St. Luke's University Health Network
Supervisor, Medication Prior Authorization - Access Center_
St. Luke's University Health Network, Allentown, Pennsylvania, United States, 18103
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.The Medication Prior Authorization Supervisor-Access Center is responsible for successfully managing a team of Medication Prior Authorization Specialists to address the coordination of medication prior authorizations for prescription requests. This role will oversee daily medication prior authorization operations, ensure execution of established processes, and perform all leadership responsibilities required to lead a team of Medication Prior Authorization Specialists.JOB DUTIES AND RESPONSIBILITIES:+ Leads all aspects of the employee life cycle for Medication Prior Authorization Specialists (ie, hiring, onboarding, performance management/coaching, etc.) and establishing a positive team-based work environment through team building and recognition.+ Maintains productivity and monitors Medication Prior Authorization Specialists’ activity and performance to meet quality standards and adherence to workflows.+ Collaborates with Manager, Medication Management to effectively plan, optimize staffing, flex daily staffing, and monitor volume to maintain service levels.+ Serves as an escalation point for the Medication Prior Authorization Specialists and partners with other Supervisors, Rx Refill to achieve final resolution.+ Partners cross functionally with Trainers, Quality Assurance and Manager, Medication Management to optimize Medication Prior Authorization Specialists training and QA programs.+ Engages practice clinical care team when pre-authorization attempt is unsuccessful and/or a peer-to-peer and/or alternative medication is required.+ Ensures Medication Prior Authorization Specialists are properly equipped with necessary technology, resources, and tools required to acquire necessary prior authorizations.+ Identifies opportunities for continuous improvement and partners with appropriate stakeholders to optimize service levels, workflows, patient experience, and patient safety.+ Other related duties as assigned.PHYSICAL AND SENSORY REQUIREMENTS:Sitting for up to 8 hours per day, 3 hours at a time. Consistent use of hands and fingers for typing, telephones, data entry, etc. Occasional twisting and turning. Uses upper extremities to lift and carry up to 15 pounds. Stoops, bends, and reaches above shoulder level to retrieve files. Hearing as it relates to normal conversation. Seeing as it relates to general vision. Visual monotony when reading reports and reviewing computer screen.EDUCATION:High School graduate or equivalent. Bachelor's Degree preferred.
TRAINING AND EXPERIENCE:Required: Minimum 2+ years recent year practice-based experience or in a similar healthcare setting.Preferred: Customer service experience. Previous prior authorization experience. Previous Medical Assistant experience.Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!St. Luke's University Health Network is an Equal Opportunity Employer. (lhn.org/EOE)
TRAINING AND EXPERIENCE:Required: Minimum 2+ years recent year practice-based experience or in a similar healthcare setting.Preferred: Customer service experience. Previous prior authorization experience. Previous Medical Assistant experience.Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!St. Luke's University Health Network is an Equal Opportunity Employer. (lhn.org/EOE)