Prior Authorisation Manager

About the Role

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Prior Authorisation Managers with clinical and medical expertise to support the evaluation of AI tools designed to streamline prior authorisation workflows. Your clinical knowledge of medical-necessity criteria, payer review processes, and utilisation management will help train AI systems to reduce administrative burden and improve patient access to care. Manage end-to-end prior authorisation workflows for medic

What You'll Do

• 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 authorisation recommendations and clinical justification drafts for accuracy and appropriateness.
• Coordinate with clinical staff, physicians, and payers to obtain timely authorisation approvals.

You're a Good Fit If You

• Relevant professional experience in this field.
• Strong written communication skills.
• Available for the stated weekly commitment.

Role Highlights

Pay & Payout

Independent contractor engagement, fully remote. Mercor pays weekly via Stripe or Wise.

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