Prior Authorization Supervisor

🔥 14 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

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Shields Health Solutions

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2011

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Shields Health Solutions is a company that specializes in providing integrated specialty pharmacy solutions. They focus on eliminating disruptions in patient care by offering a comprehensive model that bridges the gap between patients and the specialty medications they need. Shields Health Solutions partners with healthcare providers and drug manufacturers to optimize the impact of specialty pharmacy services. Their approach leverages a clinical model, expert care teams, and a proprietary technology platform to improve patient access to specialty drugs, while reducing the overall cost of care. Shields Health Solutions aims to enhance patient experiences and health outcomes through their innovative solutions in specialty pharmacy integration.

📋 Description

• Lead and manage Patient Support Associates to support medication adherence, prior authorizations, and financial assistance • Manage support at assigned hospitals and clinics to ensure patients receive medications on time • Ensure Patient Support service-level goals and contract requirements are met • Manage ADP, PTO, and time reports for team members • Audit supported systems and manage responsiveness to new requests • Provide frontline supervision, coaching, performance management, and professional development • Monitor communications between Patient Support and clinical teams • Collaborate with hospital partner management on calls and workflow reviews • Create agendas, run meetings, and follow up for Patient Support team meetings • Maintain records and notes for collaboration calls and team meetings • Provide daily guidance, troubleshooting, and workflow assistance • Establish efficient workflows with liaison, clinical integration, and on-site management teams • Contribute to company growth opportunities and special projects • Report hiring needs, assist with interviewing and onboarding, and coordinate new-hire access • Coordinate training with the Clinical Training Team • Absorb overflow work during short staffing or excess workload • Conduct research for data analytics and contracting teams • Manage on-site pharmacy relations and workflows, including claims reversals, delivery slips, coordination of care, and phone calls • Maintain discretion and confidentiality of sensitive data • Lead team members in remote and on-site Shields hub environments • Report to the Director or Manager of Patient Support Center

🎯 Requirements

• Active State pharmacy technician registration/licensure in the state of employment • National Pharmacy Technician Certification (CPhT) required • Required 3+ years of pharmacy technician experience • 3–5+ years of specialty pharmacy experience preferred • Leadership experience strongly preferred • High School diploma or GED required • Bachelor’s degree preferred or actively working toward degree • Leadership/management theory training preferred • Strong communication, leadership, interpersonal, organizational, operational management, and project management skills • Ability to train, motivate, and manage Patient Support team members • Ability to manage workload, prioritize tasks, and meet deliverables • Ability to maintain confidentiality of sensitive health information • Proficiency in Microsoft Office, especially Excel and Word; Outlook, Teams, and PowerPoint also required • Excel proficiency including basic formulas, data manipulation, graph creation, and moderately advanced skills • Strong phone skills • Knowledge of pharmacy dispensing or EMR systems; Willow, Qs1, and RX30 knowledge is a plus • Willingness to travel up to 20% if needed for remote positions outside Shields core locations

🏖️ Benefits

• Full-time employment • Remote work arrangement • Paid Time Off (PTO) • Professional development and employee coaching • Training coordinated with the Clinical Training Team • Inclusive hiring experience and reasonable accommodations during application/interview • Equal employment opportunity