Job Summary
A company is looking for an Associate Director, Prior Authorization Operations to lead and oversee Prior Authorization processes across various lines of business.
Key Responsibilities
- Provide strategic direction and mentorship to Prior Authorization and Clinical Care leadership
- Develop and implement policies and procedures to ensure efficient and compliant prior authorization processes
- Generate and present reports on operational performance and process improvements to senior leadership
Required Qualifications
- Active, unrestricted pharmacist license required
- Doctor of Pharmacy degree required
- 6+ years of experience in Prior Authorization or Utilization Management
- 4+ years of leadership experience in a complex environment
- Experience overseeing multiple lines of business, including Commercial and Medicare
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