Supervisor, Medical Prior Authorization

Added
27 days ago
Type
Full time
Salary
Salary not provided

Related skills

epic prior authorization emr eclinicalworks medicaid

📋 Description

  • Lead and develop a team of Medication Authorization Specialists.
  • Monitor workload to meet service level expectations.
  • Conduct quality reviews and implement improvement plans.
  • Train new staff and establish ongoing competency programs.
  • Improve workflows with Product and Operations teams.
  • Monitor authorization timelines and remove barriers to care.
  • Escalate complex medical authorization cases when needed.

🎯 Requirements

  • 5+ years in medical benefit prior authorizations or specialty reimbursement.
  • 2+ years of people leadership or supervisory experience.
  • Experience supporting provider-administered specialty medications.
  • Strong knowledge of commercial, Medicare, and Medicaid processes.
  • Experience with infusion therapies and related meds (oncology, rheumatology, etc.).
  • Strong understanding of payer medical policies and clinical documentation requirements.
  • Exceptional organizational and communication skills.
  • Ability to manage multiple priorities in a fast-paced environment.

🎁 Benefits

  • Flexible paid time off
  • Generous parental leave
  • Comprehensive healthcare, vision, and dental benefits
  • Competitive salary and equity stake
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