Supervisor, Prior Authorization Technician - Remote

PerformRx is a Pharmacy Benefits Manager (PBM) dedicated to clinical culture, boutique service and holistic solutions. Our mission is to help customers, doctors and patients use effective medication therapy to improve health and wellness. For more than 15 years, our focus has been on providing optimal service through a clinical culture which seeks to provide members with high quality care while ensuring our partners receive favorable costs. That culture is reflected in our employees - more than 80 percent of our staff members are Pharmacists and Pharmacy Technicians - and in the services we provide.

PerformRx is headquartered in Philadelphia. Our dedication to innovation and to providing the most efficacious outcomes is the core of our clinical culture and is the heart of PerformRx. PerformRx is a subsidiary of the AmeriHealth Caritas Family of Companies.

OPEN TO CANDIDATES NATIONWIDE

Responsibilities:

• Supervise a team of Certified Pharmacy Technicians that conduct prior authorization reviews for Medicaid, Medicare and commercial business
• Oversee staff scheduling to ensure appropriate coverage during normal business, weekend, and holiday hours
• Train and guide development of new and existing staff
• Ensure staff is informed and properly oriented on policies, procedures, and processing of prior authorizations
• Conduct candidate interviews for open Prior Authorization Technician positions
• Ensure Prior Authorization Technician staff is informed and properly oriented on policies, procedures, and processing of prior authorizations, including reviews of high cost and specialty medications
• Ensure Prior Authorization Technician staff adhere to internal and regulatory requirements such as 24-hour turnaround times
• Regularly perform audits of prior authorization reviews
• Write and administer/deliver performance reviews to direct reports
• Work collaboratively with other management staff to review and update departmental policies and business requirements documents
• Enforces corporate and departmental policies

Education/Experience:

• High School Diploma or equivalent required; Bachelor's degree preferred
• Active Current National Pharmacy Technician Certification (NHA or PTCB) required
• Minimum one (1) year of current/recent managed care experience required
• Minimum three (3) years of current/recent professional pharmacy experience required