Regional Team Lead - Prior Authorizations - Certified Specialty Pharmacy Technician

📋 Description

• Lead and mentor the Patient Support Center team while maintaining patient care duties.
• Manage benefit investigations, prior authorizations, and financial assistance programs.
• Troubleshoot insurance rejections and claim issues with payors.
• Document processes clearly for accurate, timely records across interactions and workflows.
• Support clinic growth, staffing coverage, and workflow improvements.
• Build strong cross-functional partnerships and foster a collaborative team culture.

🎯 Requirements

• CPhT certification via PTCB or ExCPT; registered or willing to register with the state.
• 2+ years in specialty pharmacy, patient engagement, or prior authorization.
• Internal candidates: minimum 6 months in Patient Support Center.
• Proven track record of meeting or exceeding performance standards.
• Preferred: experience with high-touch specialty meds and balancing patient support with leadership.
• Strong communication, problem-solving, and organizational skills; familiarity with pharmacy systems, EMR, payer portals.

🎁 Benefits

• California Workforce Privacy Notice and Privacy Policy references.
• Equal employment opportunities; Shields Health Solutions does not discriminate.
• Compliance with HIPAA and other regulatory requirements; commitment to privacy protections.