Supervisor, Prior Authorization - Remote - United States Jobs Opening

September 9, 2024

Optum

Jeffersonville

FULL TIME

Supervisor, Prior Authorization - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Be part of an exciting team within Optum where you can utilize your Operations experience to lead a team of Pharmacy Care Coordinators specializing in Prior Authorizations.

Must be able to work Monday - Friday with a set schedule of hours between 7am - 7pm CST. Some overtime and Holidays may be required, based on business needs.

The Supervisor role will be to lead a team of pharmacy care coordinators and partner with operational leaders to drive growth, create efficiencies, and improve the healthcare experience for both patients and providers. We take a hands-on approach to patient care that makes a meaningful imprint on the health and quality of life of each patient. We are committed to quality outcomes for the patients we serve.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Lead a team of up to twenty Pharmacy Care Coordinator whose responsibilities entail preparing prior authorizations for submission, obtaining support documents for prior authorizations, follow up on prior authorization outcome, addressing issues and handling concerns from other corresponding departments and sites
Directly lead and support up to two team leads
Oversee projects and initiatives to resolve operational challenges using defined processes, expertise, and judgment
Work closely with operational and other functional leaders to develop and maintain the operational infrastructure
Set priorities for the team to ensure task completion
Coordinate work activities with other supervisors
Responsible for the overall management of executing strategy, training, developing metrics, and provide mentoring and coaching
Travel will be less than 10%

Functional skills and Preferred Behaviors:

Creating High-Performing Teams - Provides clarity to team processes, roles, skills and deliverables
Facilitation Execution Plans - Establishes progress measures and monitors plan implementation
Critical Thinking - Collects essential and relevant information, generates conclusions and probable best solution
Communicating Effectively - Provides timely, appropriate, accurate and organized information to help others understand
Mindfulness Management - emotional management and regulation
Defining Roles and Responsibilities - Defines roles that align with enterprise purpose, monitors and provides feedback on roles and achievements
Communicating Enterprise Purpose - Facilitates understanding of the link between employee work and overall purpose and goals
Managing Team Structures, Operations and Processes - Monitors and measures performance against the plan for structures and processes

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:

2+ years of Pharmacy experience (mail order, retail, hospital, LTC etc...)
1+ years of Lead or Supervisory experience
1+ years of Process/Project Management Skills
MS Office proficiency (Word, Excel, Outlook)
Proven solid problem - solving skills

Preferred Qualifications:

Specialty Pharmacy experience
IRIS experience

All employees working remotely will be required to adhere to United Health Group’s Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington or Washington, D.C. Residents Only: The salary range for this role is $48,300 to $94,500 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. United Health Group complies with all minimum wage laws as applicable. In addition to your salary, United Health Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with United Health Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At United Health Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: United Health Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

United Health Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

We regret to inform you that this job opportunity is no longer available