Remote Reimbursement Supervisor: Prior Authorization Lead

Virginia Commonwealth University Health; Richmond (VA); Remote; USD 60,000 - 80,000; Full time

Job summary

Virginia Commonwealth University Health is seeking a Reimbursement Specialist Supervisor to oversee the operations of the Reimbursement Specialist team in Richmond, VA. This role ensures accurate processing of prior authorizations for high-cost medications and provides guidance and performance management for team members.

The ideal candidate will have a minimum of three years of relevant experience and must hold a current Virginia pharmacy license. Strong leadership and communication skills are essential for success in this position.

Qualifications

• Minimum of three years of experience as a Reimbursement Specialist or equivalent role.
• Current certification by the Pharmacy Technician Certification Board (PTCB).
• Current licensure with the Virginia State Board of Pharmacy.

Responsibilities

• Supervise, coordinate, and prioritize the workflow of Reimbursement Specialists.
• Provide direct supervision, including performance evaluations and coordination of staff.
• Monitor team productivity and compliance with turnaround times.
• Review complex prior authorizations and appeals.

Skills

Knowledge of PAPs, prior authorizations, and insurance benefit investigations

Proficiency in EMR systems

Strong leadership and communication skills

Ability to handle multiple priorities

Education

High School Diploma or equivalent

Associate’s Degree or higher in Business, Healthcare Administration, or related field

Tools

Microsoft Office

Job description

Virginia Commonwealth University Health is seeking a Reimbursement Specialist Supervisor to oversee the operations of the Reimbursement Specialist team in Richmond, VA. This role ensures accurate processing of prior authorizations for high-cost medications and provides guidance and performance management for team members.

The ideal candidate will have a minimum of three years of relevant experience and must hold a current Virginia pharmacy license. Strong leadership and communication skills are essential for success in this position.