IH

IVX Health

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IH

Prior Authorization Coordinator

IVX HealthAnywhereFull-time
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Compensation$20 - 24 hour

The Prior Authorization Coordinator will review and process prior authorizations, manage clinical documentation, and submit and track authorization requests. They will also resolve authorization issues and support patients and providers throughout the process. | Candidates must have hands-on experience with prior authorizations for biologics, oncology, or specialty therapies, along with a strong understanding of payer guidelines. A high school diploma or GED is required, and an associate's degree is a plus. | Join IVX Health as a Prior Authorization Coordinator! Join a team that’s redefining infusion care and creating exceptional patient experiences. Are you experienced in navigating the complexities of prior authorizations for biologics or oncology therapies? IVX Health is looking for a driven and detail-oriented Prior Authorization Coordinator to support our rapidly growing team. In this role, you’ll have the opportunity to make a meaningful impact by facilitating the approval process for life-changing specialty treatments. Our HQ is based just outside of Nashville in Brentwood, TN, but we are seeking candidates nationwide with the option to work fully remote, hybrid, or in-office! Location and Schedule at a Glance Work Options: Fully Remote, Hybrid, or In-office (Brentwood, TN) Schedule: Monday - Friday, standard business hours (no nights, weekends, or holidays) What You Will Do Review and Process Prior Authorizations – Thoroughly review Prior Authorization orders and ensure timely and accurate completion. Manage Clinical Documentation – Obtain and assess necessary clinical information such as medical history, diagnosis, and lab reports to support Prior Authorization submissions. Submit and Track Prior Authorizations – Follow criteria for medication approvals and accurately submit requests to insurance providers. Resolve Authorization Issues – Investigate and resolve outstanding medical documentation concerns and assist in resolving denied claims. Support Patients and Providers – Communicate effectively with patients, clinical staff, and insurance representatives regarding the Prior Authorization process. Ensure Compliance and Process Improvement – Stay up to date with evolving payer policies and identify ways to enhance workflow efficiency. Perform Additional Duties – Take on other responsibilities as assigned to support patient care and operational objectives. What We Are Looking For We are seeking ambitious, self-motivated, and reliable professionals who take ownership of their work and excel in both remote and office settings. Success in this role requires initiative, accountability, and a commitment to getting the job done. If you thrive in a structured yet independent work environment, communicate effectively, and hold yourself accountable, you will excel here. We value high performers who are dependable, communicative, and committed to delivering results. Prior Authorization Expertise is Essential – You must have hands-on experience with prior authorizations for biologics, oncology, or specialty therapies, along with a strong understanding of payer guidelines. Exceptional Communication Skills – This role involves frequent interaction with clinical teams, insurance companies, and patients. You must be able to communicate clearly, professionally, and persistently follow up when needed. Self-Motivated and Accountable – If you work remotely, you are expected to be present, engaged, and consistently perform at a high level without direct supervision. Tech-Savvy and Detail-Oriented – Proficiency in Electronic Health Records (EHR) systems, payer portals, and Microsoft Office Suite is required. High School Diploma or GED required. Associate’s degree in Medical Office Management, Medical Insurance, or Medical Coding is a plus. Minimum of three (3) years of experience in hospital or clinical service access, physician office scheduling, or a similar role. Certified Medical Assistant (CMA) is a plus. Experience with prior authorizations for biologics, oncology, or specialty therapies preferred. Why Join IVX Health Make a Meaningful Impact – Play a critical role in securing approvals for life-changing specialty treatments that directly improve patients' lives. Grow Your Career – IVX Health offers a clear career path for Prior Authorization Coordinators, with opportunities for promotion from Level 1 to Level 2 and Level 3 based on performance and expertise.. Be Part of a Supportive and High-Performing Team – Work alongside a motivated, goal-driven team that values accountability, integrity, and results while fostering a positive, patient-focused environment. Support and Development – Gain access to continuing education, professional development resources, and mentorship opportunities to expand your expertise. Work-Life Balance – Enjoy flexible work options (remote, hybrid, or in-office), paid time off, and a no nights, no weekends schedule so you can recharge and perform at your best. Wage Range Pay is based on a number of factors including market location, job-related knowledge, skills, and experience, and is benchmarked against similar organizations to our size and industry. For our Prior Authorization Coordinator role, we generally pay new hires between $20.00 and $24.00 per hour. It is not typical for an individual to be hired at or near the top of the range for roles and compensation decisions are dependent on the facts and circumstances of each situation. In addition to cash pay, full-time regular employees are eligible for 401(k), health benefits, and other company benefits; some of these benefits may also be available for part-time positions. Pay is based on factors such as market location, job-related knowledge, skills, and experience, and is benchmarked against similar organizations in our size and industry. It is not typical for an individual to be hired at or near the top of the posted range, as compensation decisions depend on the facts and circumstances of each case. In addition to cash pay, full-time regular employees are eligible for 401(k), health benefits, and other company-provided benefits; some of these benefits may also be available to part-time employees. Prior Authorization Coordinator Pay Range $20—$24 USD About IVX Health IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis. We’re transforming the way care is delivered with a focus on patient comfort and convenience. Our commitment to exceptional care extends to our employees as well—we empower our team to thrive while living our core values: Be Kind, Do What’s Right, Never Settle, Make It Happen, and Enjoy the Ride. Our Mission: To improve the lives of those we care for by redefining the care experience Our Vision: To be the nation’s preferred destination for pharmaceutical care of complex chronic conditions Our Commitment: To deliver an unmatched care experience with a foundation in world class service and clinical excellence Benefits We Offer Comprehensive Healthcare – Medical, dental, and vision coverage, including prescription drug plans and telemedicine services. Flexible Savings Options – Choose from Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA) to manage healthcare costs. Supplemental Protection – Accident, critical illness, and hospital indemnity plans to provide additional financial security. Dependent Care FSA – Pre-tax savings for eligible childcare and dependent care expenses. 401(k) Retirement Plan – Secure your future with a competitive company match. Disability Coverage – Voluntary short-term and long-term disability plans to protect your income. Fertility and Family Support – Resources and benefits designed to support fertility care and family planning. Life and AD&D Insurance – Financial protection for you and your loved ones. Counseling and Wellness Support – Free resources to support emotional, physical, and financial well-being. Education Assistance – Tuition reimbursement and certification support to help you grow in your career. Continuing Education – Access to a CEU library for ongoing professional development. Charitable Giving and Volunteer Program – Matched donations and paid volunteer time off to support causes you care about. Employee Referral Bonus – Earn rewards for helping us find top talent. Note: Benefits may vary by employment type (Full-Time, Part-Time, PRN). Contact HR for details on eligibility and coverage. EEO STATEMENT IVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. IVX Health wants to have the best available people in every job, and we make employment decisions on the basis of business needs, job requirements, individual qualifications, and merit. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, military and veteran status, age, physical or mental disability, genetic characteristic, reproductive health decisions, family or parental status, or any other legally protected category in accordance with applicable federal, state, or local laws. IVX Health prohibits discrimination, harassment, or retaliation of any kind based on any of these characteristics. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation benefits, and separation of employment. Privacy Policy

Prior Authorization Expertise
Exceptional Communication Skills
Self-Motivated
Accountable
Tech-Savvy
Detail-Oriented
Clinical Documentation Management
Insurance Submission
Problem Solving
Patient Support
Workflow Efficiency
Medical History Assessment
Lab Report Evaluation
Payer Guidelines Knowledge
EHR Systems Proficiency
Microsoft Office Suite
Direct Apply
Posted 2 months ago
IVX Health

VP, IT and Chief Information Security Officer

IVX HealthBrentwood, TNPart-time
View Job
Compensation$150K - 220K a year

Lead IT operations, cybersecurity, cloud infrastructure, and M&A integrations to support a growing healthcare organization. | 10+ years IT leadership with expertise in infrastructure, security, cloud platforms, M&A integrations, and strong communication and project management skills. | Ready to make an impact in a high-growth healthcare company? IVX Health is seeking a dynamic and forward-thinking Vice President of Information Technology & Chief Information Security Officer (CISO) to lead our IT operations and drive cutting-edge innovation across our organization. As a key leader, you'll have the opportunity to shape the future of healthcare technology by overseeing our cloud infrastructure, cybersecurity, and M&A integrations, while ensuring seamless day-to-day operations. Join us and be part of a mission-driven team dedicated to transforming patient care through scalable, efficient, and secure IT solutions. This is an exciting opportunity for a seasoned IT leader who is passionate about innovation and looking to make a meaningful difference in a fast-growing company. If you thrive in a dynamic environment and have a strategic vision for IT, this role is for you! About The Role As the Vice President of Information Technology & Chief Information Security Officer (CISO) at IVX Health, you’ll be at the helm of our IT department, ensuring that our technology infrastructure is secure, scalable, and aligned with the company’s strategic goals. You’ll oversee all aspects of IT operations, from managing our cloud environments and cybersecurity initiatives to integrating new technologies during mergers and acquisitions. This role is critical to our ongoing expansion and will lead projects that directly impact the success of our growing nationwide network of infusion centers. You will collaborate closely with key stakeholders across the organization to deliver cost-effective technology solutions that enhance our mission-critical operations. Whether it’s launching new centers, safeguarding our systems, or driving digital transformation, you’ll ensure IVX Health remains on the leading edge of healthcare technology. Responsibilities • Operational Management • Oversee day-to-day IT operations, including network management, infrastructure, help desk support, hardware procurement, and information security. Act as the primary escalation point for critical IT issues and ensure timely resolution. • Ensure the effective delivery of end-user services, including technical support that meets organizational service level needs. • Manage the security systems, including firewalls, intrusion detection, encryption, and antivirus programs, to protect company assets and data. • Manage contracts with and oversee third-party security resources and platforms to maintain a leading edge in information security practices. • Authorize and oversee the deployment, monitoring, maintenance, and support of IT systems and hardware across the company based on department needs. • Ensure all new clinic locations are brought online according to launch timelines, providing necessary IT infrastructure and support. • Lead M&A technical integrations, ensuring seamless alignment of end-user systems, networks, security protocols, corporate SaaS platforms, and key business integrations. • Re-engineer application support as necessary to align IT services with business needs, tactical planning, and long-term strategy. • Manage vendor, outsourcer, and consultant contracts to ensure alignment with IT and organizational objectives. • Maintain regular communication with executives, department heads, and end users about IT activities, developments, and requirements. • Collaborate with Finance and Data teams on managing cloud environments, optimizing data warehousing solutions, and advancing core platform capabilities. • Work with Legal and Compliance to address third-party technical and security requirements for key stakeholders, including payors and pharmaceutical partners. • Strategy and Planning • Oversee the operational and strategic planning of the IT department, focusing on business requirements, project prioritization, and resource allocation. • Develop and implement long-term strategies for optimizing IT operations and investing in efficient, cost-effective technologies. • Lead information security planning efforts, prioritizing defense initiatives, and managing current and future security technologies using a risk-based approach. • Design, implement, and review disaster recovery and business continuity plans to ensure resilience in IT operations. • Develop, review, and manage budgets for IT divisions, ensuring alignment with business goals and organizational objectives. • Monitor IT systems performance, making recommendations for upgrades, productivity improvements, and cost reductions. • Lead research and evaluation of potential technology solutions that support new business opportunities and procurement efforts. • Conduct cost/benefit analyses and make business case justifications for IT spending, including bidding for hardware and software upgrades. • Benchmark and analyze IT infrastructure performance, making recommendations for continuous improvement and system enhancements. Essential Competencies And Skills • Strong knowledge of network, cloud infrastructure (Azure, AWS), and information security management. • Strong leadership skills to manage a diverse IT team and guide them toward the department’s goals. • Capability to build relationships and influence cross-functional teams, stakeholders, and decision-makers. • Strong understanding of information security principles, including risk assessment, incident response, and vulnerability management. • Knowledge of cybersecurity best practices, including encryption, firewalls, intrusion detection/prevention systems, and anti-virus software. • Effective communication with executives, department heads, and IT teams. Required Education And Experience • Bachelor’s degree in Information Technology, Computer Science, or a related field (Master’s preferred). • 10+ years of IT leadership experience, with expertise in infrastructure, information security, and cloud platforms. • Proven success in managing IT operations in scaling organizations and leading complex technical projects. • Experience with M&A technical integration, new site builds, and onboarding of new clinics. • Excellent project management, communication, and vendor negotiation skills. About IVX Health IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis. We’re transforming the way care is delivered with a focus on patient comfort and convenience. Our commitment to exceptional care extends to our employees as well—we empower our team to thrive while living our core values: Be Kind, Do What’s Right, Never Settle, Make It Happen, and Enjoy the Ride. Our Mission: To improve the lives of those we care for by redefining the care experience Our Vision: To be the nation’s preferred destination for pharmaceutical care of complex chronic conditions Our Commitment: To deliver an unmatched care experience with a foundation in world class service and clinical excellence Benefits We Offer • Comprehensive Healthcare – Medical, dental, and vision coverage, including prescription drug plans and telemedicine services. • Flexible Savings Options – Choose from Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA) to manage healthcare costs. • Supplemental Protection – Accident, critical illness, and hospital indemnity plans to provide additional financial security. • Dependent Care FSA – Pre-tax savings for eligible childcare and dependent care expenses. • 401(k) Retirement Plan – Secure your future with a competitive company match. • Disability Coverage – Voluntary short-term and long-term disability plans to protect your income. • Fertility and Family Support – Resources and benefits designed to support fertility care and family planning. • Life and AD&D Insurance – Financial protection for you and your loved ones. • Counseling and Wellness Support – Free resources to support emotional, physical, and financial well-being. • Education Assistance – Tuition reimbursement and certification support to help you grow in your career. • Continuing Education – Access to a CEU library for ongoing professional development. • Charitable Giving and Volunteer Program – Matched donations and paid volunteer time off to support causes you care about. • Employee Referral Bonus – Earn rewards for helping us find top talent. Note: Benefits may vary by employment type (Full-Time, Part-Time, PRN). Contact HR for details on eligibility and coverage. EEO STATEMENT IVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. IVX Health wants to have the best available people in every job, and we make employment decisions on the basis of business needs, job requirements, individual qualifications, and merit. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, military and veteran status, age, physical or mental disability, genetic characteristic, reproductive health decisions, family or parental status, or any other legally protected category in accordance with applicable federal, state, or local laws. IVX Health prohibits discrimination, harassment, or retaliation of any kind based on any of these characteristics. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation benefits, and separation of employment. Privacy Policy

IT leadership
Information security management
Cloud infrastructure (Azure, AWS)
Cybersecurity best practices
M&A technical integration
Project management
Vendor negotiation
Healthcare IT
Verified Source
Posted 3 months ago

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