3Y Health

Prior Authorization Lead

San Francisco Office

Sponsorship not specified$100k-$140kDetected 264 days ago

EHR/EMRPatient Care

About the role

The ideal candidate will be an operational problem-solver who thrives on efficiency and loves turning complexity into clarity.

Lead the end-to-end prior authorization process, including verification, documentation, submission, and follow-up with payers.
Build and optimize workflows that minimize turnaround times and maximize approval rates across multiple specialties.
Partner with Product and Engineering to identify automation opportunities and develop tools that reduce manual work.
Collaborate with RCM and Operations teams to ensure clean handoffs between authorizations, billing, and patient care coordination.
Develop and track KPIs to monitor authorization performance, identify bottlenecks, and continuously improve process efficiency.
Train and manage a growing team or vendor partners to ensure consistent execution and adherence to payer guidelines.
Maintain up-to-date knowledge of payer requirements, clinical criteria, and regulatory changes that impact authorization processes.
Build documentation, playbooks, and SOPs to support scaling into new states, payers, and clinical verticals.

Bachelor's degree required
Analytical and systems-oriented thinker with a track record of driving measurable improvements in turnaround times and accuracy
Ability to work 5 days a week in our San Francisco or New York office with a fully in-person team
5-8 years of experience in healthcare operations, prior authorization management, or related RCM functions
Strong understanding of payer requirements, medical necessity documentation, and authorization workflows
Proven ability to lead cross-functional initiatives and manage complex, high-volume processes
Compensation
The estimated salary range for this role is $100,000-$140,000. Total compensation for this position may also include stock options. Note that total compensation for this position will be determined by each individual's relevant qualifications, work experience, skills, and other factors.

The estimated salary range for this role is $100,000-$140,000.
Total compensation for this position may also include stock options.
Note that total compensation for this position will be determined by each individual's relevant qualifications, work experience, skills, and other factors.

We are seeking a Prior Authorizations Lead to design, manage, and scale 3Y Health's prior authorization operations.

At 3Y Health, we are building AI-driven software to empower healthcare providers and solve the overwhelming administrative complexity that consumes 40% of the industry's revenue.
Our end-to-end platform unlocks opportunities for clinician entrepreneurs, enabling medical professionals to launch, run, and grow private practices.
By supporting these independent practices with the latest AI and automation, we're helping providers reclaim their time, build thriving businesses, and deliver better outcomes for their communities.
3Y Health is backed by over $200M from top-tier investors including Founders Fund, General Catalyst, Softbank, and 8VC.

This listing is sourced directly from 3Y Health's careers page and normalized into a canonical job model.