Prior Authorisation Manager - Clinical Expert

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Prior Authorisation Manager
Type: Contract
Compensation: $150/hour
Location: Remote

Role Responsibilities

• Manage end-to-end prior authorisation workflows for medical and clinical services across multiple payer types.
• Review clinical documentation to assess medical necessity against InterQual, MCG, or payer-specific criteria.
• Evaluate AI-generated prior au...