Clinical Pharmacist Supervisor - Prior Authorization
Core
Oversees a team of pharmacists performing clinical review for prior authorizations and appeals, driving operational excellence and evidence-based decision-making.
Role type
Senior IC clinical pharmacist supervisor (prior authorization)
Builds
Prior authorization and appeals review workflows for health insurance members
Domain
Health insurance / Pharmacy Utilization Management
Required skills
Team management, workflow monitoring, clinical review expertise, performance coaching, process improvement, cross-functional collaboration, on-call support
Preferred skills
Managing clinical pharmacist teams, KPI development, applying clinical criteria in review settings
Technologies
None stated
Responsibilities
Manage daily workflows, queue monitoring, and scheduling; Monitor productivity and quality metrics; Serve as a clinical expert for complex cases; Collaborate with Clinical Quality team; Identify and implement process improvements; Partner on job aids and training resources; Participate in on-call schedule
Seniority
Senior, hands-on IC with people management