacahealth.io","url":"https://alion.io/company/alpacahealth","size_band":"501-1000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":{"grade":"C","score":65,"open_postings":368,"ghost_share":0.584,"stale_share":0,"repost_share":0.005,"time_to_fill_p50_days":26,"computed_at":"2026-11-06T05:58:05Z"}},"role":"Early Careers","role_family":"Early Careers","seniority":"senior","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"posting_text","remote_working_hours":null,"hiring_geo_confidence":"explicit","locations":["New York, United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":null,"salary_estimate":null,"experience_years_min":5,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-11-02T14:13:45Z","employer_posted_date":"2026-11-02","last_verified_at":"2026-11-06T13:19:51Z","board_verified":true,"closed_at":null,"days_open":3,"trust":{"level":"ok","repost_count":0,"flags":["company_stale"],"days_open":3},"description":"About Alpaca Health\nAlpaca Health enables clinicians to become entrepreneurs, starting in autism care.\nWe help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians.\nWe've raised over $14M in funding from early-stage investors like Core Innovation Capital, Adverb Ventures, and South Park Commons, and are building for long-term category leadership. More importantly, we're serving thousands of patients, while growing 30% - 50% MoM.\nThis role is full-time, remote, and based in the United States\nRole: Prior Authorizations Manager\nResponsibilities:\nWork with our Prior Authorizations vendor to resolve complex authorization issues including coordinating with our providers, patients and payors\n\nBe the inhouse expert for all prior authorizations and pre-certification requests and requirements for a region or set of payors\n\nSupport the team in chasing down documentation, resolving auth rejections, and navigating payer requirements\n\nWork with the operations team to identify bottlenecks, inefficiencies, and opportunities across the intake workflow\n\nDevelop processes and training materials for offshore team members to resolve day-to-day prior authorization issues\n\nOwn Prior Authorization outcomes and KPIs for your region / payors\n\nWho You Are\n[REQUIRED] 5+ years of experience in ABA intake with a specific focus on Prior Authorizations or Insurance Certification\n\n[REQUIRED] Strong understanding of the ABA pre-certification process for Tricare East, Medicaid MCOs, BCBS State plans, Aetna, and/or Cigna\n\nYou are highly organized and relentless about follow-through, nothing falls through the cracks on your watch\n\nExtreme detail orientation and ability to read complex clinical documents, payor feedback, and EHR data with regards to prior authorization workflows\n\nYou communicate clearly and confidently with everyone from parents to clinicians to payor contacts\n\nYou are a problem-solver - you identify the issue and fix it\n\nYou are comfortable with ambiguity and can make good judgment calls in real time\n\nYou hold yourself to a high bar while remaining approachable and supportive\n\nWhy Join\nThe opportunity to materially impact the health outcomes of the most vulnerable populations\n\nOpportunity for rapid career growth as we build out a net new function at Alpaca Health\n\nJoin one of the fastest growing healthcare startups in the world (between 30% - 50% monthly growth)\n\nJoin a team of rockstar performers who are taking a new tech first approach to building a scalable digital health platform","description_format":"text","description_chars":2698,"description_truncated":false,"requirements":{"experience_years_min":5,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Disability Support Services","Practice Management Software"],"lifecycle":[{"event":"open","at":"2026-11-02T14:16:43Z"}],"visa":[],"liveness":{"score":60,"band":"ok","label":"Likely open","p_open":1,"p_active":0.602,"p_room":1,"age_days":3,"expected_fill_days":26,"reasons":["conf:1","stale_co","win:early","comp:brand"],"computed_at":"2026-11-06T05:58:05Z"},"pay":null,"html_url":"https://alion.io/job/alpaca-health-prior-authorization-manager","json_url":"https://alion.io/job/alpaca-health-prior-authorization-manager.json","meta":{"generated_at":"2026-11-06T13:45:43Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":25299,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-07T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":668674},"rest":"https://alion.io/mcp/rest/get_company?id=668674"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Falpaca-health-prior-authorization-manager"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Falpaca-health-prior-authorization-manager"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Falpaca-health-prior-authorization-manager"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/alpaca-health-prior-authorization-manager\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Falpaca-health-prior-authorization-manager"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":3610969}},{"tool":"search_jobs","arguments":{"company":"alpacahealth.io","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":3610969},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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