Prior Authorizations Manager

AI overview

As Prior Authorizations Manager, you will drive operational excellence and innovation in Aidin’s Prior Authorizations function, ensuring high-quality execution and process improvement.

About Aidin

Hi, we're Aidin! We're here to create solutions for healthcare’s biggest challenges. Instead of waiting for someone else to step up, we rolled up our sleeves and created a better way to connect patients, payers, and care providers.


We are on a mission to defragment the healthcare ecosystem with a seamless digital platform that transforms healthcare for good and improves outcomes for all.


What we do

Aidin is a dynamic healthcare technology company dedicated to revolutionizing care coordination and post-acute care transitions. Our innovative platform empowers healthcare organizations to streamline workflows, reduce costs, and ensure patients receive the highest quality post-acute care.


You can learn more about us at www.myaidin.com.


About The Opportunity

We are seeking a dynamic, strategic leader and subject matter expert in Prior Authorizations to drive operational excellence and innovation at Aidin. This role is responsible for owning and scaling Aidin’s Prior Authorizations function—ensuring consistent, high-quality execution while continuously improving processes, systems, and outcomes for clients, staff, and patients.


As Prior Authorizations Manager, you will lead day-to-day operations and serve as the escalation point for complex payer, hospital, and provider issues. This is a hands-on role, requiring both ownership of the process and execution of the day to day activities as we grow and enhance this functionality at Aidin. You will partner closely with Client Operations, Product, and other cross-functional teams to shape strategy, influence roadmap decisions, and build a best-in-class authorization capability that supports Aidin’s growth and mission: ensuring patients transition, on-time, to the best provider every time.


This role reports to the Senior Director, Client Operations.


Key Responsibilities

Operational Ownership

  • Oversee daily Prior Authorizations operations, ensuring queues are managed efficiently and authorizations are submitted accurately and on time
  • Define and monitor key performance metrics; use data to identify trends, risks, and improvement opportunities
  • Own payer onboarding and eligibility demarcation strategies across hospitals and markets
  • Serve as the primary point of accountability for issue resolution with payers, including portal-based workflows such as Availity
  • Provide real-time guidance and escalation support for complex authorization challenges
  • Establish training, onboarding, and ongoing education programs to ensure team readiness as Aidin scales

Process Improvement

  • Design, document, and continuously refine standard operating procedures that scale with the business
  • Identify opportunities to improve authorization workflows through automation, tooling, and process redesign
  • Partner with Product to identify, quantify, and prioritize feature enhancements that meaningfully advance the Prior Authorizations business
  • Contribute to broader Client Operations strategy, ensuring alignment with Aidin’s growth objectives

Cross-Functional Collaboration

  • Work closely with Client Operations leadership, Product, and Customer-facing teams to ensure alignment and clarity
  • Translate payer and operational complexity into actionable insights for internal stakeholders
  • Represent the Prior Authorizations function as Aidin expands into new markets and payer relationships


What You'll Bring

  • 5+ years of direct experience in Prior Authorizations, including extensive payer portal and direct payer engagement across the U.S.
  • Demonstrated experience leading or mentoring others, with a track record of driving operational results
  • Deep understanding of payer workflows, eligibility requirements, and authorization best practices
  • Strong problem-solving skills and comfort navigating ambiguity and complex edge cases
  • A growth mindset, with ambition to build, scale, and improve systems and teams
  • Excellent communication skills and the ability to influence across functions
  • Adaptability and resilience in a fast-moving environment
  • Startup, B2B SaaS, Healthcare IT, or health-tech experience strongly preferred


What Success Looks Like

A successful Prior Authorizations Manager:

  • Brings confident leadership, operational rigor, and strategic thinking to the Prior Authorizations function
  • Owns performance outcomes, including turnaround times, payer responsiveness, accuracy, and client satisfaction
  • Builds scalable processes, documentation, and best practices that enable consistent execution across markets and payers
  • Acts as a trusted internal expert and partner, translating operational realities into product and process improvements


Culture and Values:

At Aidin, our team is guided by four core values that shape everything we do:

  • Lead, Do Not React: Think big-picture, long-term, and do the right thing. We want team members who take initiative and lead with vision, rather than simply reacting to circumstances
  • Make a Difference: For us, outcomes are everything. Be the solution. We value making a tangible impact through every event and initiative
  • Embrace Uniqueness: Boldly be who we are. Individuality and authenticity are strengths that we bring to our work
  • Celebrate the Doer: We celebrate action and the people who make it happen. If you thrive on taking initiative and seeing real results, you’ll fit right in


Why Work at Aidin?

  • Be a part of a trailblazing, mission driven organization that is revolutionizing patient care transitions
  • Opportunity to work and grow with talented, mission-driven, passionate professionals
  • Flexible remote work environment
  • Generous PTO Policy, plus 12 national holidays
  • Several Team Offsites each year where we come together and align on our vision, mission, values, and strategic initiatives
  • Comprehensive benefits package


Commitment to Diversity

At Aidin, we strive to create a mindful and respectful environment where everyone can bring their authentic self to work, and experience a culture that is free of harassment, racism, and discrimination. That’s why we are committed to diversity and inclusion in the workplace, and we prohibit discrimination and harassment of any kind based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other characteristic protected by law. This policy applies to all employment practices within our organization, including, but not limited to, hiring, recruiting, promotion, termination, layoff, and leave of absence.



Perks & Benefits Extracted with AI

  • Paid Time Off: Generous PTO Policy, plus 12 national holidays
  • Remote-Friendly: Flexible remote work environment
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