Prior Authorization Supervisor

🕒 July 24

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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

• 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 • 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 • 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 • Manage on site pharmacy relations and workflows through some/all of the following: reversal of claims, delivery slips, coordination of care, phone calls

🎯 Requirements

• Active Texas Pharmacy Technician License AND National Pharmacy Technician Certification 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) • High School diploma / GED required • Preferred Education: High School / GED (Bachelor’s degree is preferred or actively working toward degree) • Training on leadership/management theory and its practical applications in the workplace (on-line / classroom / self-study) • Strong communication presence with ability to influence without formal authority • Excellent leadership and interpersonal skills • Strong operational management skills and able to evaluate trends and identify opportunities for program improvement • Knowledge and skills using Pharmacy dispensing or EMR systems (knowledge of the Willow, Qs1, and RX30 software system a plus) and able to identify relevant information with a focus on quality is also desirable.

🏖️ Benefits

• Health insurance • Paid Time Off (PTO) • Professional development opportunities