The Oncology Institute
Director, Authorizations Outpatient Oncology
The Oncology Institute, Cerritos, California, United States, 90703
Overview
Director, Authorizations Outpatient Oncology — Join to apply for the
Director, Authorizations Outpatient Oncology
role at
The Oncology Institute Founded in 2007, The Oncology Institute of Hope and Innovation (TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI is dedicated to offering cutting edge, evidence-based cancer care to a population of more than 1.7 million patients including clinical trials, stem cell transplants, transfusions, and other care delivery models traditionally associated with the most advanced care delivery organizations. With 100+ employed clinicians and more than 700 teammates in 75+ clinic locations and growing, TOI is changing oncology for the better. At The Oncology Institute of Hope & Innovation, the Director of Authorizations plays a vital role in ensuring patients receive timely access to life-saving cancer treatments. We empower our leaders to make an impact by combining compassionate patient care with operational excellence. Position Summary
The Director of Central Operations – Prior Authorization is responsible for leading and optimizing the prior authorization function across TOI's national footprint. This role ensures timely and accurate processing of prior authorizations, supports payer compliance, and drives operational excellence through data-driven decision-making and cross-functional collaboration. Key Responsibilities
Lead the Prior Authorization team, overseeing daily operations, staffing, and performance management. Develop and implement standardized workflows and KPIs to improve turnaround time, reduce denials, and enhance payer compliance. Collaborate with Revenue Cycle Management (RCM), Utilization Management (UM), Clinical Operations, and Technology teams to streamline processes and improve automation. Monitor and report on key metrics including authorization approval rates, denial trends, and productivity benchmarks. Partner with Credentialing, Intake, and Call Center teams to ensure seamless patient access and coordination. Identify and implement opportunities for automation and system enhancements in collaboration with IT and Med Econ. Serve as a subject matter expert on payer requirements and regulatory changes impacting prior authorization. Support strategic initiatives related to central ops optimization, including new market integration and M&A transitions. Qualifications
Bachelor's degree in healthcare administration, business, or related field required; Master's preferred. Minimum 5–7 years of experience in healthcare operations, with at least 3 years in a leadership role overseeing prior authorization or related RCM functions. Proven track record of improving operational performance through metrics, process redesign, and team development. Strong understanding of payer policies, oncology workflows, and regulatory compliance. Experience with EHR systems (e.g., Centricity), payer portals, and automation tools preferred. Excellent communication, leadership, and cross-functional collaboration skills. Success Metrics
Reduction in prior auth turnaround time and denial rates. Improved staff productivity and engagement. Increased automation and system utilization. Positive feedback from clinical and operational stakeholders. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. Pay Transparency for salaried teammates $133,000—$152,000 USD Details
Seniority level: Director Employment type: Full-time Job function: Health Care Provider Industries: Medical Practices Referrals increase your chances of interviewing at The Oncology Institute by 2x Get notified about new Oncology Director jobs in
Cerritos, CA . We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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Director, Authorizations Outpatient Oncology — Join to apply for the
Director, Authorizations Outpatient Oncology
role at
The Oncology Institute Founded in 2007, The Oncology Institute of Hope and Innovation (TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI is dedicated to offering cutting edge, evidence-based cancer care to a population of more than 1.7 million patients including clinical trials, stem cell transplants, transfusions, and other care delivery models traditionally associated with the most advanced care delivery organizations. With 100+ employed clinicians and more than 700 teammates in 75+ clinic locations and growing, TOI is changing oncology for the better. At The Oncology Institute of Hope & Innovation, the Director of Authorizations plays a vital role in ensuring patients receive timely access to life-saving cancer treatments. We empower our leaders to make an impact by combining compassionate patient care with operational excellence. Position Summary
The Director of Central Operations – Prior Authorization is responsible for leading and optimizing the prior authorization function across TOI's national footprint. This role ensures timely and accurate processing of prior authorizations, supports payer compliance, and drives operational excellence through data-driven decision-making and cross-functional collaboration. Key Responsibilities
Lead the Prior Authorization team, overseeing daily operations, staffing, and performance management. Develop and implement standardized workflows and KPIs to improve turnaround time, reduce denials, and enhance payer compliance. Collaborate with Revenue Cycle Management (RCM), Utilization Management (UM), Clinical Operations, and Technology teams to streamline processes and improve automation. Monitor and report on key metrics including authorization approval rates, denial trends, and productivity benchmarks. Partner with Credentialing, Intake, and Call Center teams to ensure seamless patient access and coordination. Identify and implement opportunities for automation and system enhancements in collaboration with IT and Med Econ. Serve as a subject matter expert on payer requirements and regulatory changes impacting prior authorization. Support strategic initiatives related to central ops optimization, including new market integration and M&A transitions. Qualifications
Bachelor's degree in healthcare administration, business, or related field required; Master's preferred. Minimum 5–7 years of experience in healthcare operations, with at least 3 years in a leadership role overseeing prior authorization or related RCM functions. Proven track record of improving operational performance through metrics, process redesign, and team development. Strong understanding of payer policies, oncology workflows, and regulatory compliance. Experience with EHR systems (e.g., Centricity), payer portals, and automation tools preferred. Excellent communication, leadership, and cross-functional collaboration skills. Success Metrics
Reduction in prior auth turnaround time and denial rates. Improved staff productivity and engagement. Increased automation and system utilization. Positive feedback from clinical and operational stakeholders. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. Pay Transparency for salaried teammates $133,000—$152,000 USD Details
Seniority level: Director Employment type: Full-time Job function: Health Care Provider Industries: Medical Practices Referrals increase your chances of interviewing at The Oncology Institute by 2x Get notified about new Oncology Director jobs in
Cerritos, CA . We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr