PA/Appeals Access & Reimbursement Supervisor - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. What makes your career greater with Optum Frontier Therapies? You'll work with expert and enthusiastic peers, be part of a culture focused on both clinical outcomes and business results, and contribute to a growing team that prides itself on learning, evolving and challenging the status quo. The Access & Reimbursement Appeal Supervisor in Optum Frontier Therapies will be on the team of an exciting new business serving patients with rare diseases, pharma manufacturers, and providers by dispensing and servicing therapies at the frontier of healthcare. As a new Optum business, we are building on our strengths but also challenging the status quo. We are creating a business that is designed to specifically serve the unique needs of rare disease patient populations and support the emerging therapies, which require enhanced services and new capabilities over traditional specialty pharmacies. Our mission, 'supporting people with compassion while creating access to therapies at the frontier of health care,' and vision, 'that all people, no matter how unique, can access a better tomorrow' are what drive and motivate us, as part of the larger UnitedHealth Group mission 'to make the health system work better for everyone.' The Access & Reimbursement Appeal Supervisor will be responsible for supervision of access and reimbursement specialist and clinical team within the Optum Frontier portfolio. The supervisor will have direct oversight of team members that may work onsite or remotely across the country. Under direct supervision from the Associate Director of Access and Reimbursement, the Supervisor will be responsible for direct oversight of the team of specialists. This specialized team is responsible for the initiation and ongoing follow up of all prior authorization, financial assistance and appeals processes. The team triages prescriptions and medical orders to participating pharmacies and providers once all coverage obstacles have been resolved. This position requires a leader that can accurately provide directions, teach researching techniques, address and communicate medical and prescription insurance coverage requirements as well as a comprehensive knowledge of Medicare, Medicaid and commercial plan structures and standards.This position will provide coaching, mentoring, and support in the development of staff and recognize individual and team success that result in a high-level of team engagement and commitment. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Work directly with leadership on recommended staffing needs using time studies and workforce management tools Collaborate with peer leaders across Access & Reimbursement to ensure business needs are addressed, organizational and departmental priorities are aligned, and shared goals are achieved Focus on employee development and continuous coaching through monthly touch bases, performance scorecard reviews, and interim and annual performance evaluations Manage employee schedules ensuring fair and consistent practices Ensure policies and procedures are being followed. Become a subject matter expert on all workflow and policies to inform of work instruction and job aid content needs Work directly with training team to ensure all team members are trained to and compliant with policies and procedures and work