Manager, Process
Core
Evaluating, implementing, and optimizing business processes for electronic Prior Authorization (ePA) to support digital transformation and operational excellence.
Role type
Manager, Process Operations
Builds
ePA workflows, vendor integrations, automation capabilities, and operational improvements
Domain
Healthcare operations and technology
Required skills
cross-functional leadership, vendor management, process optimization, stakeholder management, risk assessment, business case development, data analysis, strategic planning, change management, project management
Preferred skills
ePA operations, Utilization Management, Pharmacy Benefit Management (PBM), healthcare interoperability, NCPDP SCRIPT standards, FHIR APIs, enterprise implementation, AI-enabled workflow optimization
Technologies
ePA systems, FHIR APIs, NCPDP SCRIPT, AI tools
Responsibilities
Lead cross-functional initiatives for ePA process implementation and workflow enhancements; build and manage relationships with external vendors and network partners; identify operational risks and improvement opportunities; develop action plans to drive measurable results; monitor vendor performance and operational metrics; support business case development and contract reviews; analyze operational performance to identify automation and efficiency gains.
Seniority
Manager, hands-on leadership
