Prior Authorization Supervisor

Key Responsibilities

• Directly lead and manage a team of Patient Support Associates to ensure medication adherence through refill management OR timely and accurate prior authorization and financial assistance support to assist patients in obtaining medication.
• Proactively manage support in assigned hospitals and/or clinics to ensure patients receive medications on-time.
• Lead and manage a Patient Support team to ensure all service level goals are met and patients receive the highest quality care.
• Manage all aspects of ADP, Paid Time Off (PTO), and Time Reports for team members.
• Complete audits of team in supported systems required to ensure efficient workflow.
• Manage responsiveness to new requests in supported systems.
• Provide front-line supervision and ongoing coaching and performance management to Patient Support team.
• Monitor and acting on all forms of communications between the Patient Support team and other clinical teams as needed.
• Work with on-site management at hospital partners for any collaboration calls, such as quarterly calls, kick off calls, as needed calls.
• Patient Support team meetings: create agendas, run meeting, follow-up.
• Hospital Management meeting: calls with on-site manager to review current status, identify areas for improvement, and areas of success.
• Record keeping/notes of all collaboration calls and team meetings.
• Provide guidance/assistance/troubleshooting in daily tasks for Patient Support team members as requested by team.
• Review and address any concerns with Patient Support team, and hospital partners as needed.
• Establish efficient workflows between the Patient Support team and liaison team via collaboration with clinical integration team and on-site managers.
• Provide insight to various teams across company for growth and development opportunities as needed.
• Work with various teams for special projects.
• Report on hiring needs based on implementation roll outs.
• Absorb overflow work in times of short staffing or excess workload.
• Investigate research needed for data analytics team, contracting team as needed.
• Manage on-site pharmacy relations and workflows through some/all of the following: reversal of claims, delivery slips, coordination of care, phone calls.

Experience/Requirements

• Required Licensure/Certification: Registered with the State of employment and nationally certified as a CPhT. Certification may need to be obtained for a particular state or updated at the time of employment. Continued employment is contingent upon meeting these requirements.
• Required 3+ years of pharmacy technician experience (3-5+ years’ experience preferred in Specialty Pharmacy).
• Strongly preferred leadership experience (i.e. Team Lead or equivalent type role or experience where you have led other team members even if they do not directly report to you).
• Education: High School diploma / GED required. Preferred Education: High School / GED (Bachelor’s degree is preferred or actively working toward degree).
• Preferred Training: Training on leadership/management theory and its practical applications in the workplace (on-line / classroom / self-study).