- Manage and coach a team of Prior Authorization specialists, including performance management, scheduling, and staffing continuity.
- Own the outsourced staffing vendor relationship, including capacity planning and quality oversight.
- Manage Prior Authorization turnaround time, coverage rate, and backlog metrics, providing visibility to leadership.
- Maintain structured status tracking and work-list management in Athena and CoverMyMeds.
- Develop and evolve competency frameworks, training materials, and SOPs for handling complex payer requirements.
- Partner with clinicians to resolve complex cases and address escalation issues.
- Identify and resolve process or tooling breakdowns to prevent patient-facing failures.
- Lead hiring, onboarding, and training of new team members.
- Report performance and risk metrics to Central Operations leadership.
Operations ManagementEHR