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AI-Driven Prior Authorization Lead; Clinical
Job in
Warner Robins, Houston County, Georgia, 31088, USA
Listed on 2026-07-10
Listing for:
Mercor
Full Time
position Listed on 2026-07-10
Job specializations:
-
Business
Regulatory Compliance Specialist
Job Description & How to Apply Below
Mercor, in collaboration with a leading AI research lab, is seeking a Prior Authorisation Manager to oversee end-to-end prior authorization workflows across payers. You will review clinical documentation for medical necessity, evaluate AI-generated recommendations, and coordinate with clinicians and payers to secure timely approvals.
The role emphasizes compliance with CMS and payer requirements, monitoring KPIs, and developing SOPs.
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