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Prior Authorization Supervisor
Shields Health SolutionsPatient Support Supervisor managing Patient Support team for specialty pharmacy services. Leading day-to-day operations to ensure medication adherence and high-quality patient care.
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- 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
Comp & perks- Health insurance
- Paid Time Off (PTO)
- Professional development opportunities
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Medication AdherenceRefill ManagementPrior AuthorizationFinancial Assistance SupportAuditingData AnalyticsTeam Performance ManagementTraining CoordinationCollaborationPatient Care
Soft Skills
CoachingCommunicationProblem-SolvingMotivationConfidentiality
Certifications
CPhT CertificationState Licensure