Supervisor - Prior Authorization (Hybrid)

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

This position is hybrid within the state of AZ only

PURPOSE OF THE JOB

This position manages the day-to-day activities of the non-clinical PA technicians. This position is responsible for production, accuracy, timelines, and personnel actions.

QUALIFICATIONS

REQUIRED QUALIFICATIONS

1. Required Work Experience

1 year of experience in a health plan or managed care (Medicare/Medicaid) environment

2. Required Education

High School Diploma or GED in field of study

3. Required Licenses

N/A

4. Required Certifications

N/A

PREFERRED QUALIFICATIONS

1. Preferred Work Experience

1 year of experience in a supervisor or lead role

2. Preferred Education

Bachelors Degree in a Health Care Related field

3. Preferred Licenses

N/A

4. Preferred Certifications

Health Care Certification

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

Responsible for daily oversight of day-to-day operations for non-clinical staff, including lead and front-line PA technicians.

Manage pend reports and work assignments for non-clinical PA staff and communicate expectations.

This position is the lead resource for all non-clinical PA staff, primary point person to assist and trouble shoot and/or problem solve issues.

Escalates unresolved issues to management.

Collaborates and works with other departments to train and education on PA processes.

Works with management to identify process improvement opportunities and assist with implementing process change.

Responsible for daily schedules of non-clinical PA technicians to ensure adequate coverage for all lines of business, auditing performance of non-clinical PA technicians to ensure accuracy, timeliness, meeting, or exceeding productivity standards.

Lead (minimum) monthly team meetings, education, and training, to current and new staff.

Responsible for staff evaluations (including work from home site visits) and personnel action as needed.

Monitoring day to day production standards and scheduling for non-clinical staff.

Complete audits monitor accuracy to ensure timeliness and meeting production standards.

Position must be located in Arizona

The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any

additional hours as requested or as needed to meet business requirements.

Perform all other duties as assigned

COMPETENCIES

REQUIRED COMPETENCIES

1. Required Job Skills

Good computer skills

Time management and communication skills

2. Required Professional Competencies

N/A

3. Required Leadership Experience and Competencies

N/A

PREFERRED COMPETENCIES

1. Preferred Job Skills

N/A

2. Preferred Professional Competencies

N/A

3. Preferred Leadership Experience and Competencies

N/A

Our Commitment

AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.