Sr. Authorizations Associate

The posting, as Habitat Health wrote it

Habitat Health empowers older adults to experience more good days in their homes and communities. Through the Program of All-Inclusive Care for the Elderly (PACE), we provide comprehensive medical care along with support for daily needs such as meals, transportation, and in ‑ home assistance. We deliver coordinated clinical and social care in our centers and directly in participants’ homes, creating a fully integrated experience that brings peace of mind and a true sense of belonging. As we expand our scalable, affordable PACE model to meet the growing and complex needs of aging populations, our mission ‑ driven care teams continue to help participants live well on their own terms.

Habitat Health is supported by leading healthcare organizations and investors including New Enterprise Associates, Kaiser Permanente, and Town Hall Ventures. We are entering a period of significant growth and are looking for exceptional teammates to help us scale a better model of care for older adults. To learn more, visit www.habitathealth.com.

Role Scope

The Sr. Authorizations Associate is a key member of Habitat Health’s centralized, shared authorizations team within Value Based Care Operations. This non-clinical role owns the end-to-end authorization workflow, from validating new referrals through finalization, post-service authorizations, and follow-up, with local clinical teams. Working within strict regulatory timeframes, the Authorizations Coordinator keeps every referral accurate and moving so participants receive services on time, and so Habitat Health always knows what has been authorized, delivered, and billed.

The role’s core accountability will include

• Ensures all referrals and authorizations, across all systems of record, including post-service and retro-authorization requests, are processed within strict regulatory timeframes to support timely delivery of services to participants.
• Tracks authorization timelines, expirations, and extensions to help guarantee regulatory and internal turnaround times are met.
• Reviews and validates all referrals for completeness (participant, provider, and reason details; required clinical approvals, network status) before handing off to scheduling.
• Owns timely, compliant follow-up and close-out of referrals, including confirming follow-up from after visit summaries.
• Works closely with the local care delivery teams to route requests that require clinical review to the appropriate PCP or IDT members and tracks them to a decision. Partners with Patient Access, Medical Records, Network Management, Claims, and local care teams to resolve authorization-related discrepancies and keep handoffs on time.
• Facilitates single case agreements end-to-end with the Network team when needed.
• Keeps referral and authorization status accurate as enrollment changes (new enrollees, disenrollment, completed visits).
• Documents all actions, contacts, and outcomes accurately in the EHR and authorization systems,

[…]
he essential functions of a position, or receive other employment benefits and privileges, please contact us at careers@habitathealth.com .

We encourage individuals from all backgrounds to apply, even if their experience does not align perfectly with every qualification listed.

E-Verify Participation Notice

Habitat Health participates in E-Verify and will provide the federal government with information from your Form I-9 to confirm your authorization to work in the United States.

If E-Verify cannot confirm your authorization to work, Habitat Health will provide you with written instructions and an opportunity to contact the Department of Homeland Security (DHS) and/or the Social Security Administration (SSA) to resolve the issue before any adverse employment action is taken, including termination of employment.

E-Verify is used only after an applicant has accepted an offer of employment and completed the Form I-9 and to the extent permitted by applicable law.

Habitat Health complies with all federal and state employment eligibility verification requirements.

Beware of Scams and Fraud

Habitat Health is committed to protecting job seekers from recruitment scams. Please ensure that you submit applications only through Habitat Health's official careers website or authorized job boards.

Official communications from Habitat Health recruiters and team members will come from email addresses ending in @habitathealth.com. Habitat Health will never ask applicants to pay fees, purchase equipment, or provide sensitive financial information as part of the recruiting or hiring process.

If you receive suspicious communications claiming to represent Habitat Health, we encourage you to exercise caution and independently verify the communication before responding.

If you believe you have been the victim of a recruitment scam or fraudulent job posting, please report the incident to the Federal Trade Commission (FTC) through its fraud reporting website at reportfraud.ftc.gov.