Supervisor-Prior Authorization Operations/ Notice of Action (NOA)

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. BCBSAZ offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

PURPOSE OF THE JOB

This position manages the day-to-day activities of the non-clinical PA and NOA technicians. This position is responsible for production, accuracy, timeliness, and personnel management.

QUALIFICATIONS

REQUIRED QUALIFICATIONS

1. Required Work Experience

· 1 year of experience in a health plan or managed care (Medicare/Medicaid) environment

2. 1 year of Notice of Action Supervisory experience in managed care (Medicare/Medicaid) environment Required Education

· High School Diploma or GED in field of study

3. Required Licenses

· N/A

4. Required Certifications

· N/A

PREFERRED QUALIFICATIONS

1. Preferred Work Experience

· 3 years of experience in a supervisor or lead role

2. Preferred Education

· Bachelor’s Degree in a Health Care Related field

3. Preferred Licenses

· N/A

4. Preferred Certifications

· Health Care Certification

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

· Responsible for oversight of day-to-day operations for non-clinical staff, including lead and front-line PA and NOA technicians.

· Manage pend reports and work assignments for non-clinical PA and NOA staff and communicate expectations.

· This position is the lead resource for all non-clinical PA and NOA 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 and NOA processes.

· Works with management to identify process improvement opportunities and assist with implementing process change.

· Responsible for daily schedules of non-clinical PA and NOA technicians to ensure adequate coverage for all lines of business, auditing performance of non-clinical PA and NOA 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 and personnel action as needed.

· 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

COMPETENCIES

REQUIRED COMPETENCIES

1. Required Job Skills

· Good computer skills: Technology experience with Microsoft and other data-based platforms

· Time management and communication skills

· Must be detailed oriented. Must be able to multitask

2. Required Professional Competencies

· N/A

3. Required Leadership Experience and Competencies

· N/A

PREFERRED COMPETENCIES

1. Preferred Job Skills

· N/A

2. Preferred Professional Competencies

· N/A

3. Preferred Leadership Experience and Competencies

· N/A

Our Commitment

BCBSAZ does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona.  For more information on our company, see azblue.com.  If interested in this position, please apply.