Prior Authorization Supervisor

Curant Health•Smyrna, GA

36d

About The Position

JOIN A LEADING HEALTHCARE COMPANY 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. Position Summary The Prior Authorization Supervisor provides clinical and operational oversight for PA activities across Commercial, Medicaid, Medicare, and Co-op lines of business. This role directly supervises PA Specialists and Technicians in both locations, supports clinical calls, manages workflow, handles appeals, and ensures full compliance with regulatory and client requirements.

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
Knowledge of formulary management, claims processing, managed care, and specialty pharmacy preferred
Strong clinical judgment, leadership ability, and communication skills

Nice To Haves

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

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