Healthcare Team Supervisor
3 days ago
Job Summary: We are seeking a highly skilled Team Leader to join our team at Access Healthcare Services Manila, Inc. As a Team Leader, you will be responsible for overseeing the operations of our Pharmacy Utilization account and ensuring that our team delivers exceptional results.
Key Responsibilities:
- Manage a team of professionals handling pharmacy utilization review, prior authorizations, and medication coverage determinations.
- Ensure adherence to U.S. healthcare regulations, PBM guidelines, and client protocols.
- Monitor KPIs, SLAs, and quality metrics to ensure team performance targets are met.
- Provide coaching, training, and mentorship to enhance team expertise in pharmacy utilization management.
- Collaborate with clients, stakeholders, and internal teams to optimize processes and improve operational efficiency.
Qualifications:
- Must be a Licensed Pharmacist.
- Extensive experience in U.S. healthcare accounts, specifically in pharmacy utilization management, prior authorizations, and formulary compliance.
- 3+ years of experience in a supervisory or team leadership role within a BPO healthcare setting.
- Strong understanding of PBM, claims processing, and medication guidelines.
- Excellent leadership, communication, and problem-solving skills.
- Ability to handle high-pressure environments and drive team performance.
- Proficiency in healthcare systems, EMR/EHR platforms, and pharmacy-related software is a plus.
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