Oncology Authorization Team Lead

Cardinal Health, Inc.; California (MO); On-site; USD 77,000 - 98,000; Full time

Benefits offered by this job

Medical coverage

Paid time off

HSA

401k plan

Early wage access

FSAs

Disability coverage

Work-Life resources

Parental leave

Wellness programs

Job summary

Cardinal Health, Inc. in partnership with Navista seeks a Supervisor, Benefits Eligibility and Authorization to lead the oncology authorization team across sites, ensuring timely financial clearance and patient access.

The role requires extensive prior authorization experience, payer policy knowledge, and strong leadership to reduce denials and delays. Collaboration with physicians and billing staff is essential.

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Nursing, or related field preferred.
• Minimum five (5) years of healthcare prior authorization, financial clearance, patient access, or revenue cycle experience preferred.
• Minimum two (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 medical oncology treatment regimens, radiation oncology services, imaging, genetic testing, surgical procedures, and specialty referrals.
• Strong understanding 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 oncology authorization team.
• Monitor work queues and manage staff productivity to support timely treatment.
• Oversee prior authorization, referral, and medical necessity processes.
• Review escalated cases and payer issues to ensure timely resolution.
• Ensure authorizations are obtained prior to service and renewed as needed.
• Collaborate with clinicians and departments to resolve authorization barriers.
• Lead daily huddles, coaching, and workflow reviews to drive quality.
• Monitor authorization turnaround times, aging inventories, and high-priority cases.

Job description

Cardinal Health, Inc. in partnership with Navista seeks a Supervisor, Benefits Eligibility and Authorization to lead the oncology authorization team across sites, ensuring timely financial clearance and patient access.

The role requires extensive prior authorization experience, payer policy knowledge, and strong leadership to reduce denials and delays. Collaboration with physicians and billing staff is essential.