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Prior Authorization Supervisor at Dana-Farber Cancer Institute - ApplyBlast

Prior Authorization Supervisor

Dana-Farber Cancer Institute

4 months ago

3.9 on Glassdoor

Brookline, MA

Onsite

Full Time

Senior

0 applicants

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About this role

The Prior Authorization Supervisor at Dana-Farber Cancer Institute manages operational workflows for obtaining drug and laboratory procedure prior authorizations from third-party payers in an outpatient hospital setting. This role applies advanced medical knowledge to oversee clinical staff, resolve complex clinical and administrative cases, and facilitate discussions between providers and payers. The position also involves designing new workflows, monitoring policy changes, and supervising a team of up to fifteen direct reports.

Responsibilities

Oversee daily on-label drug and off-label chemotherapy prior authorization operations
Manage a team of up to fifteen staff members and delegate daily tasks
Resolve complex clinical or administrative coverage issues with third-party payers
Design and implement new molecular pathology prior authorization workflows
Monitor payer policy changes and update standard operating procedures accordingly

Skills

Qualifications

BS in NursingRegistered Nurse License (MA)

About Dana-Farber Cancer Institute

dana-farber.org

Headquarters

Boston, Massachusetts, United States

Company Size

1001-5000 employees

Founded

1947

View Profile

Dana‑Farber Cancer Institute, based in Boston, MA, is a world‑leading cancer center specializing in adult and pediatric cancer treatment and research. Its physician‑scientists deliver multidisciplinary patient care and develop many of the most advanced therapies, including targeted treatments and clinical trials. Dana‑Farber combines cutting‑edge laboratory research with translational programs, prevention and survivorship services, and education to improve outcomes. Patients and clinicians turn to Dana‑Farber for its expertise, comprehensive care teams, and strong research pipeline.