Prior Authorization Operations Supervisor

Job Summary

A company is looking for a Supervisor, Prior Authorization Operations.

Key Responsibilities

• Organize and supervise daily operations of the prior authorization process and staff
• Ensure compliance with formulary changes, regulatory requirements, and effective training for staff
• Evaluate and improve the PA process for efficiency and accuracy while managing a team of up to 30 individuals

Required Qualifications

• High school degree or equivalent required; associate degree or 2 years relevant experience preferred
• Minimum of two years of experience in pharmacy, nursing, or managed care is highly desirable
• Retail pharmacy experience and knowledge of the PBM industry is desired
• Proficiency in MS Word, Excel, and PowerPoint preferred
• Experience in staff management and development is essential