Supervisor, Utilization Management Technician

Judi Health

Remote, US
Remote
Prior authorization management experience
Team leadership and coaching skills
Pharmacy claims data analysis
The role involves overseeing a group of prior authorization technicians while expanding responsibilities into select administrative PA functions

Job Summary

  • The role involves overseeing a group of prior authorization technicians while expanding responsibilities into select administrative PA functions.
  • Candidates will work with the pharmacy technician manager to analyze data and provide recommendations for staffing, workflow, and system enhancements.
  • The position requires regular performance reviews, goal setting, and the ability to resolve escalated issues from clients and providers.

Matching Summary

The role involves overseeing a group of prior authorization technicians while expanding responsibilities into select administrative PA functions.

Skills & Requirements

Must-have

  • Prior authorization management experience
  • Team leadership and coaching skills
  • Pharmacy claims data analysis
  • Performance review and goal setting
  • Client and provider issue resolution

Nice-to-have

  • Workflow and system enhancement recommendations
  • Collaboration with clinical partners
  • Proactive outreach and intervention strategies
  • Compliance risk minimization expertise

Key Requirements

  • Experience supervising utilization management pharmacy technicians
  • Knowledge of pharmacy benefit management (PBM) solutions
  • Ability to validate prescriber and member information
  • Strong understanding of clinical guidelines for prior authorizations

Work Rights

Not specified

Tailored Resume

Cover Letter