Careers

Careers at Approva

We are building the prior authorization infrastructure for ambulatory surgery centers — the layer between an ASC and the payers that decide whether a case gets to the OR. It's a hard problem that combines clinical knowledge, payer logic, and real-time operations.

Engineering

Full-stack and backend roles working on the Packet generation pipeline, payer rules engine, and the reviewer interface. We use TypeScript, Next.js, and PostgreSQL. Comfort with LLM-assisted workflows is a plus.

Clinical operations

Certified clinical reviewers who audit AI-assembled prior authorization packets before they go to payers. Background in utilization management, medical necessity criteria, or ASC clinical workflows preferred.

Revenue cycle

Specialists who understand how payer policies, denial codes, and authorization turnaround times affect ASC revenue. Experience with orthopedic, spine, or pain management coding is valuable.

Customer success

Onboarding and ongoing support for ASC customers. You will own the relationship from go-live through expansion, working closely with schedulers, billing staff, and clinical leadership.