Associate Director, Prior Authorization Operations

Position Summary:

• Lead and oversee Prior Authorization Operations, with responsibility for all lines of business.
• Manage the operations of Prior Authorization processes and ensure optimal efficiency, compliance, and performance across the department.

Position Responsibilities:

• Provide strategic direction and mentorship to PA and Clinical Care leadership.
• Develop, implement, and uphold policies and procedures related to prior authorization.
• Lead or actively participate in cross-departmental initiatives to enhance overall business operations focusing on optimizing the integration.

Required Qualifications:

• Active, unrestricted pharmacist license required.
• Doctor of Pharmacy degree required.
• 6+ years of experience in Prior Authorization or Utilization Management at a PBM, health plan, or healthcare provider organization.