other
Posted 3 hours agoPrior Authorization Supervisor
GlobalRemote
Responsibilities
- 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
- Manage responsiveness to new request in supported systems
- Monitor and acting on all forms of communications between the Patient Support team and other clinical teams as needed
- 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.
- Report on hiring needs based on implementation roll outs
- Coordinate access requests for new hires
- Coordinate training with Clinical Training Team
- 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
- Manage and prioritize workload while meeting deliverables and expectations
Requirements
- experience with a background in pharmacy or healthcare.
- The applicant must be able to work as a member of a close-knit team.
- Complete audits of team in supported systems required to ensure efficient workflow
- Ability to lead, manage, and motivate team members that are in both remote working environments and/or at on-site Shields hub locations
- Required Licensure/Certification:
- We are seeking experienced pharmacy technicians who are registered with the State of employment and also nationally certified as a CPhT.
- Should certification need to be obtained for a particular state or updated at the time of employment, the applicant will commit to obtaining the required certification within a mutually agreed upon timeframe.
- experience where you have led other team members even if they do not directly report to you) Education:
- Required: High School diploma / GED required
- Preferred Education: High School / GED (Bachelor’s degree is preferred or actively working toward degree)
- Ability to make decisions and negotiate with more senior leaders that results in a mutual and positive outcome
- Ability to effectively train and inspire Patient Support team leaders to be more independent
- Ability to manage projects and see them through effective completion
- Ability to effectively train employees, lead by example and use motivational techniques to improve/maintain employee engagement
- Strong communication skills, highly proficient in Microsoft Office particularly Excel and Word Strong phone skills
- 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.
- Proficient in excel using basic formulas, data manipulation, graph creation, and other moderately advanced excel skills
Experience
- Required 3+ years of pharmacy technician experience (3-5+ years’
Benefits
- Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Additional details
- Location: Stoughton and Phoenix Area Preferred (other locations considered based on unique situations)
- Shields is seeking an experienced person who loves to work with and lead people, has strong management skills, who is highly motivated self-starter who is looking for a challenging career with a fast-growing company in specialty pharmacy management services.
- Applicants should be results-oriented with a positive outlook and a clear focus on high quality.
- The ideal candidate should have front-line employee management
- Applicant should be service-oriented, motivational in their style and have a clear focus on performance accountability and employee development.
- A Patient Support Supervisor is a key leadership position supporting Shields Health Solutions Patient Support team.
- This position will provide day-to-day leadership for a significant portion of Patient Support Center and will be responsible for leading a team of Patient Support team members.
- This person is primarily responsible to ensure either/both of the following: Manage all responsible work of assigned sites/clinics and ensure service level metrics are reached in accordance with contract requirements.
- The leader is responsible for ensuring the adoption and continuity of best practices, providing ongoing support, coordinating coverage, coaching, performance management and professional development of the team, and any other support team members. Key Responsibilities:
- Provide front-line supervision and ongoing coaching and performance management to Patient Support team