Lead end-to-end execution of Gold Card and Provider Incentive programs.
Own the Prior Authorization list governance and updates across systems.
Ensure UM programs meet state/federal mandates; cooperate with Legal/Compliance.
Develop and maintain SOPs for new initiatives; create repeatable blueprints.
Drive refresh cycles for auto-approval rules and provider incentives.
Manage cross-functional implementations and stakeholder engagement.

🎯 Requirements

4+ years in program management.
3+ years delivering projects/programs.
2+ years managing prior authorization list processes.
Experience in payer/health insurance.

🎁 Benefits

Medical, dental, and vision benefits.
401(k) plan; life and disability insurance.
Unlimited vacation program and annual performance bonuses.

Apply on employer's website

This employer gathers applications via their own applicant tracking system.

You will be redirected to an external application form.

Share job

Meet JobCopilot: Your Personal AI Job Hunter

Automatically Apply to Operations Jobs. Just set your preferences and Job Copilot will do the rest — finding, filtering, and applying while you focus on what matters.

Activate JobCopilot