Your Role
The Pharmacy Prior Authorization team provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers) and internal team members for outpatient pharmacy benefit inquiries. The Supervisor, Operations will report to the Sr. Manager, Pharmacist. In this role, you will supervise a team of licensed pharmacy technicians who resolve outpatient pharmacy benefit coverage inquiries, including prescription claim processing problems, and communication of drug formulary guidelines and alternatives. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Your Work
In this role, you will:
- Be responsible for routine operations and people management functions
- Foster a great place to work communicating clear roles and responsibilities and building successful working relationships across the organization
- Consult and make recommendations to management on operational issues
- Use concepts and abilities to manage processes and operations, including procedural changes, inventories, and workload management
- Apply policies and procedures within health care operations
- Communicate with physicians, physician’s office staff, pharmacies, and internal business partners to assist with accurate and efficient resolution of pharmacy benefit inquiries
- Plan and establish operational objectives for team and/or job area
- Assign tasks to team to achieve operational targets, service standards, etc.
- Coordinate, assist in, and support implementation of procedures and guidelines for the drug prior authorization program for the outpatient Pharmacy Benefit
- Perform additional responsibilities as assigned.
Your Knowledge and Experience
- Requires a California Pharmacy Technician license
- Requires a minimum of 5 years of prior relevant experience
- Requires a minimum of 2 years of experience operating in a lead role or equivalent leadership training or manager training
- Understands basic management approaches such as work scheduling, prioritizing, coaching and process execution, work organization, risk management, and delegation
- Full understanding of applicable legislation/regulations to ensure team compliance.
Pay Range:
The pay range for this role is: $ 65890.00 to $ 98890.00 for California.
Note:
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.
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