Supv, Access

BrightSpring Health Services•Denver, CO

9d•$28 - $33

About The Position

The Supervisor, Access is responsible for overseeing all aspects of patient access services, including prior authorization, benefit investigation, and claims adjudication. This role ensures timely and accurate completion of benefit verification, authorization requests, copay assistance coordination, and payer communications to support patient access to therapy. The Supervisor will lead a team within the Access vertical, providing staffing direction, quality oversight, process improvement, and training to ensure productivity goals and service standards are consistently achieved. The role requires advanced knowledge of payer requirements, authorization processes, insurance benefits, and pharmacy operations. The Supervisor, Access partners closely with pharmacy leadership, intake, and clinical teams to resolve escalations, implement best practices, and drive operational excellence.

Requirements

High School Diploma/GED required; Associate’s or Bachelor’s degree preferred
4+ years of pharmacy, benefit verification, or prior authorization experience required
1+ years of supervisory or leadership experience required (2+ preferred)
Advanced knowledge of prior authorization processes, benefit investigation, payer coverage requirements, and pharmacy insurance claims
Familiarity with Medicare, Medicaid, and commercial insurance plans
Strong leadership, coaching, and team development skills
In-depth knowledge of pharmacy insurance, benefit verification, prior authorization platforms, and claims adjudication
Excellent interpersonal and communication skills; able to work across all levels of staff and management
Ability to manage multiple priorities in a fast-paced environment
Strong organizational, analytical, and problem-solving skills
High attention to detail with commitment to accuracy and compliance
To perform this role will require frequently sitting, standing, walking, and typing on a keyboard with fingers, and occasionally bending, reaching, and climbing (stairs/ladders). The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs

Nice To Haves

Specialty pharmacy experience strongly desired

Responsibilities

Supervises Access staff (Prior Authorization and Benefit Investigation) to maintain a positive and productive work environment, fostering teamwork, engagement, and retention
Recruits, selects, trains, evaluates, and coaches staff; provides ongoing performance management including corrective actions and development planning
Manages daily workflow, assignments, and staffing to ensure timely completion of benefit verification and prior authorization requests
Provides oversight and feedback for on-site and off-site teams
Monitors adherence to policies, procedures, and productivity standards; audit cases for accuracy, compliance, and quality
Analyzes workflow queues and trends (e.g., rejections, No-Go cases, appeals, escalations) to identify opportunities for process improvements
Partners with pharmacy leadership to design, approve, and implement workflow enhancements and operational initiatives
Ensures compliance with all state/federal regulations and patient confidentiality requirements
Serves as a subject matter expert for benefit verification, prior authorization, payer portals, copay assistance programs, and claim adjudication
Oversees completion of insurance verification, including pharmacy and medical coverage, prior authorization initiation, and documentation of outcomes
Handles escalated or complex cases, working with payers, prescribers, and patients to resolve access barriers
Provides guidance to providers and patients on documentation, appeals, and payer requirements
Communicates effectively with pharmacy operations, nursing, corporate teams, prescribers, and patients to resolve issues and share updates
Partners with leadership on reporting, metrics, and strategic initiatives related to Access services
Supports training initiatives, system access, and troubleshooting of web tools (e.g., CoverMyMeds, payer portals)
Maintains a safe, clean, and compliant pharmacy environment