About the Company
The next generation of independent cardiology is being built here. CardioOne is a physician-led, technology-driven cardiology platform built to empower independent practices to compete, and win, in a rapidly evolving healthcare landscape. Our mission is to provide cardiologists with the tools, infrastructure, and expertise they need to thrive while maintaining full clinical independence. We believe the best care is delivered by physicians who are empowered - not constrained - by the systems around them. We combine a deep bench of healthcare operators with purpose-built technology and AI-enabled solutions across operations, revenue cycle, imaging, and practice development. From real estate and advanced imaging to clinical workflows and data infrastructure, CardioOne delivers a fully integrated platform designed to drive growth, efficiency, and superior patient outcomes.
Backed by WindRose Health Investors and leading healthcare executives, CardioOne is building one of the most sophisticated and scalable cardiology MSOs in the country - designed to reimagine what is possible for independent cardiology.
About the Job
CardioOne is seeking an Authorization Manager to own the prior authorization function across our growing network of cardiology practice partners. This is a hybrid individual contributor and people leadership role you will be both hands-on in the work and responsible for managing external vendor relationships and internal authorization operations at scale.
The Authorization Manager serves as the central accountability point for authorization outcomes across CardioOne’s practice portfolio, with a particular focus on de novo practice launches where enhanced services authorization complexity is highest and vendor coordination is most critical. This role operates within CardioOne’s dual-track authorization model, the regular workflow and the enhanced services workflow and is expected to own performance and compliance across both.
Authorization Operations & Tracker Oversight
Own and continuously improve the CardioOne authorization tracker, ensuring data integrity, status accuracy, and actionable visibility across all practice partners
Monitor authorization approval rates, denial trends, turnaround times, and pend resolution across the network, escalating issues and driving corrective action
Develop and enforce standardized authorization workflows, routing protocols, documentation requirements, and submission standards across practice entities
Enforce established service level agreements, communication cadences, and performance standards, including submission as urgent/expedited without exception, daily follow-up on high-priority cases, and timely escalation protocols
Ensure vendors have timely access to clinical documentation, payer requirements, CPT codes, and practice-specific routing information needed to execute authorizations effectively
Enhanced Services Authorization - CTA Add-On Services
Ensure the stateside RCM team is placing authorizations on hold at once upon receipt, submitting to payers prior to any vendor triggering, and documenting all activity within the practice management system
De Novo Practice Onboarding
Partner with practice onboarding teams to build authorization workflows for new CardioOne practice partners from the ground up, setting up routing structures, tracker configuration, vendor handoffs, and escalation paths before go-live
Team Leadership & Cross-Functional Collaboration
Provide informal or formal oversight to authorization staff, including workload management, quality review, training, and performance feedback as the team scales
Collaborate cross-functionally with RCM leadership, credentialing, clinical operations, scheduling staff, and practice administrators to resolve authorization-related barriers to care and revenue
Contribute to reporting and analytics surfacing authorization performance trends, approval rates, denial patterns, turnaround benchmarks, and vendor service level agreement adherence to senior leadership
5+ years of experience in prior authorization, revenue cycle, or medical billing, with meaningful exposure to cardiology or cardiovascular specialty care
Strong written and verbal communication skills, able to hold vendors accountable professionally, escalate issues clearly, and translate workflow complexity for clinical and scheduling staff
Self-starter with demonstrated ability to build accountability and a high-performance work culture across distributed teams (RCM, clinical, scheduling, and vendor partners), driving consistent execution and work ethic across entities
Prior experience authorizing cardiac imaging services including cardiac CT/CTA, PET MPI, echocardiography, nuclear medicine, and cardiac monitoring (MCT/MCOT, Holter, ILR) is a significant advantage and will be weighted heavily in candidate evaluation
Remote: Colorado (preferred), Washington (preferred), Delaware, Florida, New Hampshire, New Jersey, Pennsylvania, Texas.
Full-time base salary range of $62,000 to $68,000 plus medical, dental, and vision benefits. This role will has a matching 401K.
