Prior Authorization Supervisor - ENT - Remote
About The Position
This position is remote to enhance our competitive edge and expand cross-functional collaboration. This role will require some travel to enhance collaboration and ensure the successful completion of projects. Across our global Neuroscience organization, we advance care for some of medicine’s most complex neurological and spinal conditions. By combining innovative technology, data-driven insights, and deep clinical expertise, we partner with physicians and health systems to improve how patients are treated and supported throughout their care journey. Our Pelvic Health operating unit advances care for bladder and bowel control conditions through restorative, minimally invasive neuromodulation therapies. By modulating sacral and peripheral nerves, we deliver personalized, programmable solutions backed by strong clinical evidence to help restore function and improve quality of life.
Requirements
- Requires a high school diploma (or equivalent) with 5 years of experience, or an Associate's degree with 3 years of experience, or a Baccalaureate degree and a minimum of 1 year of Customer Service Supervisory experience, or 3 years of Customer Service experience.
- relevant customer service, patient access, or related experience in medical devices, medtech, healthcare, or life sciences.
Nice To Haves
- Master’s Degree
- Experience working in or adjacent to the managed care and health insurance industry, especially in prior authorization services.
- Customer-facing experience in either a call center or sales role.
- Experience working with procedural and device coding and payment systems in the US market.
- Experience reviewing commercial coverage policies and Medicare payment regulations.
- For Baccalaureate degrees earned outside of the United States, a degree that satisfies the requirements of 8 C.F.R. § 214.2(h)(4)(iii)(A) is required.
Responsibilities
- Represents the company to external and internal customers, answers product-related questions, and may connect customers to appropriate support or field staff.
- Manages a team of prior authorization specialists and is responsible for the hiring and training of staff.
- Leads, directs, and monitors the work of a remote team that is accustomed to independent work. Conduct regular performance reviews and provide direct reports' feedback.
- Develop training and education materials for internal stakeholders.
- Authorizes hiring, firing, promotion, and reward within own area.
- Ensure program and personal compliance with Medtronic Corporate Operating Policies and Code of Conduct, policies for data management, requirements for customer communication, collateral materials, and protected patient information.
- Ensure availability to staff to provide support in resolving escalated healthcare provider and patient complaints.
- Work with leadership to identify, track, and trend customer complaints and insurance issues, and identify proactive steps to prevent future issues.
- Answer day-to-day work-related questions related to policies and procedures, systems and processes, assisting team members in problem-solving.
- Provide back-up support to other teams as requested.
- Identify ways and initiate processes that work towards improving service levels to both internal and external customers.
- Assist with the development and approval of Standard Operating Procedures, Work Instructions, supporting and collateral materials, and monitor for adherence.
- Perform in a fast-paced environment with frequent interruptions and/or distractions.
- Onboard new HCP accounts, providing a warm welcome to the Medtronic PAS Program.
- Recognize team and individual contributions to patients and the program.
- May work other duties as assigned.
Benefits
- Health, Dental and vision insurance
- Health Savings Account
- Healthcare Flexible Spending Account
- Life insurance
- Long-term disability leave
- Dependent daycare spending account
- Tuition assistance/reimbursement
- Simple Steps (global well-being program)
- Incentive plans
- 401(k) plan plus employer contribution and match
- Short-term disability
- Paid time off
- Paid holidays
- Employee Stock Purchase Plan
- Employee Assistance Program
- Non-qualified Retirement Plan Supplement (subject to IRS earning minimums)
- Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums)
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What This Job Offers
Job Type
Full-time
Career Level
Principal
Education Level
High school or GED
