Prior Authorization Supervisor – ENT

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

📋 Description

• Acts as the representative of the company to both external and internal customers, addressing product-related inquiries and potentially connecting customers with the appropriate support or field personnel.

• Oversees a team of prior authorization specialists, taking responsibility for the recruitment and training of team members.

• Directs, guides, and supervises the operations of a remote team accustomed to working independently.

• Conducts regular performance evaluations and provides constructive feedback to direct reports.

• Develops training materials and educational resources for internal stakeholders.

• Has the authority to make decisions regarding hiring, termination, promotions, and rewards within the designated area.

• Ensures compliance with Medtronic's Corporate Operating Policies and Code of Conduct, along with policies governing data management, customer communication requirements, collateral materials, and the protection of patient information.

• Remains accessible to staff for support in resolving escalated complaints from healthcare providers and patients.

• Collaborates with leadership to identify, monitor, and analyze customer complaints and insurance-related issues, taking proactive measures to mitigate future occurrences.

• Addresses daily work-related inquiries concerning policies, procedures, systems, and processes, assisting team members in troubleshooting issues.

• Provides backup support to other teams as needed.

• Identifies opportunities and initiates processes aimed at enhancing service levels for both internal and external customers.

• Aids in the development and authorization of Standard Operating Procedures, Work Instructions, and other supporting materials, ensuring adherence to established protocols.

• Functions effectively in a fast-paced environment characterized by frequent interruptions and distractions.

• Onboards new healthcare provider accounts, extending a warm welcome to the Medtronic PAS Program.

• Acknowledges both team and individual contributions to patient care and the program.

• May perform additional duties as assigned.

⛳️ Requirements

• Requires a high school diploma (or equivalent) with 5 years of relevant experience, an Associate's degree with 3 years of experience, or a Bachelor's degree with at least 1 year of Customer Service Supervisory experience, or 3 years of Customer Service experience.

• Experience in customer service, patient access, or a related field within medical devices, medtech, healthcare, or life sciences is essential.

• Nice to have: Master’s Degree.

• Familiarity with or experience in the managed care and health insurance sector, particularly concerning prior authorization services.

• Customer-facing experience in either a call center or sales environment is preferred.

• Knowledge of procedural and device coding along with payment systems within the US market is advantageous.

• Experience in reviewing commercial coverage policies and Medicare payment regulations is necessary.

• For degrees obtained outside of the United States, a credential that fulfills the requirements of 8 C.F.R. § 214.2(h)(4)(iii)(A) is required.

🏝️ Benefits

• Health, Dental, and Vision insurance.

• Health Savings Account.

• Healthcare Flexible Spending Account.

• Life insurance.

• Long-term disability leave.

• Dependent daycare spending account.

• Tuition assistance/reimbursement.

• Simple Steps (global well-being program).

• Incentive plans.

• 401(k) plan with employer contributions and matching.

• Short-term disability.

• Paid time off.

• Paid holidays.

• Employee Stock Purchase Plan.

• Employee Assistance Program.

• Non-qualified Retirement Plan Supplement (subject to IRS earning minimums).

• Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums).