Oncology Authorization Lead

Cardinal Health, Inc.; Northern (KY); Hybrid; USD 77,000 - 98,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off

Health savings account (HSA)

401k savings plan

MyFlexPay access to wages

FSAs

Disability coverage

Work-Life resources

Paid parental leave

Healthy lifestyle programs

Job summary

Cardinal Health is seeking a Supervisor, Benefits Eligibility and Authorization to lead an oncology authorization team across multiple sites. The role ensures timely authorization and financial clearance for patient services within a complex payer environment.

You will oversee workflows, coach staff, and monitor performance metrics while collaborating with physicians, nursing, and financial counseling to minimize delays and denials. A healthcare leadership background is essential.

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Nursing, or related field preferred.
• 5+ years of healthcare prior authorization, financial clearance, patient access, or revenue cycle experience preferred.
• 2+ years of leadership, supervisory, or team lead experience in a healthcare setting preferred.
• Oncology, infusion, radiation oncology, specialty pharmacy, or multi-specialty authorization experience strongly preferred.
• Extensive knowledge of Medicare, Medicaid, commercial payer, HMO, IPA, and delegated authorization requirements.
• Experience managing prior authorization workflows, referral management, medical necessity review, and payer compliance.
• Proven ability to reduce authorization-related denials, treatment delays, and revenue risk through effective operational oversight.

Responsibilities

• Supervise and coordinate daily activities of the oncology authorization team for timely authorization and financial clearance.
• Monitor work queues, assign priorities, and manage staff productivity to support timely treatment and scheduling.
• Oversee prior authorization, referral, and medical necessity processes for oncology and related services.
• Review escalated cases, denials, urgent requests, and payer issues to ensure timely resolution.
• Ensure authorizations are obtained prior to service and renewed as needed to avoid delays.
• Collaborate with physicians, nursing, pharmacy, scheduling, and financial counseling to resolve barriers.
• Conduct daily huddles, staff coaching, and workflow reviews to drive accountability and quality.
• Monitor turnaround times, aging inventories, pending requests, and high-priority cases to meet performance goals.
• Maintain expertise on payer policies, regulatory changes, and guidelines affecting services.
• Review denials to identify root causes and implement corrective actions to reduce leakage.
• Perform quality audits for accuracy and compliance with policies.
• Develop and maintain SOPs, training materials, and payer-specific workflows.
• Generate and analyze daily, weekly, and monthly operational reports (approval rates, denial trends, productivity).
• Partner with Revenue Cycle, Patient Access, Managed Care, and Clinical Leadership to improve efficiency.
• Support staff development through training, performance management, mentoring, and competency assessments.
• Ensure compliance with Medicare, Medicaid, commercial payer, IPA, and other requirements.
• Serve as escalation point for complex issues and payer disputes.
• Lead continuous improvement to reduce delays and improve patient experience.

Skills

Leadership

Analytical thinking

Problem solving

Communication

Process improvement

Education

Bachelor's degree in Healthcare Administration

Tools

EHRs

Practice management systems

Authorization platforms

Microsoft Excel

Reporting tools

Job description

Cardinal Health is seeking a Supervisor, Benefits Eligibility and Authorization to lead an oncology authorization team across multiple sites. The role ensures timely authorization and financial clearance for patient services within a complex payer environment.

You will oversee workflows, coach staff, and monitor performance metrics while collaborating with physicians, nursing, and financial counseling to minimize delays and denials. A healthcare leadership background is essential.