Prior Authorization Supervisor

Prior Authorization Supervisor responsible for overseeing on-/off-label drug and molecular pathology prior authorizations in the outpatient setting; manages staff, ensures medical necessity alignment with payer policies, collaborates with pharmacists, clinicians, and payer medical directors, and supports workflow design and denial resolution within Dana-Farber's Access Management Department. Collaboration with attending physicians on treatment alternatives when denials occur; strong leadership, clinical knowledge (oncology focus a plus), and experience with drug and molecular pathology prior authorizations are essential. Located in Boston and surrounding communities; direct supervision of up to fifteen staff and coordination with revenue-cycle teams. Responsibilities include training, process improvement, and maintaining SOPs; requires a BSN and an active MA RN license (preferred). Knowledge of third-party payer policies, medical literature reviews, and effective communication with providers and payers is expected.