Med Auth & Access Ops Supervisor

Beth Israel Lahey Health; Boston (MA); On-site; USD 79,000 - 110,000; Full time

Job summary

Beth Israel Deaconess Medical Center is seeking a Supervisor of Med Auth & Access to lead the Specialty Pharmacy Liaison referral team within ambulatory clinics. The role oversees day-to-day operations, staff performance, and timely authorizations and referrals, while also contributing to patient casework in BIDMC ambulatory settings.

You will report to the Pharmacy Ambulatory Manager and collaborate with the Director of Pharmacy Ambulatory Services on projects, implementations and program

Qualifications

• 3-5 years related work experience in medication authorization.
• Strong understanding of data & analytics.
• Understanding insurance and adjudication processes.
• Knowledge of 3rd Party Insurance Plans and PA forms.

Responsibilities

• Assists with day-to-day operations including scheduling and coverage.
• Oversees employees and partners with leadership to meet goals.
• Monitors KPIs and conducts performance discussions.
• Plans and optimizes workflows for efficiency.
• Ensures staff training and quality control.
• Maintains communication with staff, patients and providers for renewals.

Skills

Data analytics

Medication authorization

Insurance adjudication

3rd party insurance knowledge

Education

Associates degree

Bachelor’s degree

Job description

Beth Israel Deaconess Medical Center is seeking a Supervisor of Med Auth & Access to lead the Specialty Pharmacy Liaison referral team within ambulatory clinics. The role oversees day-to-day operations, staff performance, and timely authorizations and referrals, while also contributing to patient casework in BIDMC ambulatory settings.

You will report to the Pharmacy Ambulatory Manager and collaborate with the Director of Pharmacy Ambulatory Services on projects, implementations and program