Authorization Supervisor

Posted Yesterday
Be an Early Applicant
Hiring Remotely in USA
Remote or Hybrid
75K-84K Annually
Mid level
Healthtech • Social Impact • Software
The mental health platform built for personal and professional growth.
The Role
Own the authorization-denial pipeline, identify payer-level trends, build automated workflows, manage authorization staff and outsourced teams, conduct quality and productivity oversight, and lead payer and partner escalations. Collaborate with Billing, Eligibility, Coding, and partnerships teams to resolve systemic issues and prepare authorization operations for new frameworks and partnerships.
Summary Generated by Built In

Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. Powered by technology, we are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Following the mass increase in depression and anxiety, the need for accessibility is more important than ever. To make our vision for mental healthcare a reality, we’re building a team of entrepreneurs and mission-driven go-getters. Since launching in February 2021, we’ve empowered more than ten thousand therapists and hundreds of thousands of clients across the country and insurance landscape. We’ve raised more than $328Mm in funding, including our Series D, at a $3B valuation from Sequoia Capital, Transformation Capital, TCV, SignalFire, Menlo Ventures, Goldman Sachs Alternatives, and others.

We are looking for an experienced Authorization Supervisor to build and own our authorization function. This is a workstream that has outgrown its original home inside Eligibility and is now one of the most complex, highest-risk parts of our Pre-Bill operation, covering our WellHive partnership with the Department of Veterans Affairs (VA), Employee Assistance Program (EAP) partners (Cigna, Octave, Optum), and Kaiser populations.

You'll own the authorization-denial pipeline at the trend level, manage the Authorization Specialist and our outsourced authorization-entry team, and serve as the primary relationship owner for authorization-specific issues with key payer and partner contacts. You'll report directly to the Pre-Bill Operations Manager and work closely with the Eligibility, Billing, and Coding supervisors.

This function increasingly runs on data and workflow tooling rather than manual queue work, so this role is as much about building and maintaining automated processes as it is about managing a team.

What You'll Be Doing:

The Authorization function is one of the most complex and highest-risk parts of Grow's Pre-Bill operation. As Authorization Supervisor, you'll own it end-to-end: the denial pipeline, the team that processes authorizations, and the partner relationships that keep it running. This role leans more toward building than managing an existing queue, so you'll spend real time standing up workflows and automation, not just overseeing one.

In this role, you will...

  • Own the authorization denial pipeline at the trend level, identifying root causes across payers and driving resolution rather than fixing claims one at a time

  • Build and maintain automated workflows that reduce manual authorization work over time

  • Manage and develop an authorization team, including staffing, quality audits, and productivity standards

  • Own key partner relationships for authorization-specific issues, including escalations and process improvements

  • Represent the authorization function in cross-functional conversations with payor partnerships on escalation and process improvement

  • Partner with Billing, Eligibility, and Coding to resolve cross-functional authorization issues and escalate systemic trends

  • Prepare the function for new frameworks and partnerships as Grow expands

You'll Be a Good Fit If:

  • You have 3+ years of experience in authorization, utilization management, patient access, or medical billing, including at least 1 year in a people management role

  • You're SQL-fluent or can ramp up quickly, and you're comfortable directing and verifying data-driven, automated workflows, even if you're not writing every query yourself

  • You have prior people management experience, ideally in authorization, utilization management, or patient access

  • You're analytically minded and can spot a denial trend across payers rather than treating each case in isolation

  • You're comfortable owning external partner relationships and escalating issues professionally

  • You're process-driven and can build and enforce repeatable workflows for a high-volume, high-complexity function

  • You're adaptable and can ramp into a fast-moving, partially built environment without a long runway

Bonus points if you have:

  • Prior VA Community Care Network or other government payer authorization experience

  • Prior Employee Assistance Program experience (Cigna, Octave, or similar)

  • Experience building or scaling an operational function from an ad hoc or manual state

  • Hands-on SQL or workflow-automation experience, even self-taught

Employment Type: Salaried, Exempt
Base Compensation: The base compensation range for this position is:

Fully Remote Commitment: $74,880-$84,240 USD Annually

This role is fully remote. This arrangement may include travel 2–3 times per year (e.g., company and department offsites).

Full Time Employee Benefits:

  • Health Benefits: Comprehensive medical, dental, vision, life, and disability coverage.

  • Grow for Grow: No cost access to therapy through the Grow platform (available to US employees)

  • Financial Wellness: Retirement savings programs and equity opportunities to help you invest in your future.

  • Flexible Time Off, Paid Holidays & Winter Break: Flexible time off, company paid holidays (which vary by country), and a full company wide Winter Break to rest and recharge

  • Parental Leave: Up to 18 weeks of paid parental leave to support you and your growing family and a new child stipend.

  • Mental Health Mornings/Afternoons: Dedicated weekly flexible time for self care, whether that's therapy, exercise, journaling, time with family, or simply taking a break.

  • Wellness & Development Stipend: Annual stipend to support your personal wellbeing and professional growth, from fitness and education to books and learning resources.

  • Commuter Benefits: Pre tax commuter benefits to support teammates working from one of our hub locations.

  • Home Office & Meals: Support for your home workspace plus meal benefits, with offerings tailored to both remote and hub based employees.

  • Additional Perks: A variety of wellbeing benefits, including wellness memberships, virtual care, pet insurance discounts (where available), and global travel assistance.


Research shows that some groups hesitate to apply unless they meet every qualification. If you’re excited about this role but don’t check every box, we encourage you to apply. At Grow, we value diverse experiences, transferable skills, and the unique strengths each person brings.

Grow Therapy is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements.

Use of AI Tools: We use certain AI and automated tools to support recruitment. These tools help our team review applications, organize interviews, detect potential application integrity issues, and maintain interview records; they do not make final hiring decisions.

Application Review: Ashby's AI-Assisted Application Review helps review application materials against role-specific criteria and may flag potential fraud or integrity issues for recruiter review. All advancement decisions are made by our human recruiting team after independent review. See Ashby's AI Bias Audit Report.

Interview Recording: We use BrightHire to record interviews, supporting note-taking and consistency across candidates. Learn more. Interviews are confidential; you may ask your interviewer to stop recording anytime, or opt out in advance. Choosing not to be recorded will not, by itself, affect your candidacy.

AI-Assisted Recruiter Screen: For select roles, BrightHire's AI features may help structure initial recruiter screens and organize interview notes. All responses are reviewed by our recruiting team; no hiring decisions are made by AI alone.

State-specific notices: Depending on your location, you may have additional rights. Illinois: If AI analyzes a video interview, we'll provide notice, explain how it works and what it evaluates, and obtain consent beforehand. New York City: Where required, we'll provide at least 10 business days’ notice before using an automated employment decision tool and explain how to request an alternative process. Maryland: We do not use facial recognition to create facial templates during interviews unless required notice and written consent are obtained.

Questions, accommodation requests, requests for an alternative selection process, objections to recording, or concerns about AI use? Contact [email protected]. We’re happy to help or offer an alternative way to participate.

Skills Required

  • 3+ years of experience in authorization, utilization management, patient access, or medical billing
  • At least 1 year of people management experience
  • SQL fluency or ability to ramp up quickly
  • Ability to direct and verify data-driven, automated workflows
  • People management experience, ideally in authorization, utilization management, or patient access
  • Analytical ability to identify denial trends across payers
  • Experience managing external partner relationships and escalations
  • Ability to build and enforce repeatable workflows in a high-volume, high-complexity function
  • Adaptability in a fast-moving, partially built environment
  • VA Community Care Network or other government payer authorization experience
  • Employee Assistance Program experience, such as Cigna or Octave
  • Experience building or scaling an operational function from an ad hoc or manual state
  • Hands-on SQL or workflow-automation experience

What the Team is Saying

Caroline
Lydia
Sami
Chris
Sasha

Grow Therapy Compensation & Benefits Highlights

  • Healthcare Strength Job postings and employer materials list comprehensive medical, dental, and vision coverage along with life and disability insurance for corporate roles. Employer-verified pages also reference an Employee Assistance Program and strong health-related offerings.
  • Leave & Time Off Breadth Public listings describe flexible or unlimited PTO, 12 paid holidays, and a company-wide winter break/recharge week. Several sources also note paid sick days and bereavement leave.
  • Wellbeing & Lifestyle Benefits Company materials highlight weekly mental-health time (e.g., “Mental Health Mornings/Afternoons”), wellness and learning stipends, and a remote-office stipend, plus no-cost access to therapy on the platform. Flexible/hybrid work and in-office meals where applicable further reinforce lifestyle support.

Grow Therapy Insights

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The Company
HQ: New York, NY
460 Employees
Year Founded: 2020

What We Do

Grow is a mental health platform built to enable progress. We see technology not as a layer on top of care, but as the connective tissue that helps it grow — and we believe that building it is some of the most important work there is. We are not only for crisis. We are for all the moments when someone decides they want more. More support, more clarity, more tools. Because mental health isn't a destination. It's a practice. And we are building the platform, the products, and the partnerships to make that practice possible for everyone. We are more than a marketplace — bringing together clinical expertise, always-on tools, and deep insights to help clients improve their lives, providers build practices they're proud of, and businesses offer demonstrably more effective and efficient care. So far, 15 million sessions have started on Grow, with 220M lives covered. Each one a step forward for someone, somewhere, building the life they've always wanted. Like the people we serve, we are in a process of becoming. Solving one problem. Making progress. Moving on to the next. Our founders come from Harvard Medical School, Stripe, and Blackstone — pairing bold vision with a culture of balance, belonging, and whole-person wellness. We're proud to be backed by Sequoia Capital, Goldman Sachs Alternatives, TCV, Transformation Capital, SignalFire, and Plus Capital. Progress doesn't happen on its own. It happens because of talented individuals who build for the people they love.

Why Work With Us

At Grow Therapy, we believe well-being isn’t just a perk—it’s part of how we work. From clinicians to engineers, every voice helps shape the care we build. Our mission-driven team is rethinking mental health care, supported by flexible PTO, paid winter recharge, mental health breaks, no-cost therapy through our platform, and wellness perks.

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Grow Therapy Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

We value hybrid and remote work with offices located in New York City, Seattle, and San Francisco.

Typical time on-site: 3 days a week
HQNew York, NY
San Francisco, CA
Seattle Office
Learn more

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