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Senior Prior Authorization Ops & Clinical Compliance Manager
Job in
Brooklyn, Cuyahoga County, Ohio, USA
Listed on 2026-09-05
Listing for:
Superior Dental Care, Inc.
Full Time
position Listed on 2026-09-05
Job specializations:
-
Management
Healthcare Management
Job Description & How to Apply Below
Medical Mutual seeks an experienced leader to manage prior authorization operations and clinical compliance. The role oversees daily work, ensures regulatory alignment, and partners with UM, CM, IT, and external vendors to deliver high-quality, compliant decisions.
You will coach PA reviewers, monitor KPIs, and drive process improvements while coordinating with cross-functional teams to achieve cost and quality goals.
#J-18808-LjbffrPosition Requirements
10+ Years
work experience
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