Responsibilities

• Directly manage, coach, and mentor a team of prior authorization Pharmacists
• Drive and maintain regulatory, compliance, and accreditation standards for the clinical review team
• Recruit, hire, and lead training and onboarding for new team members
• Manage team performance through the measurement of key performance indicators (KPIs)
• Provide day-to-day supervision, support, and escalation paths for Pharmacists
• Identify and drive operational process improvements to support business scaling
• Collaborate cross-functionally with departments regarding eligibility, claims, and benefit designs
• Participate in the Pharmacy and Therapeutics Committee process to develop clinical criteria for medications

Requirements

• 5+ years of health plan or PBM experience, specifically in prior authorization review
• 3-5+ years of management experience
• Bachelor...