Prior Authorization Supervisor
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Job Location:
Smyrna, GA - USA
Monthly Salary:
Not Disclosed
Posted on:
6 hours ago
Vacancies:
1 Vacancy
Job Summary
JOIN A LEADING HEALTHCARE COMPANY
At Curant Health our vision is to personalize healthcaredriven by choice and defined by value. Our employees bring this vision to life through excellent service personalized care accountability innovation and integrity. We offer competitive pay great benefits and the opportunity to make a meaningful impact every day. We are seeking a Prior Authorization Supervisor in Smyrna GA or St. Petersburg FL to oversee clinical and operational Prior Authorization (PA) processes and ensure timely access to specialty medications.
Position Summary
The Prior Authorization Supervisor provides clinical and operational oversight for PA activities across Commercial Medicaid Medicare and Co-op lines of business. This role directly supervises PA Specialists and Technicians in both locations supports clinical calls manages workflow handles appeals and ensures full compliance with regulatory and client requirements.
Responsibilities
Operational & Clinical Oversight
Oversee daily PA requests following established clinical criteria and benefit rules
Review initial PA requests complete first-level appeals and coordinate second-level appeals
Support Customer Care with medication-related clinical calls
Monitor accuracy efficiency and quality of coverage determinations
Serve as a clinical resource for internal teams prescribers and clients
Stay current on clinical guidelines and communicate updates
Reporting Compliance & Program Support
Prepare and coordinate PA and drug-utilization reporting
Ensure compliance with regulatory fraud waste and abuse requirements
Maintain understanding of URAC standards
Support rare disease program initiatives and manufacturer patient programs
Leadership & Department Management
Supervise PA Specialists and Technicians including hiring training and performance reviews
Plan and direct daily PA operations across both locations
Manage department staffing workload and coverage
Identify and escalate operational issues appropriately
Develop and update PA protocols with Pharmacy Leadership
Foster strong communication across operational teams
Create and maintain training materials and support ongoing staff development
Qualifications
Advanced degree in Pharmacy with at least 3 years of experience
Active pharmacist license in applicable state
PA experience in pharmacy PBM or managed care required
Knowledge of formulary management claims processing managed care and specialty pharmacy preferred
340B experience is a plus
Strong clinical judgment leadership ability and communication skills
Why Work for Us
We offer competitive pay paid holidays PTO parental leave employee prescription discounts training and development recognition programs and internal promotion opportunities. Our ICARE valuesIntegrity Communication Accountability Relationships and Excellenceguide everything we do. Curant Health is an equal opportunity employer.
Required Experience:
Manager
Key Skills
- Restaurant Experience
- Customer Service
- Hospitality Experience
- Management Experience
- Mediation Experience
- Guest Services
- Merchandising
- Experience with Children
- Leadership Experience
- Mentoring
- Supervising Experience
- Neonatal Ventilator
