Full-time, 40 Hours/Week

8:30am - 5pm

Remote (Training onsite first 90 days)

Applicant must reside in OH or PA

Summary:

The Supervisor Specialty Authorization is responsible for managing the day-to-day operations of the prior authorization team that handles pediatric specialty services such as surgeries, injections, and infusion therapies. This role directly supervises the Specialty Prior Authorization Team, ensuring the team meets high standards of productivity, quality, and compliance. The supervisor will drive continuous improvement in authorization processes, ensure collaboration with clinical departments, and manage departmental projects aimed at improving efficiency and patient outcomes. The supervisor is accountable for overseeing the team's performance, addressing escalated issues, and ensuring that all authorization requests are processed in a timely and accurate manner.

Responsibilities:

1. Team Leadership & Management: Manage the Specialty Authorization Team and oversee the day-to-day operations of the prior authorization team, ensuring all team members meet productivity and quality expectations. Lead by example in fostering a culture of accountability, motivation, and high performance.
2. Quality & Productivity Oversight: Set clear expectations for quality and productivity and hold the team accountable for meeting department goals. Regularly monitor and evaluate team performance.
3. Specialty Services Authorization Oversight: Ensure the team is processing prior authorization requests for specialty pediatric services, including surgeries, injections, and infusion therapies, with a focus on accuracy, compliance, and minimizing delays in patient care.
4. Collaboration with Clinical Departments: Take the lead in collaborating with clinical departments, such as Surgery, Infusion Center, and HemOnc, to streamline authorization processes for specialty services. Work with department managers and clinical staff to ensure that the necessary documentation is obtained in a timely manner for complex cases.
5. Process Improvement & Compliance: Drive initiatives for process improvements within the authorization workflow. Ensure the team adheres to payer guidelines, regulatory standards, and hospital policies. Manage efforts to improve both operational efficiency and authorization outcomes.
6. Training & Development: Lead the development and execution of ongoing training programs for the prior authorization team on all operational workflows, ensuring that all team members are knowledgeable about payer requirements, medical procedures, and best practices for handling specialty service authorizations. Provide coaching and feedback to the team to enhance their skills and performance.
7. Escalation & Issue Resolution: Take charge of managing complex and escalated authorization issues, working directly with insurance companies, clinical teams, and families to resolve challenges in a timely manner. Ensure that any issues impacting patient care or financial outcomes are addressed promptly.
8. Collaboration on Departmental Projects: Support Patient Access manager as needed in cross-functional projects with clinical departments, collaborating with clinical leaders to improve the authorization process for surgeries, injections, and infusion therapies. Lead efforts to identify inefficiencies and implement strategies to improve workflows and patient care.
9. Administrative and Reporting Oversight: Oversee team scheduling, performance evaluations, and coordination of department-specific projects. Monitor the team's progress on departmental goals and provide reports to upper management on key performance metrics, challenges, and opportunities for improvement.

Other information:

Technical Expertise

Full Time

FTE: 1.000000

Status: Remote

About Akron Children's

More Than a Job. It’s loving what you do - and why you do it. Akron Children’s Hospital is ranked among the best pediatric hospitals by U.S. News & World Report, but it’s our compassionate approach to treatment that sets us apart. It’s creating special high-fives. Thinking of new ways to spark a smile. Holding hands to offer comfort. And working to get a giggle that brightens a room. The minute you walk into Akron Children’s, you can sense that people here love what they do. From visits with the Doggie Brigade, to the balloons and smiles in the halls, the sights and sounds are all about one thing: the children. We are the largest pediatric healthcare system in Northern Ohio and one of the fastest growing in the country. Akron Children’s has two hospital campuses in Northeast Ohio: one in Akron and the other in Boardman in the Mahoning Valley. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we’re making it easier for today’s busy families - regardless of where they live - to find the high-quality care they need. No matter which of our locations you choose, you’ll see that when you give the most, you get more—...support, rewards and satisfaction. CAREER OPPORTUNITIES: It’s making the most of your days. Our passion is felt every day in the way people care at every level. Whether you are working with children face-to-face, or behind the scenes supporting the care and services we deliver, you impact futures. Visit us and see why it’s more than just a place to work. It’s a family. Apply today at careers.akronchildrens.org.

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