Patient Benefits Supervisor

Patient Benefits Supervisor

Onco360 Pharmacy is seeking a Patient Benefits Supervisor in Waltham, MA. This role is based in Louisville, KY with flexible hours of Monday-Friday 10:30am-7pm or 11:30 - 8pm EST, and some weekends as needed.

Responsibilities

• Oversight of patient prescription benefits, including demographics, medical and pharmacy coverage, and authorization requirements
• Quality control by examining cases completed by team members
• Supervise and lead BV/onboarding staff to maintain a positive working environment
• Communicate effectively across pharmacy and corporate teams, and resolve issues with patients
• Assist in day-to-day pharmacy operations and implement new procedures
• Evaluate, coach, and utilize performance management practices for BV staff
• Manage and report on daily activity of vertical team members, monitor workflow, and escalate No-Go trends or contract-related claim rejections
• Manage patient authorizations, such as Threshold Override Authorizations (TOA), SNF Letters of Agreement (LOA), and similar
• Provide ongoing access and training on web tools to the BV/Onboarding team and offer support for system functionality questions
• Communicate payor benefit programs and policies to ensure correct handling by the team
• Handle difficult BV cases/questions and ensure accurate and timely completion
• Collaborate with Pharmacy Technician Manager and/or Director of Pharmacy Operations on other responsibilities, projects, implementations, and initiatives

Qualifications

• Education/Learning Experience: High School Diploma or GED, Associates or Bachelor’s Degree preferred, Certified Pharmacy Technician (PTCB) desired
• Experience: 4+ years pharmacy or benefit verification experience, previous leadership experience desired
• Licenses/Certifications: Registration with Board of Pharmacy as required by state law, Certified Pharmacy Technician (PTCB) desired, Advanced Certified Pharmacy Technician with Billing and Reimbursement certification desired
• Behavior Competencies: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills, leadership skills