Prior Authorization Supervisor at Curant Health

JOIN A LEADING HEALTHCARE COMPANYAt Curant Health our vision is to personalize healthcaredriven by choice and defined by value. Our employees bring this vision to life through excellent service personalized care accountability innovation and integrity. We offer competitive pay great benefits and the opportunity to make a meaningful impact every day. We are seeking a Prior Authorization Supervisor in Smyrna GA or St. Petersburg FL to oversee clinical and operational Prior Authorization (PA) processes and ensure timely access to specialty medications.Position SummaryThe Prior Authorization Supervisor provides clinical and operational oversight for PA activities across Commercial Medicaid Medicare and Co-op lines of business. This role directly supervises PA Specialists and Technicians in both locations supports clinical calls manages workflow handles appeals and ensures full compliance with regulatory and client requirements.ResponsibilitiesOperational & Clinical OversightOversee daily PA requests following established clinical criteria and benefit rulesReview initial PA requests complete first-level appeals and coordinate second-level appealsSupport Customer Care with medication-related clinical callsMonitor accuracy efficiency and quality of coverage determinationsServe as a clinical resource for internal teams prescribers and clientsStay current on clinical guidelines and communicate updatesReporting Compliance & Program SupportPrepare and coordinate PA and drug-utilization reportingEnsure compliance with regulatory fraud waste and abuse requirementsMaintain understanding of URAC standardsSupport rare disease program initiatives and manufacturer patient programsLeadership & Department ManagementSupervise PA Specialists and Technicians including hiring training and performance reviewsPlan and direct daily PA operations across both locationsManage department staffing workload and coverageIdentify and escalate operational issues appropriatelyDevelop and update PA protocols with Pharmacy LeadershipFoster strong communication across operational teamsCreate and maintain training materials and support ongoing staff developmentQualificationsAdvanced degree in Pharmacy with at least 3 years of experienceActive pharmacist license in applicable statePA experience in pharmacy PBM or managed care requiredKnowledge of formulary management claims processing managed care and specialty pharmacy preferred340B experience is a plusStrong clinical judgment leadership ability and communication skillsWhy Work for UsWe offer competitive pay paid holidays PTO parental leave employee prescription discounts training and development recognition programs and internal promotion opportunities. Our ICARE valuesIntegrity Communication Accountability Relationships and Excellenceguide everything we do. Curant Health is an equal opportunity employer.Required Experience:Manager Key Skills Restaurant Experience,Customer Service,Hospitality Experience,Management Experience,Mediation Experience,Guest Services,Merchandising,Experience with Children,Leadership Experience,Mentoring,Supervising Experience,Neonatal Ventilator Employment Type : Full-Time Experience: years Vacancy: 1