Elevating Specialty Pharmacy
Prior Authorization Supervisor
Location
United States
Posted
2 days ago
Salary
0
Seniority
Senior
Job Description
Prior Authorization Supervisor
Shields Health Solutions
• 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 request 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 • Assist in interviewing, and onboarding new team members • Coordinate access requests for new hires • Coordinate training with Clinical Training Team • 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 • Use discretion and maintain confidentiality of highly sensitive and private data. • Ability to lead, manage, and motivate team members that are in both remote working environments and/or at on-site Shields hub locations
Job 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)
- Required Licensure/Certification: registered with the State of employment and also nationally certified as a CPhT
Benefits
- Health insurance
- Paid Time Off (PTO)
- Professional development opportunities
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