Prior Authorization Supervisor

Curant HealthSmyrna, GA
Hybrid

About The Position

At Curant Health, our vision is to personalize healthcare—driven by choice and defined by value. Our employees bring this vision to life through excellent service, personalized care, accountability, innovation, and integrity. We offer competitive pay, great benefits, and the opportunity to make a meaningful impact every day. We are seeking a Prior Authorization Supervisor in Smyrna, GA or St. Petersburg, FL to oversee clinical and operational Prior Authorization (PA) processes and ensure timely access to specialty medications.

Requirements

  • Advanced degree in Pharmacy with at least 3 years of experience
  • Active pharmacist license in applicable state
  • PA experience in pharmacy, PBM, or managed care required
  • Strong clinical judgment, leadership ability, and communication skills

Nice To Haves

  • Knowledge of formulary management, claims processing, managed care, and specialty pharmacy preferred
  • 340B experience is a plus

Responsibilities

  • Oversee daily PA requests following established clinical criteria and benefit rules
  • Review initial PA requests, complete first-level appeals, and coordinate second-level appeals
  • Support Customer Care with medication-related clinical calls
  • Monitor accuracy, efficiency, and quality of coverage determinations
  • Serve as a clinical resource for internal teams, prescribers, and clients
  • Stay current on clinical guidelines and communicate updates
  • Prepare and coordinate PA and drug-utilization reporting
  • Ensure compliance with regulatory, fraud, waste, and abuse requirements
  • Maintain understanding of URAC standards
  • Support rare disease program initiatives and manufacturer patient programs
  • Supervise PA Specialists and Technicians, including hiring, training, and performance reviews
  • Plan and direct daily PA operations across both locations
  • Manage department staffing, workload, and coverage
  • Identify and escalate operational issues appropriately
  • Develop and update PA protocols with Pharmacy Leadership
  • Foster strong communication across operational teams
  • Create and maintain training materials and support ongoing staff development

Benefits

  • competitive pay
  • paid holidays
  • PTO
  • parental leave
  • employee prescription discounts
  • training and development
  • recognition programs
  • internal promotion opportunities
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