---
title: 'Prior Authorization Lead at 3Y Health'
canonical: 'https://feeny.ai/job/prior-authorization-lead-3y-health-san-francisco-z1bv7vdaefj8'
type: 'job'
last_seen: '2026-09-10'
---

# Prior Authorization Lead at 3Y Health

- **Company:** 3Y Health
- **Location:** San Francisco, CA
- **Employment:** full-time
- **Work type:** onsite
- **Posted:** 2025-10-31
- **Last confirmed live:** 2026-09-10
- **Apply:** https://jobs.ashbyhq.com/3y-health/1bc5dbc4-c4fb-4ccc-a184-179f01f77751

## Job description

## About Us

At 3Y Health, we are building AI-driven software to empower healthcare providers and solve the overwhelming administrative complexity that consumes 40% of the industry’s revenue. Our end-to-end platform unlocks opportunities for clinician entrepreneurs, enabling medical professionals to launch, run, and grow private practices. By supporting these independent practices with the latest AI and automation, we’re helping providers reclaim their time, build thriving businesses, and deliver better outcomes for their communities. 3Y Health is backed by over $200M from top-tier investors including Founders Fund, General Catalyst, Softbank, and 8VC.

## About the Role

We are seeking a Prior Authorizations Lead to design, manage, and scale 3Y Health’s prior authorization operations. The ideal candidate will be an operational problem-solver who thrives on efficiency and loves turning complexity into clarity. This role requires a strategic yet hands-on operator who can build scalable systems, streamline workflows, and ensure timely, accurate approvals for our clinician partners across multiple specialties. As the Prior Authorizations Lead, you will own the end-to-end authorization process — from intake and submission to payer follow-up and resolution — ensuring fast turnaround times and exceptional partner experience. You’ll also partner closely with Product, RCM, and Operations teams to leverage automation and process design that reduce administrative burden for providers.

## Responsibilities

- Lead the end-to-end prior authorization process, including verification, documentation, submission, and follow-up with payers.
- Build and optimize workflows that minimize turnaround times and maximize approval rates across multiple specialties.
- Partner with Product and Engineering to identify automation opportunities and develop tools that reduce manual work.
- Collaborate with RCM and Operations teams to ensure clean handoffs between authorizations, billing, and patient care coordination.
- Develop and track KPIs to monitor authorization performance, identify bottlenecks, and continuously improve process efficiency.
- Train and manage a growing team or vendor partners to ensure consistent execution and adherence to payer guidelines.
- Maintain up-to-date knowledge of payer requirements, clinical criteria, and regulatory changes that impact authorization processes.
- Build documentation, playbooks, and SOPs to support scaling into new states, payers, and clinical verticals.

## Qualifications

- Bachelor’s degree required
- 5–8 years of experience in healthcare operations, prior authorization management, or related RCM functions
- Strong understanding of payer requirements, medical necessity documentation, and authorization workflows
- Proven ability to lead cross-functional initiatives and manage complex, high-volume processes
- Analytical and systems-oriented thinker with a track record of driving measurable improvements in turnaround times and accuracy
- Experience with automation tools or EMR/EHR integrations a plus
- Ability to work 5 days a week in our San Francisco or New York office with a fully in-person team

## Compensation

The estimated salary range for this role is $100,000–$140,000. Total compensation for this position may also include stock options. Note that total compensation for this position will be determined by each individual’s relevant qualifications, work experience, skills, and other factors.

## About 3Y Health

## Company Overview
- **One-liner**: 3Y Health provides an all-in-one practice management platform that empowers clinician entrepreneurs to launch, operate, and grow independent healthcare practices.
- **Entity Type**: Private
- **Headquarters**: San Francisco, California, United States
- **Founded**: Year not publicly available
- **Founders**: Not publicly available

## Core Business
- Primary industry/industries: Healthcare Technology (Healthtech), Practice Management Software
- Target customers: Clinicians and healthcare providers (B2B), including specialists in Autism Therapy (ABA), Speech Therapy, Occupational Therapy, Psychiatry, Physical Therapy, Chiropractic Care, Primary Care, Dermatology, Cardiology, and more. Serves solo practitioners to multi-location clinics.
- Mission or purpose statement: "Turn clinicians' business dreams into reality - reducing barriers, increasing access to care, and helping healthcare thrive through independent ownership."

## Products & Services
- **Practice Management System (PMS)**: A SaaS platform built for ease and growth, handling scheduling, billing, patient data, documentation, and compliance.
- **Insurance & Billing**: Integrated tools for billing, claims management, and preloaded payer contracts. Includes an "Auto VoBs & authorizations" feature to eliminate phone calls and waiting. 3Y Health pays clinicians within two weeks of each session, regardless of reimbursement status.
- **AI-Driven Tools**: AI-powered solutions for smart scheduling, automated documentation and charting after visits, and patient communication.
- **Credentialing & Compliance**: Tools to speed up credentialing with ready-to-use payer contracts, plus automated payroll and compliance support.
- **Reporting Dashboard**: Real-time insights for tracking performance and making informed decisions.
- **Patient Network & Growth Tools**: A network to connect clinicians with patients, partners, and resources to grow their brand, including a referral system.

## Market Standing
- **Valuation/Market Cap**: Not disclosed
- **Key Metric**: Estimated revenue of $8.8M (source: Datanyze). The platform reports over 350,000 patient sessions and is trusted by over 1,000 clinicians and over 100 insurance plans.
- **Notable Investors/Partners**: Partners with over 100 insurance plans. Talent sources include Mainsail Partners and others, suggesting potential investor relationships, though specific lead investors are not named.
- **Growth Signals**: 56.2% yearly headcount growth (21 employees as of mid-2026). The company claims clinicians are "4x faster to start a clinic on 3Y" and sees a "+20% patient onboarding conversion." Active job postings are high (49 postings for a 21-person team), indicating aggressive scaling.

## Competitive Advantages
- **Cash Flow Acceleration**: Pays clinicians within two weeks of each session, solving a major pain point of waiting 60-120+ days for insurance reimbursements.
- **All-in-One Platform**: Combines PMS, insurance contracting, billing, credentialing, AI documentation, and practice growth tools into a single solution, reducing the need for multiple vendors.
- **Pre-negotiated Payer Contracts**: Built-in access to insurance contracts and preloaded payer contracts, significantly lowering the barrier to entry for new practice owners.
- **AI Integration**: Deeply integrated AI for scheduling, documentation, and charting, reducing administrative burden and allowing clinicians to focus on patient care.

## Strategic Focus
- **Scaling the Clinician Entrepreneur Model**: Aggressively recruiting clinicians to launch independent practices on the platform, particularly in high-demand specialties like ABA therapy, speech therapy, and mental health.
- **Expanding Vertically**: Actively hiring for "Strategy and Operations Associate, New Verticals," suggesting expansion into new medical specialties and service lines.
- **Product-Led Growth**: Investing heavily in AI features to automate operations and improve the clinician experience, driving adoption and retention.
- **Building a Network Effect**: Growing the patient and referral network to make the platform more valuable for each new clinician who joins.

## Why Work Here
- **Mission-Driven**: The company is focused on empowering clinician entrepreneurs and improving access to care, offering a strong sense of purpose.
- **High Growth Environment**: With 56% yearly headcount growth and 49 open roles for a team of 21, the company is in a rapid scaling phase, offering significant opportunities for impact and career advancement.
- **Culture & Perks**: Described as a supportive business partner for clinicians. The company values independent ownership and provides tools to make practice management "smoother, smarter, and more rewarding."
- **Work Policy**: Hybrid and remote-friendly. The company has offices in San Francisco, CA, USA, and offers remote workspaces. Some roles are listed as "In-Office," "Remote Workspace," or "In-Office or Remote," indicating flexibility by role.
- **Engineering Culture**: Actively hiring for Staff Software Engineers (Backend and Frontend), Senior Software Engineer, and an AI Product Designer, suggesting a strong focus on building a robust, AI-driven platform. The tech stack is not publicly detailed, but the emphasis on AI and automation points to a modern, innovative engineering environment.

## Sources
1. [3yhealth.com](https://3yhealth.com/)
2. [builtin.com](https://builtin.com/company/3y-health)
3. [linkedin.com](https://www.linkedin.com/company/3yhealth)
4. [datanyze.com](https://www.datanyze.com/companies/3y-health/5000218316)
5. [jobs.ashbyhq.com](https://jobs.ashbyhq.com/3y-health)

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