OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.
Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.
Job Description:
Role Summary:
The Sr Manager, Authorizations will be responsible for managing the daily prior authorization operations. This role oversees the collaboration between all RCM authorization team members, authorization vendor partners, practice staff and operational leadership to obtain authorizations for patient services in a timely and accurate fashion. The position is responsible for creating sustainable workflows and communicating effectively to protect the financial health of the practice and reduce revenue leakage.
Primary Responsibilities:
Complete management of the prior authorization team
Hire new team members as necessary and manage the performance of all existing team members
Create and maintain a staffing model that adequately meets the demand for prior authorizations within the practice
Set expectations on service delivery for vendor partners responsible for obtaining prior authorizations for patient services
Develop and maintain standard workflows for obtaining prior authorizations
Manage prior authorizations denials and escalations to ensure patients can be treated in a timely fashion
Communicate effectively with practice staff and operational leadership to reduce revenue leakage during the prior authorization process
Training & Education
Design and implement a comprehensive training program for all prior authorization team members and vendor partners
Deliver hands-on training for new workflows and system updates
Establish onboarding programs for new hires
Cross-Functional Alignment
Ensure alignment between clinical and prior authorization workflows
Partner with the AR team to perform a root cause analysis on all denials to reduce gaps in the process and provide retraining to team members.
Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.
Required Qualifications:
Bachelor’s degree or equivalent experience
5+ of experience in RCM operations
3+ years in leading teams
Deep understanding of the prior authorization process and payer medical necessity guidelines
Proven experience leading global teams and vendor partners
Strong working knowledge of healthcare compliance
Experience designing and delivering role‑based training programs for staff, including onboarding, workflow changes, and system updates
Ability to define, track, and interpret operational and revenue cycle metrics (e.g., charge lag, denials, documentation accuracy), conduct root‑cause analysis, and drive corrective actions
Experience with workflow optimization, system implementation, and training delivery
Experience working cross-functionally with clinical, operational, and RCM teams
Essential Competencies:
Attendance is an essential job function.
Ability to lead end‑to‑end workflow design, system implementation, and stabilization efforts, identifying inefficiencies and managing change
Ability to establish governance standards and ensure alignment between clinical and revenue cycle stakeholders
Ability to design, deliver, and sustain role‑based training programs tailored to clinical and operational audiences
Skilled in analyzing performance metrics, conducting audits, leading root cause analysis, and driving corrective actions
Demonstrated continuous improvement mindset, with experience scaling best practices across sites or markets
Proven ability to drive operational performance and revenue improvement
Strong collaboration, verbal, and written communication skills
#LI-REMOTE
Bachelor's degree or equivalent experience, 5+ years in revenue cycle operations, 3+ years leading teams, prior authorization expertise, compliance knowledge, training, metrics, workflow optimization, and cross-functional leadership.
Key Responsibilities
- managing authorizations
- training team-members
- optimizing workflows
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Senior Level
- Commitment: Full Time
- Workplace: Remote — United States
- Languages: English
About OneOncology
A healthcare organization supporting independent community medical practices through operational, financial, and clinical services. — Industry: Healthcare