Operations Supervisor

Responsibilities

• Knowledge of insurance verification workflows
• Understanding of payer rules and coverage determination
• Experience managing authorization/prior authorization processes
• Familiarity with specialty pharmacy, healthcare, or pharmacy benefit environments
• Experience leading teams that support patient access or reimbursement services
• Experience leading supervisors and/or large frontline teams
• Proven ability to manage KPIs, quality, productivity, and customer experience
• Experience coaching leaders and holding performance discussions
• Ability to translate client goals into operational action plans
• Experience managing end-to-end patient or member cases
• Ability to track work through completion and resolve barriers
• Understanding of case aging, escalation management, and follow-up processes
• Experience balancing productivity with quality and patient outcomes
• Experience in PBM, Specialty Pharmacy, Health Plan, Prior Authorization, Benefits Verification, Patient Support Program, Care Coordination, or Case Management operations
• HIPAA and compliance awareness
• Experience working with healthcare documentation and workflows

Qualifications

• Must have at least 6 months experience in Benefits Verification and/or Case Management
• Flexible to work Monday-Friday and any 8 hours between 8:00AM-8:00PM EST
• Must be located in one of these states: FL, TN, NJ, TX, MI, PA
• Must have time management skills, prioritize tasks, and multi-task
• Client ratio is 1:25, so ability to manage larger sized team
• Excellent organizational and time management skills
• Excellent verbal and written communications skills
• High level of expertise in company and client policies, tools, applications, and practices
• Experience with creating or compiling reports using various sources of data
• Must be extremely detail oriented with the ability to develop thorough corrective and preventative plans
• Strong team building and leadership skills focused on production-oriented goals
• Able to manage multiple priorities in an ever-changing environment
• Excellent attendance history is required
• Strong leadership skills
• Must be able to complete background check

Schedule

Schedule based on business needs: Open Availability (Monday-Friday, any 8 hours between 8:00AM-8:00PM EST).