Job Overview
Location
United States (Remote)
Job Type
Full-time
Category
Operations
Date Posted
July 16, 2026
Full Job Description
📋 Description
- • Work with our Prior Authorizations vendor to resolve complex authorization issues including coordinating with our providers, patients and payors
- • Be the inhouse expert for all prior authorizations and pre-certification requests and requirements for a region or set of payors
- • Support the team in chasing down documentation, resolving auth rejections, and navigating payer requirements
- • Work with the operations team to identify bottlenecks, inefficiencies, and opportunities across the intake workflow
- • Develop processes and training materials for offshore team members to resolve day-to-day prior authorization issues
- • Own Prior Authorization outcomes and KPIs for your region / payors
🎯 Requirements
- • 5+ years of experience in ABA intake with a specific focus on Prior Authorizations or Insurance Certification
- • Strong understanding of the ABA pre-certification process for Tricare East, Medicaid MCOs, BCBS State plans, Aetna, and/or Cigna
🏖️ Benefits
- • Opportunity to materially impact the health outcomes of the most vulnerable populations
- • Opportunity for rapid career growth as we build out a net new function at Alpaca Health
- • Join one of the fastest growing healthcare startups in the world (between 30% - 50% monthly growth)
- • Join a team of rockstar performers who are taking a new tech first approach to building a scalable digital health platform
🏢 Location
- • United States
- • Remote
Skills & Technologies
See exactly how your profile matches this role — strengths, skill gaps, and what to do about them.
About Alpaca Health Inc.
Alpaca Health is a health technology company focused on improving the healthcare experience for both patients and providers. Their platform aims to streamline administrative tasks, enhance patient engagement, and provide data-driven insights to healthcare organizations. By leveraging technology, Alpaca Health seeks to reduce burnout among clinicians and empower patients with better access to their health information and care. The company operates within the digital health and health IT sectors, contributing to the ongoing transformation of healthcare delivery through innovative software solutions.
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