Prior Authorization Supervisor

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

📋 Description

• Oversee and guide Patient Support Associates to enhance medication adherence, facilitate prior authorizations, and provide financial assistance.

• Administer support at designated hospitals and clinics to guarantee timely medication delivery to patients.

• Ensure that Patient Support service-level objectives and contract stipulations are fulfilled.

• Manage ADP, PTO, and time reporting for team members.

• Audit supported systems and oversee responsiveness to new requests.

• Offer frontline supervision, coaching, performance management, and professional development opportunities.

• Supervise communications between Patient Support and clinical teams.

• Collaborate with hospital partner management during calls and workflow assessments.

• Develop agendas, facilitate meetings, and ensure follow-ups for Patient Support team sessions.

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

• Provide daily guidance, troubleshooting, and workflow support.

• Establish effective workflows with liaison, clinical integration, and on-site management teams.

• Contribute to company growth initiatives and special projects.

• Report hiring requirements, assist with the interviewing and onboarding process, and coordinate access for new hires.

• Organize training sessions with the Clinical Training Team.

• Manage overflow tasks during periods of short staffing or increased workload.

• Conduct research for data analytics and contracting teams.

• Oversee on-site pharmacy relations and workflows, including claims reversals, delivery slips, care coordination, and phone communications.

• Uphold discretion and confidentiality regarding sensitive information.

• Lead team members in both remote and on-site Shields hub environments.

• Report directly to the Director or Manager of the Patient Support Center.

⛳️ Requirements

• Current State pharmacy technician registration/licensure in the state of employment.

• National Pharmacy Technician Certification (CPhT) is mandatory.

• Minimum of 3 years of experience as a pharmacy technician required.

• 3 to 5 years of experience in specialty pharmacy is preferred.

• Leadership experience is highly desirable.

• High School diploma or GED is required.

• Bachelor's degree is preferred or actively pursuing a degree.

• Training in leadership/management theory is preferred.

• Strong communication, leadership, interpersonal, organizational, operational management, and project management abilities.

• Ability to train, motivate, and manage Patient Support team members effectively.

• Capability to manage workload, prioritize tasks, and achieve deliverables.

• Must maintain confidentiality regarding sensitive health information.

• Proficient in Microsoft Office, particularly Excel and Word; knowledge of Outlook, Teams, and PowerPoint is also required.

• Excel proficiency should include basic formulas, data manipulation, graph creation, and moderately advanced skills.

• Strong phone communication skills are essential.

• Familiarity with pharmacy dispensing or EMR systems; knowledge of Willow, Qs1, and RX30 is advantageous.

• Willingness to travel up to 20% if necessary for remote positions outside Shields core locations.

🏝️ Benefits

• Full-time employment.

• Remote work arrangement.

• Paid Time Off (PTO).

• Opportunities for professional development and employee coaching.

• Training sessions coordinated with the Clinical Training Team.

• Inclusive hiring process and reasonable accommodations during the application/interview stage.

• Equal employment opportunity.