Prior Authorization Operations Supervisor

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

May 24, 2025 - 03:30

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