Aetna Specialty Medication Pre-Certification Supervisor - 46280BR in Scottsdale, Arizona

Req ID: 46280BR

POSITION SUMMARY

As a Specialty Medication Pre-Certification Supervisor, you will lead a team that processes provider prior authorization requests accurately and efficiently. We are looking for an enthusiastic, energetic and accountable leader with a positive attitude, who is willing to work in very dynamic environment and pitch in where needed to make this team successful.

Fundamental Components:

This position is responsible for front line staff management of the specialty pharmacy pre-certification unit. The Clinical Services Supervisor will provide direct supervision and assistance to Pharmacy Technicians and specialized support staff to maximize program results. Responsibilities include collaboration to develop/enhance various program elements, provide feedback and mentoring to actively develop the skills and competencies of direct reports, and execute performance evaluation and coaching. Individuals in this position will utilize strong communication skills including partnering with other business units to resolve issues with systems and processes. He/she will handle escalated calls and issues (with internal and external business partners) to effectively and satisfactorily resolve provider concerns. The Supervisor will be expected to drive a culture of clinical professionalism, motivate teams, facilitate change management, leverage various tools to drive efficiency and adjust to and complete, other duties as assigned.

BACKGROUND/EXPERIENCE desired:

1 to 3 years prior supervisory experience in call center environment

Experienced in resolving escalated and/or complex issues

Excellent written & verbal communication skills

Strong coaching, feedback, facilitation & mentoring skills

Strong leadership skills with experience in developing direct reports

Ability to make routine & difficult decisions in a fast-paced, high-volume environment

EDUCATION

The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.

FUNCTIONAL EXPERIENCES

Functional - Customer Service/Management: < 25 employees/1-3 Years

Functional - Customer Service/Customer Service - Pharmacy/1-3 Years

Functional - Medical Management/Medical Management - Precertification/1-3 Years

REQUIRED SKILLS

Leadership/Driving a Culture of Compliance/MASTERY

Leadership/Engaging and Developing People/ADVANCED

Leadership/Creating Accountability/ADVANCED

DESIRED SKILLS

Leadership/Driving Strategic and Organizational Agility/ADVANCED

Leadership/Driving Change/ADVANCED

Service/Demonstrating Service Discipline/ADVANCED

ADDITIONAL JOB INFORMATION

We are excited to be entering the Old Town area of Scottsdale to build a dynamic new team to support our members and providers. If you want to join us from the ground up this is the role for you. We have a class starting soon so this is your opportunity to assume a leadership position from the beginning!

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

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Job Function: Customer Service