Pharmacy Prior Authorization Supervisor at Genfinity Philippines, Inc.

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Full Time

Start Date

Immediate

Expiry Date

08 Jun, 26

Salary

0.0

Posted On

10 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Team Leadership, Prior Authorization, Performance Monitoring, Process Improvement, Coaching, Employee Relations, Hiring, Training, KPI Management, Subject Matter Expert, Escalation Management, Workers Compensation, Pharmacy Benefit Management, Customer Service, Workflow Management, Data Analysis

Industry

Outsourcing and Offshoring Consulting

Description

Workers Compensation Pharmacy Prior Authorization Supervisor The client is a full-service Workers Compensation Pharmacy Benefit Management company focused on patient advocacy. By combining clinical expertise and advanced business analytics, it simplifies workers’ compensation claims management while providing safer medication therapy management. Position Summary: The Supervisor leads the Prior Authorization team, overseeing experienced administrative, operational, and technical professionals within the Professional career track. This role manages the daily activities of Prior Authorization Representatives who research and respond to inquiries from clients, pharmacies, and injured workers. The Supervisor provides direction and guidance on policies, procedures, workflows, service quality, and training initiatives to ensure consistent and compliant operations. Responsible for monitoring service standards and key performance indicators (KPIs), this role drives team performance, supports process improvement, and ensures high-quality service delivery in a fast-paced, transactional environment. As a first-line leader, the Supervisor manages a large team of direct and indirect reports and fosters a culture of accountability, collaboration, and continuous improvement. Roles and Responsibilities: Manage team of Prior Authorizations Representatives to promote a working team environment and ensure best practices are shared and executed. Works to develop employees’ skills, evaluate performance, and provide feedback. Oversees resolution of employee relations issues. Helps conduct hiring, training, and evaluation of staff. Ensures individual, team, and group goals are met. Engages in a coaching partnership with their team concerning quality, reliability, accountability, and productivity. Responsible for achievement of service levels, KPIs, and performance guarantees. Responsible for record keeping for performance, coaching and ongoing development of direct reports within the system of record. Serves as a Subject Matter Expert regarding systems, processes and procedures. Works with the Prior Authorizations leadership team to help develop and deploy strategic business work plans. Tracks and reports result as required. Assists in the development of programs and process improvements to enhance the level of internal and external customer service provided. Serves as a point of escalation for issues and client interactions requiring a higher degree of expertise or direction to resolve in a timely manner. Works with other departments outside of the Prior Authorizations team to meet the needs of our employees, clients, and injured workers. Serves as a point of contact/leadership across other teams within the Prior Authorizations department when assistance is needed Special projects as needed. Qualifications: Bachelor’s Degree, Healthcare Allied courses preferred 2 years of relevant operations experience; experience in a contact center environment preferred Knowledge of PBM / managed care industry required Workers Compensation/US Healthcare, Pharmacy, Work Comp PBM or related experience are an advantage. Demonstrated proficiency with Microsoft Office software Demonstrated leadership skills including ability to effectively develop and assist team members; experience training and coaching less experienced staff. Supervisory experience preferred Excellent oral and written communication Demonstrated ability to handle challenging interactions in a professional manner Ability to adapt in a dynamic work environment and make independent decisions Advanced problem-solving skills and the ability to work collaboratively with others to resolve complex issue with innovative solutions Willingness to work a flexible schedule for coverage of Prior Authorizations department hours of operation Willing to work on site (Makati and/or Pasig City) Willing to work on shifting schedule (24/7 operation) ------------- All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, ethnicity, age, disability, marital status, or any other characteristic protected by law. Genfinity as an Equal Opportunity Employer, believes in each person’s potential, and we’ll help you achieve yours. All information will be kept confidential according to EEO guidelines. Privacy Notice & Consent We value your privacy. By submitting your information through this form, you are applying for a position at Genfinity Philippines, Inc. and voluntarily providing personal information, including your name, contact details, and resume. This information will be collected and processed solely for recruitment purposes, including evaluating your qualifications, assessing your skills, verifying your background, and contacting you about your application. Your personal data will be processed in accordance with the Data Privacy Act of 2012. You have the right to access, correct, or withdraw your data at any time. For more information, please refer to our Privacy Policy or contact our Data Protection Team at dpo@genfinity.net . By submitting this form, I acknowledge that I have read and understood the above Privacy Notice and hereby give my free, informed, and voluntary consent to the collection and processing of my personal information by Genfinity Philippines, Inc. for recruitment purposes.

Responsibilities

The Supervisor leads the Prior Authorization team, managing daily activities, providing direction on policies and workflows, and ensuring consistent and compliant operations. This role is responsible for monitoring service standards, driving team performance, and fostering a culture of accountability and continuous improvement.