Prior Authorization Supervisor

This is a fully remote position, open to applicants in United States.

📋 Description

• Directly oversee and manage a team of Patient Support Associates to guarantee medication adherence through effective refill management or timely and precise prior authorization and financial assistance support to help patients acquire their medications.

• Actively manage support within designated hospitals and/or clinics to ensure timely delivery of medications to patients.

• Lead and supervise a Patient Support team to ensure that all service level objectives are achieved, providing the highest quality of care to patients.

• Oversee all aspects of Absence Due to Personal (ADP), Paid Time Off (PTO), and Time Reports for team members.

• Conduct audits of the team in supported systems to ensure an efficient workflow.

• Manage responsiveness to new requests in supported systems.

• Provide front-line supervision along with continuous coaching and performance management for the Patient Support team.

• Monitor and act upon all forms of communication between the Patient Support team and other clinical teams as necessary.

• Collaborate with on-site management at hospital partners for any coordination calls, such as quarterly updates, kick-off meetings, and other necessary communications.

• Organize Patient Support team meetings: develop agendas, facilitate meetings, and follow up on action items.

• Conduct Hospital Management meetings: engage with on-site managers to review current situations, pinpoint areas for improvement, and recognize successes.

• Maintain records and notes for all collaboration calls and team meetings.

• Offer guidance, assistance, and troubleshooting for daily tasks to Patient Support team members as requested.

• Review and address any concerns raised by the Patient Support team and hospital partners as needed.

• Establish efficient workflows between the Patient Support team and liaison team through collaboration with the clinical integration team and on-site managers.

• Provide insights to various teams across the company for growth and development opportunities as necessary.

• Collaborate with multiple teams on special projects.

• Report on hiring needs based on implementation rollouts.

• Assist in interviewing and onboarding new team members.

• Coordinate access requests for new hires.

• Organize training in conjunction with the Clinical Training Team.

• Manage overflow work during periods of short staffing or high workloads.

• Investigate and research as needed for the data analytics and contracting teams.

• Manage relationships and workflows with on-site pharmacies through various tasks including claim reversals, delivery slips, care coordination, and phone communications.

• Exercise discretion and uphold confidentiality regarding highly sensitive and private data.

• Possess the ability to lead, manage, and inspire team members in both remote work environments and on-site Shields hub locations.

⛳️ Requirements

• A minimum of 3+ years of pharmacy technician experience is required (3-5+ years of experience in Specialty Pharmacy is preferred).

• Leadership experience is strongly preferred (e.g., Team Lead or a similar role, or experience leading other team members even if they do not directly report to you).

• Required Licensure/Certification: must be registered with the State of employment and nationally certified as a CPhT.

🏝️ Benefits

• Health insurance.

• Paid Time Off (PTO).

• Professional development opportunities.