Full-Time

Supervisor

Prior Authorization

Posted on 11/21/2024

Blue Cross Blue Shield

Blue Cross Blue Shield

1,001-5,000 employees

Healthcare

Entry, Junior

Phoenix, AZ, USA

This position is hybrid within the state of AZ only.

Category
Supply Chain Management
Operations & Logistics
Requirements
  • 1 year of experience in a health plan or managed care (Medicare/Medicaid) environment
  • High School Diploma or GED in field of study
  • 1 year of experience in a supervisor or lead role (preferred)
  • Bachelor’s Degree in a Health Care Related field (preferred)
  • Health Care Certification (preferred)
  • Good computer skills
  • Time management and communication skills
Responsibilities
  • Responsible for daily oversight of day-to-day operations for non-clinical staff, including lead and front-line PA technicians.
  • Manage pend reports and work assignments for non-clinical PA staff and communicate expectations.
  • This position is the lead resource for all non-clinical PA staff, primary point person to assist and trouble shoot and/or problem solve issues.
  • Escalates unresolved issues to management.
  • Collaborates and works with other departments to train and education on PA processes.
  • Works with management to identify process improvement opportunities and assist with implementing process change.
  • Responsible for daily schedules of non-clinical PA technicians to ensure adequate coverage for all lines of business, auditing performance of non-clinical PA technicians to ensure accuracy, timeliness, meeting, or exceeding productivity standards.
  • Lead (minimum) monthly team meetings, education, and training, to current and new staff.
  • Responsible for staff evaluations (including work from home site visits) and personnel action as needed.
  • Monitoring day to day production standards and scheduling for non-clinical staff.
  • Complete audits monitor accuracy to ensure timeliness and meeting production standards.
  • Position must be located in Arizona.
  • The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
  • Perform all other duties as assigned.
Blue Cross Blue Shield

Blue Cross Blue Shield

View

Company Stage

N/A

Total Funding

N/A

Headquarters

Chicago, Illinois

Founded

1910

Growth & Insights
Headcount

6 month growth

0%

1 year growth

0%

2 year growth

0%
Simplify Jobs

Simplify's Take

What believers are saying

  • Partnership with Folx Health expands access to LGBT-affirming care.
  • Collaboration with American Spine Registry improves patient outcomes and quality care reputation.
  • Promotion of Michael Gardner to VP, Enterprise Data enhances data-driven decision-making.

What critics are saying

  • $2.8 billion antitrust settlement increases scrutiny and potential legal challenges.
  • Class action lawsuit over anti-competitive practices threatens financial stability and reputation.
  • Data privacy concerns arise from collaboration with American Spine Registry.

What makes Blue Cross Blue Shield unique

  • Blue Cross Blue Shield partners with Folx Health for LGBT-affirming care expansion.
  • Collaboration with American Spine Registry enhances Blue Distinction Centers' evaluation process.
  • Blue Distinction Centers for Excellence highlight commitment to high-quality healthcare.

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