About the role
About the job
Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.
Position: Prior Authorisation Manager Type:Contract Compensation:$150/hour Location:Remote
Role Responsibilities
- 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.
- Track authorisation status, denials, and appeal outcomes to identify workflow improvement opportunities.
- Annotate AI outputs and provide structured clinical feedback to support AI training datasets.Qualifications