About
Minimum of 3 years of orthopedic authorization experience REQUIRED Minimum of 2 years of leadership or management experience overseeing remote teams REQUIRED Extensive experience with orthopedic procedures, injections, imaging, and surgical authorizations REQUIRED Facility authorization experience REQUIRED, including hospital and ASC workflows Strong understanding of spine, pain management, and complex orthopedic surgical authorizations preferred Proven experience managing high-volume workloads and large remote teams Demonstrated experience managing productivity metrics, departmental KPIs, and operational accountability Ability to critically think, solve problems, and make decisions quickly in rapidly changing situations
Ability to pivot priorities with minimal notice while maintaining operational continuity Ability to independently assess situations, prioritize urgent cases, and make sound operational decisions with minimal direction Strong knowledge of payer guidelines, medical necessity criteria, authorization portals, and denial prevention strategies Excellent organizational, communication, and leadership skills Experience working collaboratively with physicians, executives, operational leadership, and multidisciplinary teams Strong attention to detail and ability to manage escalated patient care situations effectively Strong technical proficiency with EMR systems, payer portals, Microsoft Excel, and authorization tracking tools Must be able and willing to travel as operationally needed
Requirements
Hybrid leadership position with remote and onsite responsibilities Travel required based on operational and organizational needs Must maintain availability during West Coast business hours Fast-paced orthopedic and surgical environment Requires flexibility to support operational needs, escalations, and urgent patient care situations as they arise
Knowledge
Experience in multi-specialty orthopedic practices Experience with hospital and ASC revenue cycle workflows Knowledge of orthopedic and spine coding terminology Experience with EMR and authorization platforms Experience with payer audits, medical necessity reviews, and documentation compliance Bachelor's degree is preferred but not required based on experience Athena EMR experience
Skills List required skills applicable to this position Abilities Ideal candidates will possess strong orthopedic and spine authorization knowledge, demonstrate operational ownership, thrive in fast-paced surgical environments, and have a proven ability to lead remote teams with accountability, urgency, and critical thinking skills. Candidates must be comfortable working in environments where priorities may shift rapidly based on patient care needs, physician schedules, and operational demands. Environmental Working Conditions Hybrid leadership position with remote and onsite responsibilities Travel required based on operational and organizational needs Must maintain availability during West Coast business hours Fast-paced orthopedic and surgical environment Requires flexibility to support operational needs, escalations, and urgent patient care situations as they arise Physical/Mental Demands Candidates must be comfortable working in environments where priorities may shift rapidly based on patient care needs, physician schedules, and operational demands. Organizational Requirements
HOPCo Mission, Vision and Values must be acknowledged and adhered to List additional organization requirements such as training conducted by organization
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Languages
- English
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