Authorization Supervisor

Job Description

About Us:

Grow was born to tackle a critical challenge: making mental health care more effective and accessible for everyone. Since launching in 2020, 15 million sessions have started on Grow, and we've barely scratched the surface. We do it through a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Every solution we build reveals ten more waiting to be delivered, and that's just what gets us going. We've backed that ambition with more than $328M in funding, including our Series D at a $3B valuation from Sequoia Capital, Transformation Capital, TCV, SignalFire, Menlo Ventures, Goldman Sachs Alternatives, and others.

At Grow, the work you do can literally change someone's life. Your work here doesn't stay on a screen; it impacts whether someone can find, afford, and access quality care. That ambition sets us apart, and offers you an endless runway to impact one of the world's most urgent issues. We don’t have passenger seats here. Everyone is driving something that matters.

This work deserves real commitment. So if you thrive on meeting problems head on, untangling serious complexity, and working at pace with the sharpest yet kindest people around, you've come to the right place.

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...

You'll Be a Good Fit If:

Bonus points if you have:

Employment Type: Salaried, ExemptBase 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:

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.

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 talentops@growtherapy.com. We’re happy to help or offer an alternative way to participate.

• 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 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
• 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
• 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.