Reimbursement & Medical Benefits Operations Supervisor
Core
Lead a team supporting Cell and Gene Therapy reimbursement, medical benefit investigations, provider billing support, and broader Biologics medical benefit operations.
Role type
Senior IC supervisor (reimbursement & medical benefits)
Builds
Reimbursement verification, medical billing, and operational support for Cell and Gene Therapy and Biologics programs
Domain
Healthcare / Specialty Pharmacy / Cell and Gene Therapy
Required skills
People leadership, medical benefit reimbursement, provider billing, revenue cycle management, medical coding, payer policy interpretation, claims adjudication, HIPAA/Medicare/Medicaid compliance, LOA/SCA contracting knowledge, denial management
Preferred skills
Cell and gene therapy experience, process improvement, project management, remote team collaboration
Technologies
Microsoft Office Suite (Word, Excel, PowerPoint)
Responsibilities
Lead, coach, and develop a team of reimbursement specialists; oversee medical benefit investigations and prior authorizations; partner with billing teams for accurate claims; consult on contracting LOAs and SCAs; support Accounts Receivable with denial management and payer disputes; lead process improvement initiatives for new therapies
Seniority
Senior, hands-on IC with supervisory duties