Medication Authorization and Access Supervisor

Beth Israel Lahey Health•Westwood, MA

28d•$79,040 - $110,240

About The Position

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. This individual will report to the Med Auth and Access Manager and will be responsible for the supervision of the med auth and access team. This individual may be responsible for the day to day operations and oversight of a team of specialty pharmacy liaison’s, medication access specialist and patient assistance program coordinators. This individual will also work closely with the director of pharmacy shared services on various projects, implementations and program management. Job Description: 1. Assists with day-to-day operations which includes scheduling and coverage of operations (essential) 2. Assists with the employee(s) oversight and works closely with leadership to meet departmental goals and performance. (essential) 3. Monitors and provide reporting on key performance indicators and meet with staff on a routine basis to have performance discussions (essential) 4. Plans, reviews and optimizes workflows ensuring maximization of efficiencies. Ensures the proper workflow and intakes distribution through departments, and schedules and delegates workload amongst team members. (essential) 5. Travels to various sites to meet with employees, providers, and leadership (essential) 6. Ensures employee training and quality of work through development of training materials, administration of training and continuous quality control. (essential) 7. Ensures consistent communication with staff, patients and providers to ensure proper and timely renewal of prescriptions. (essential) 8. Manages direct reports' workload to effectively manage cost and audits and verifies team members work to ensure information accuracy. (essential) 9. Monitors situations for fraud, waste, and abuse of Medicare/Medicaid benefits and reinforces HIPAA and PHI protocols. (essential) 10. Has the authority to direct and support employees daily work activities. Has the direct responsibility to undertake the following employment actions: hiring, termination, corrective action and performance reviews. Direct Reports: More than 10, Indirect Reports: None

Requirements

5 years related work experience in medication authorization.
Strong understanding of data & analytics.
Understanding of insurance and adjudication processes. Knowledge of 3rd Party Insurance Plans.
Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

Nice To Haves

Associates or Bachelor’s degree.
Supervisor or management experience in pharmacy/authorization setting
Knowledge of 340B

Responsibilities

Assists with day-to-day operations which includes scheduling and coverage of operations
Assists with the employee(s) oversight and works closely with leadership to meet departmental goals and performance.
Monitors and provide reporting on key performance indicators and meet with staff on a routine basis to have performance discussions
Plans, reviews and optimizes workflows ensuring maximization of efficiencies. Ensures the proper workflow and intakes distribution through departments, and schedules and delegates workload amongst team members.
Travels to various sites to meet with employees, providers, and leadership
Ensures employee training and quality of work through development of training materials, administration of training and continuous quality control.
Ensures consistent communication with staff, patients and providers to ensure proper and timely renewal of prescriptions.
Manages direct reports' workload to effectively manage cost and audits and verifies team members work to ensure information accuracy.
Monitors situations for fraud, waste, and abuse of Medicare/Medicaid benefits and reinforces HIPAA and PHI protocols.
Has the authority to direct and support employees daily work activities. Has the direct responsibility to undertake the following employment actions: hiring, termination, corrective action and performance reviews.