Prior Authorization and Pre-Registration Manager

4 weeks ago

Nashville, United States IVX Health Full time

Are you ready to lead a team that transforms patient care from the very first interaction?

At IVX Health, we're seeking a dynamic Manager of Prior Authorization & Preregistration who is passionate about making a difference in patients' lives every day. In this pivotal role, you’ll oversee our patient access and intake functions, ensuring that patients receive the financial and medical clearance they need for life-changing treatments. You’ll lead a dedicated team responsible for centralized scheduling, financial counseling, copay assistance, and prior authorization—creating a seamless experience that impacts our patients from day one. This role is Fully Remote - offering a great work/life balance.


About the Role

The Manager of Prior Authorization & Preregistration is responsible for leading and optimizing the patient access and intake functions at IVX Health. This role ensures that patients are financially and medically cleared for treatment, managing processes such as centralized scheduling, financial counseling, copay assistance, and prior authorization. You’ll work collaboratively with internal teams and external stakeholders to streamline onboarding, resolve issues, and provide a superior patient experience. Additionally, you will mentor and develop team members, support new market launches, and oversee performance metrics to continually enhance the intake process.

About Us

IVX Health is a national leader in infusion and injection therapy, specializing in care for patients with chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis. We are driven by our mission to deliver a different, better experience—not just for our patients, but also for our team members. At IVX Health, we believe that when we care for our employees, they’re empowered to provide extraordinary care to our patients. If you thrive in a purpose-driven environment and want to be part of a company that lives by its values—Be Kind, Do What's Right, Never Settle, Make It Happen, and Enjoy the Ride—then we want to hear from you


Why Join IVX Health?

  • Growth Opportunities: Be part of a fast-growing company where your leadership will shape the future of patient care.
  • Core Values in Action: We practice what we preach, fostering a culture of kindness, integrity, excellence, and teamwork.
  • Work-Life Balance: Enjoy flexible working options and a positive, supportive environment where your well-being is a priority.


What You’ll Do

  • Lead and mentor the intake and prior authorization teams, ensuring an outstanding patient onboarding experience.
  • Collaborate with local, regional, and national teams to drive process improvements and resolve issues effectively.
  • Play a strategic role in onboarding new markets, working with leadership to develop a clear roadmap for success.
  • Oversee training and development efforts to ensure your team is fully equipped to excel.
  • Develop, review, and maintain intake processes, language, and training materials, ensuring compliance with company standards.
  • Track performance, identify potential issues, and ensure that patient access functions run smoothly and efficiently.
  • Conduct market and legislative research to stay ahead of trends and regulations in patient access and healthcare delivery.
  • Manage and lead department-specific projects that support overall business goals.


Why You’ll Love Working Here

At IVX Health, we don’t just care about our patients; we care about you. Our comprehensive benefits package is designed to support your health, well-being, and professional growth, including:

  • Comprehensive Healthcare: Medical, dental, and vision plans with prescription drug coverage and telemedicine services.
  • Flexible Savings: Health Savings Account (HSA) and Health Reimbursement Arrangement (HRA) options.
  • Supplemental Coverage: Additional plans for Accident, Critical Illness, and Hospital Indemnity.
  • Dependent Care FSA: Pre-tax dollars for eligible dependent care expenses.
  • Disability Coverage: Voluntary short-term and long-term disability options.
  • Fertility and Family Support: Resources for fertility healthcare and family building.
  • Life and AD&D Insurance: Coverage for you and your loved ones.
  • Counseling Services: Free counseling for emotional, physical, and financial wellbeing.
  • Education Assistance: Tuition reimbursement and certification support.
  • CEU Library: Access to Continuing Education Units for career advancement.
  • Charitable Giving and Volunteer Program: Matched charitable contributions and volunteer PTO.
  • Employee Referral Bonus: Earn bonuses for referring talented individuals.
  • 401(k) Plan: Save for retirement with company matching.


Job Qualifications

ESSENTIAL COMPETENCIES AND SKILLS

  • Leadership: Ability to guide, mentor, and develop a high-performing team, ensuring operational success.
  • Process Optimization: Proven track record in improving workflows and efficiency, particularly in intake and prior authorization processes.
  • Healthcare Knowledge: Strong understanding of healthcare regulations (HIPAA) and insurance verification processes.
  • Communication: Exceptional verbal and written skills for clear communication with patients, team members, and leadership.
  • Collaboration: Experience working cross-functionally with various teams to resolve issues and improve patient access.
  • Problem-Solving: Quick thinking and effective in resolving escalated patient or operational issues.
  • Data Analysis: Ability to track performance metrics and make informed decisions based on data.
  • Patient-Centric Approach: Provide a superior experience by guiding patients through financial and medical clearance processes.
  • EHR Proficiency: Experience with Electronic Health Records (EHR) systems for managing patient information.


EDUCATION AND EXPERIENCE

  • Bachelors Degree in Healthcare Management or related field
  • At least five (5) years of experience working in a health care organization with a specific background in operations and intake processes
  • Extensive experience with patient intake, prior authorization and financial counseling preferred


EEO STATEMENT

IVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. IVX Health wants to have the best available people in every job, and we make employment decisions on the basis of business needs, job requirements, individual qualifications, and merit. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, military and veteran status, age, physical or mental disability, genetic characteristic, reproductive health decisions, family or parental status, or any other legally protected category in accordance with applicable federal, state, or local laws. IVX Health prohibits discrimination, harassment, or retaliation of any kind based on any of these characteristics. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation benefits, and separation of employment.

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