Med Auth & Access Team Lead - Ambulatory Ops

Beth Israel Lahey Health (BILH); United States; On-site; USD 79,000 - 110,000; Full time

Job summary

Beth Israel Lahey Health (BILH) relies on a skilled supervisor to lead the BIDMC Specialty Pharmacy Liaison referral team and oversee ambulatory operations. The role includes managing day-to-day workflows, staffing coverage, and performance discussions to ensure high-quality patient care in ambulatory clinics.

The supervisor will work closely with the Director of Pharmacy Ambulatory Services on projects, implementations, and program management, while maintaining strong data analytics and

Qualifications

• 3-5 years related work experience in medication authorization.
• Strong understanding of data & analytics.
• Understanding insurance and adjudication processes with 3rd party plans.
• Experience with computer systems including MS Office applications.

Responsibilities

• Assist with day-to-day operations including scheduling and coverage.
• Oversee employees and partner with leadership to meet goals.
• Monitor KPIs and conduct performance discussions with staff.
• Plan and optimize workflows to maximize efficiency and assign workload.
• Develop training materials and ensure quality of work via training.
• Ensure timely renewal of authorizations and referrals with staff.
• Manage direct reports' workload and verify accuracy and productivity.
• Monitor for fraud, waste, and abuse; reinforce HIPAA/PHI protocols.
• Direct reports: <10; responsible for hiring, termination, and reviews.

Skills

Data analytics

Insurance adjudication

Pharmacy operations

MS Office basics

Education

Associates degree

Bachelor’s degree

Tools

Outlook

Word

Excel

PowerPoint

Access

Job description

Beth Israel Lahey Health (BILH) relies on a skilled supervisor to lead the BIDMC Specialty Pharmacy Liaison referral team and oversee ambulatory operations. The role includes managing day-to-day workflows, staffing coverage, and performance discussions to ensure high-quality patient care in ambulatory clinics.

The supervisor will work closely with the Director of Pharmacy Ambulatory Services on projects, implementations, and program management, while maintaining strong data analytics and