Pharmacy Authorization Supervisor

Aspirus Health

Supervisor of pharmacy professionals managing prior authorization processes at UW Health. Leading a team to ensure exceptional service delivery in pharmacy operations.

Posted 7/2/2026full-timeMiddleton • Wisconsin • 🇺🇸 United StatesMid-LevelSenior💰 $68,454 - $102,682 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medication prior authorization processes and reimbursement, with strong leadership capabilities in managing teams and ensuring compliance with Medicare and commercial payer requirements.

Highest-signal resume keywords

Medication Prior AuthorizationClaims AdjudicationTeam SupervisionMedicare ReimbursementPharmacy Benefit Billing

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Prior Authorization CriteriaLocal Coverage DeterminationsMedical Benefit BillingPharmacy Benefit Prior AuthorizationReimbursement Processes

Soft Skills

LeadershipCommunicationWorkload ManagementPerformance Oversight

Certifications & Qualifications

Registered Nurse Upon HirePharmacy Tech Registration Upon Hire

Industry Keywords

Health CarePatient Care SettingMedication Access SpecialistsSupport Programs

About the role

Key responsibilities & impact

Supervise daily operations of a team of medication access specialists and coordinators, providing direction, support, workload management, and performance oversight
Lead integration and coordination efforts across multiple UW Health medication related prior authorization and support programs, ensuring aligned processes, clear communication, and consistent service delivery
Serve as a subject matter expert on Medicare and commercial payer reimbursement requirements, including Local Coverage Determinations (LCDs), prior authorization criteria, and both medical and pharmacy benefit billing mechanisms

Requirements

What you’ll need

Bachelor's Degree in a health care field. Experience in lieu of education will be considered in addition to required work experience. Required
Bachelor's Degree in Nursing (BSN) Preferred
3 years of medication prior authorization experience Required
Experience with pharmacy and/or medical benefit prior authorizations and reimbursement Required
5 years previous medication prior authorization and claims adjudication experience Preferred
5 years of supervisory experience Preferred
Experience working in a role in a patient care setting Preferred
Experience in both pharmacy and medical benefit prior authorizations Preferred
Registered Nurse Upon Hire Required or
Pharmacy Tech Registration Upon Hire Required

Benefits

Comp & perks

An excellent benefits package, including health and dental insurance
Paid time off
Retirement plans
Two-week paid parental leave and adoption assistance
Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance
Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being
Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement
The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions