Team Leader – Prior Authorization (Medications)

Ubiquity; Biñan; On-site; PHP 350,000 - 650,000; Full time

Job summary

Ubiquity is seeking a Team Leader for the Prior Authorization production line at our Laguna office. You will lead a team of agents, drive performance, ensure compliance, and partner with operations to optimize workflows in a healthcare setting.

The role demands leadership, strong understanding of PA processes, and ability to coach a diverse team to meet KPIs while maintaining quality and timely service.

Qualifications

• Minimum 1+ year of recent Prior Authorization experience (medications).
• At least 2 years in Customer Support and Healthcare Operations.
• Minimum 2 years in a supervisory or team lead role.
• Proven experience managing teams of 10+ members.
• Familiarity with prior authorization workflows and payer guidelines is highly preferred.

Responsibilities

• Lead and manage a team of Prior Authorization agents to meet or exceed KPIs through coaching and feedback.
• Ensure agents are trained on payer requirements, clinical guidelines, and workflow changes for medication prior authorizations.
• Conduct regular performance reviews and coaching sessions to drive continuous improvement.
• Provide floor support as SME for prior authorization policies and payer rules; handle escalations.
• Monitor work queues and coordinate with leadership to ensure timely PA submissions.
• Prepare operational reports, KPI dashboards, trend analyses, and case reviews.

Skills

Team leadership

Prior Authorization

Coaching & mentoring

KPI tracking

Healthcare operations

Payer guidelines

Tools

Athenahealth

CoverMyMeds

Job description

At Ubiquity, we live and breathe our mantra: Head, Heart, Hustle. This isn’t just a philosophy–it’s the foundation of who we are and what we do. As aTeam Leader,you’ll embody this mantra every day, delivering exceptional service with expertise, empathy, and a drive to succeed.

What You’ll Do:

Our company is seekingexperiencedTeamLeaders for our PriorAuthorization operationsteam inourSouthwoods, Binan,Lagunaoffice. This role is ideal for someone with strong leadership capability, hands-on experience in healthcare prior authorization (especially medications), and a solid understanding of operational performance management.

The Team Leader will play a critical role in ensuring team performance, quality compliance, and efficient workflow execution while supporting continuous improvement in prior authorization processes.

• Key Responsibilities

  • Lead and manage a team of Prior Authorization agents to meet or exceed defined KPIs through regular coaching, mentoring, and performance feedback.
  • Ensure agents are properly trained and updated on payer requirements, clinical guidelines, workflows, and system/process changes related to medication prior authorizations.
  • Conduct regular performance reviews, business reviews, and one-on-one coaching sessions to drive continuous improvement.
  • Provide floor support as a subject matter expert in prior authorization policies, payer rules, and medication approval workflows; handle escalations when necessary.
  • Monitor and manage work queues to ensure timely submission and follow-up of prior authorization requests in coordination with operations leadership and support teams.
  • Prepare and submit required operational reports, including but not limited to KPI dashboards, performance scorecards, trend analysis, and case reviews.
  • Participate in internal/external calibration sessions, client discussions, and operational alignment meetings.
  • Support administrative tasks and other responsibilities as assigned by management.
  • Act as a liaison between agents, management, and HR for escalations related to employee relations, benefits, and workplace concerns.
  • Drive engagement initiatives such as team-building activities and performance-based incentive programs in alignment with company policies.
  • Ensure strict adherence to company policies, compliance requirements, and quality standards in prior authorization processing.

What We’re Looking For:

• Minimum 1+ year of recent experience in Prior Authorization (medications) is required.
• At least 2 years of experience in Customer Support and Healthcare Operations
• Minimum 2 years of experience in a supervisory or team lead role.
• Proven experience managing teams of 10 or more members.
• Familiarity with prior authorization workflows, payer guidelines, and medication approval processes is highly preferred.
• ExperienceusingAthenahealth(Athena) orCoverMyMedsisa strong advantage.
• Strong proficiency in PC-based systems, internet tools, and reporting applications.
• Ability to handle confidential and sensitive healthcare information in compliance with regulations.
• Strong analytical skills with the ability to prioritize tasks, manage workload effectively, and drive results.
• Excellent leadership, communication, and decision-making skills.

Why Join Us?

Head: Access to career development programs that help you grow professionally and personally.

Heart:Be part of a people-first culture that values your contributions and supports your aspirations.

Hustle: Thrive in a dynamic, fast-paced environment where your hard work and dedication are celebrated.

At Ubiquity, we’re more than a workplace—we’re a community that’s invested in your success. If you’re ready to make an impact and grow with us,