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Prior Authorization Supervisor

Prior Authorization Supervisor

CompanyCigna Group
LocationIllinois, USA
Salary$55000 – $91600
TypeFull-Time
Degrees
Experience LevelMid Level, Senior

Requirements

  • Knowledge of prior authorizations, including PA resolution, required.
  • High School diploma or GED required
  • 3-5 years relevant experience with prior authorization submission using CoverMyMeds or other like electronic prior authorization tools
  • Valid National Pharmacy Technician certification is required.
  • Valid Arizona, Massachusetts or Illinois State pharmacy technician license is required.
  • General PC knowledge; MS Office, Internet, email.
  • Excellent oral, written and phone communication skills.
  • Strong attention to detail, accuracy, and quality
  • Experience using strong basic math skills related to dosing calculations and basic Excel manipulation.
  • Demonstrated leadership skills and the ability to effectively develop and assist team members
  • Advanced problem solving skills.
  • The ability to work collaboratively with other departments to resolve complex issues with innovative solutions.
  • Ability to adapt to a dynamic working environment, make independent decisions
  • Demonstrated ability to handle difficult conversations in a professional manner.

Responsibilities

  • Promote a positive team environment and ensure best practices are shared
  • Coordinates schedules and workflow for the team
  • Oversee and assist in complex customer service escalations
  • Assist in the development of programs and process improvements to enhance the level of internal and external customer service provided
  • Oversee team and individual performance standards and service standards are met
  • Develop, coach, and provide feedback to employees concerning quality, reliability, accountability and productivity.

Preferred Qualifications

  • Experience working with clinical EMR systems and/or Infertility is a plus, but not required.