Associate Director, Prior Authorization Operations

Judi Health(1 month ago)

HybridFull TimeDirector$160,000 - $170,000Prior Authorization Operations

About this role

The Associate Director, Prior Authorization Operations will lead and oversee prior authorization and clinical call center functions across Commercial and Medicare lines of business. The role partners with senior leadership to align operations with organizational goals, drive strategic initiatives, and ensure regulatory compliance. This position supports organizational performance by informing decision-making with data and reporting to executive stakeholders.

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Required Skills

Strategic Direction
Mentorship
Policy Development
Process Improvement
Compliance
KPI Development
Performance Reporting
Data Analysis
Executive Presentation
Leadership

+7 more

Qualifications

Doctor of Pharmacy
Active Pharmacist License

About Judi Health

judi.health

Judi Health and Capital Rx deliver unified pharmacy and medical benefit management for employers, unions, health systems, and government programs. Capital Rx provides transparent, member-focused PBM solutions while Judi Health’s Judi® platform integrates pharmacy, medical, vision, and dental benefits into a single coordinated system. Together they support millions of plan members, aiming to simplify benefit administration, improve member experience, and control costs.