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Director of Prior Authorization - Job Opportunity at Inspire Medical Systems I

Remote, United States
Full-time
Executive
Posted: April 8, 2025
Remote
USD 180,500 - 270,700 per year

Benefits

Comprehensive health insurance with multiple plan options and HSA contributions indicating strong healthcare focus
401(k) with employer matching demonstrating retirement investment commitment
Employee Stock Purchase Program (ESPP) offering ownership opportunity
Flexible Time Off policy showing work-life balance priority
Tuition reimbursement supporting professional development
Dental and vision coverage as part of complete wellness package
Life and disability insurance providing security assurance
Employee Assistance Program supporting mental health

Key Responsibilities

Lead and develop a 26-person prior authorization team including supervision of two direct reports
Direct end-to-end prior authorization strategy and process optimization
Drive compliance with healthcare regulations and payer policies
Collaborate with cross-functional teams to streamline authorization processes
Analyze authorization trends and develop data-driven improvement strategies
Champion policy changes and payer negotiations
Ensure regulatory compliance and quality system adherence

Requirements

Education

Bachelor's degree in Healthcare Administration, Business Administration, or related field. Advanced degrees (Master's, JD, etc.) are a plus

Experience

7-10 years in prior authorization, reimbursement, or related roles; 5 years leadership experience

Required Skills

Strong understanding of medical device reimbursement processes Excellent communication and negotiation skills Team leadership and process management capabilities Healthcare software proficiency Analytical mindset Change management expertise
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Sauge AI Market Intelligence

Industry Trends

The medical device reimbursement landscape is becoming increasingly complex with the rise of value-based care models and stricter prior authorization requirements Technology integration in healthcare administration is driving demand for leaders who can bridge clinical, technical, and administrative domains Growing focus on sleep medicine and alternatives to traditional CPAP therapy indicates expanding market opportunities in sleep disorder treatments

Salary Evaluation

The offered salary range of $180,500 - $270,700 is competitive for an executive-level position in healthcare administration, particularly given the specialized nature of the role and the company's innovative market position

Role Significance

Leading a substantial team of 26 specialists including two supervisors, indicating a mature prior authorization operation with significant organizational impact
Executive-level position with direct impact on revenue cycle management and patient access to treatment. Role requires strategic leadership and cross-functional influence.

Key Projects

Implementation of authorization process optimization initiatives Development of payer relationship strategies Creation of compliance monitoring systems Design of staff training and development programs

Success Factors

Deep understanding of medical device reimbursement landscape Strong leadership capabilities with focus on team development Strategic thinking combined with operational excellence Ability to navigate complex stakeholder relationships Data-driven decision-making approach

Market Demand

High demand position due to increasing complexity of medical device reimbursement and the growing sleep medicine market. The role combines technical healthcare knowledge with leadership skills, making qualified candidates relatively scarce.

Important Skills

Critical Skills

Healthcare reimbursement expertise due to complex payer landscape Leadership capabilities for managing large specialized team Strategic thinking for process optimization and policy development

Beneficial Skills

Technical understanding of sleep medicine Change management experience Data analytics capabilities

Unique Aspects

Opportunity to shape reimbursement strategy for innovative medical device
Combination of healthcare administration and technical product knowledge
Direct impact on patient access to novel sleep apnea treatment

Career Growth

2-4 years in role before advancement, depending on organizational growth and market conditions

Potential Next Roles

VP of Market Access Chief Operating Officer Head of Revenue Cycle Management Executive Director of Healthcare Operations

Company Overview

Inspire Medical Systems I

Inspire Medical Systems is an innovative medical device company focused on sleep apnea treatment alternatives, representing a growing niche in the sleep medicine market

Leading position in alternative sleep apnea treatment devices with FDA approval and strong market presence
National scope with remote work capabilities indicating modern operational approach
Progressive culture emphasizing innovation, work-life balance, and professional development with strong focus on patient outcomes
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