Manager, Medical Records – Authorizations
Job Description:
• Own and oversee end-to-end medical records request workflows, including evaluation, prioritization, and fulfillment, ensuring team-level accuracy, discretion, and regulatory compliance.
• Lead, coach, and develop a team responsible for reviewing and validating authorizations and related documentation, ensuring sound judgment and consistent application of eligibility requirements for records release.
• Serve as a cross-functional liaison and primary escalation point for records requests, partnering with members, therapists, legal representatives, and internal teams to set expectations, communicate status, and resolve issues.
• Establish, monitor, and assess audit-ready documentation standards for requests, actions, deadlines, and communications, identifying and addressing potential compliance gaps across the team.
• Act as a senior escalation point for complex, urgent, or sensitive requests, partnering with Legal, Compliance, Clinical Operations, and Member Success as needed.
• Proactively manage team service-level performance by analyzing request pipelines, identifying systemic blockers, and driving cross-team solutions to meet compliance and service objectives.
• Identify opportunities for process optimization and risk mitigation, leading improvements to enhance efficiency, accuracy, and scalability of records operations.
• Contribute to and lead cross-functional initiatives, audits, and special projects within Clinical Operations.
• Oversee secure and compliant records disclosure decisions in alignment with policies, regulations, and evolving operational needs, ensuring consistent team adherence to standards.
Requirements:
• Bachelor’s or Master’s degree in a healthcare-related field (e.g., Health Administration, Public Health, Health Sciences, Psychology, or similar)
• Minimum 2–3 years of experience in one or more of the following:
• Working knowledge of HIPAA and confidentiality requirements related to PHI
• Exceptional organizational skills with high attention to detail and accuracy.
• Excellent written and verbal communication skills, including the ability to explain processes clearly and with empathy.
• Ability to manage multiple time-sensitive tasks in a fast-paced environment.
• Proficiency with digital platforms and operational tracking systems.
• A growth mindset and willingness to learn, improve workflow processes, and adapt to evolving operational needs.
Benefits:
• Remote work with regular in-person bonding experiences sponsored by the company
• Competitive compensation
• Holistic perks program (including free therapy, employee wellness, and more)
• Excellent health, dental, and vision coverage
• 401k benefits with employer matching contribution
• The chance to build something that changes lives – and that people love
• Any piece of hardware or software that will make you happy and productive
• An awesome community of co-workers
Apply Now
Apply Now
• Own and oversee end-to-end medical records request workflows, including evaluation, prioritization, and fulfillment, ensuring team-level accuracy, discretion, and regulatory compliance.
• Lead, coach, and develop a team responsible for reviewing and validating authorizations and related documentation, ensuring sound judgment and consistent application of eligibility requirements for records release.
• Serve as a cross-functional liaison and primary escalation point for records requests, partnering with members, therapists, legal representatives, and internal teams to set expectations, communicate status, and resolve issues.
• Establish, monitor, and assess audit-ready documentation standards for requests, actions, deadlines, and communications, identifying and addressing potential compliance gaps across the team.
• Act as a senior escalation point for complex, urgent, or sensitive requests, partnering with Legal, Compliance, Clinical Operations, and Member Success as needed.
• Proactively manage team service-level performance by analyzing request pipelines, identifying systemic blockers, and driving cross-team solutions to meet compliance and service objectives.
• Identify opportunities for process optimization and risk mitigation, leading improvements to enhance efficiency, accuracy, and scalability of records operations.
• Contribute to and lead cross-functional initiatives, audits, and special projects within Clinical Operations.
• Oversee secure and compliant records disclosure decisions in alignment with policies, regulations, and evolving operational needs, ensuring consistent team adherence to standards.
Requirements:
• Bachelor’s or Master’s degree in a healthcare-related field (e.g., Health Administration, Public Health, Health Sciences, Psychology, or similar)
• Minimum 2–3 years of experience in one or more of the following:
• Working knowledge of HIPAA and confidentiality requirements related to PHI
• Exceptional organizational skills with high attention to detail and accuracy.
• Excellent written and verbal communication skills, including the ability to explain processes clearly and with empathy.
• Ability to manage multiple time-sensitive tasks in a fast-paced environment.
• Proficiency with digital platforms and operational tracking systems.
• A growth mindset and willingness to learn, improve workflow processes, and adapt to evolving operational needs.
Benefits:
• Remote work with regular in-person bonding experiences sponsored by the company
• Competitive compensation
• Holistic perks program (including free therapy, employee wellness, and more)
• Excellent health, dental, and vision coverage
• 401k benefits with employer matching contribution
• The chance to build something that changes lives – and that people love
• Any piece of hardware or software that will make you happy and productive
• An awesome community of co-workers
Apply Now
Apply Now