Operations Supervisor
On-siteTallahassee, Florida, United States or Arizona, United States
Job Summary
Lead operations teams supporting patient access and reimbursement services by managing authorization and prior authorization processes. Oversee end-to-end case management, including benefits verification, payer rules, and coverage determinations within specialty pharmacy or health plan environments. Direct frontline supervisors, coach leaders on performance, and resolve barriers to ensure quality and productivity goals are met. Track KPIs, manage case aging, and develop corrective plans while balancing client goals with operational action plans. Maintain HIPAA compliance and detailed documentation workflows in a 1:25 client ratio environment.
Required Qualifications
- Must have at least 6 months experience in benefits verification and or case management
- Flexible to work Monday-Friday and any 8 hours between 8:00AM-8:00PM EST
- Must be located in one of these states FL,TN,NJ,TX,MI, PA
- Must have time management skills, prioritize tasks and multi-task
- Excellent organizational and time management skills
- Excellent verbal and written communications skills
- High level of expertise in company and client policies, tools, applications, and practices
- Experience with creating or compiling reports using various sources of data
- Must be extremely detail oriented with the ability to develop thorough corrective and preventative plans
- Strong team building and leadership skills focused on production-oriented goals
- Able to manage multiple priorities in an ever-changing environment
- Excellent attendance history is required
- Schedule based on business needs: Open Availability
- Strong leadership skills
- Must be able to complete background check
- Process Excellence
- Collaboration
- Communication
- Emotional Intelligence
- Open-Mindedness
- Critical Thinking
- Solution Orientation
- Entrepreneurship
- AI Proficiency
- Data Literacy
Desired Qualifications
- Knowledge of insurance verification workflows
- Understanding of payer rules and coverage determination
- Experience managing authorization/prior authorization processes
- Familiarity with specialty pharmacy, healthcare, or pharmacy benefit environments
- Experience leading teams that support patient access or reimbursement services
- Experience leading supervisors and/or large frontline teams
- Proven ability to manage KPIs, quality, productivity, and customer experience
- Experience coaching leaders and holding performance discussions
- Ability to translate client goals into operational action plans strongly Preferred
- Experience managing end-to-end patient or member cases
- Ability to track work through completion and resolve barriers
- Understanding of case aging, escalation management, and follow-up processes
- Experience balancing productivity with quality and patient outcomes
- PBM, Specialty Pharmacy, Health Plan, Prior Authorization, Benefits Verification, Patient Support Program, Care Coordination, or Case Management operations
- HIPAA and compliance awareness
- Experience working with healthcare documentation and workflows
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