Benefits Eligibility and Authorization Supervisor

Cardinal Health

. Supervise and coordinate daily activities of the oncology authorization team .

Posted 9/17/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $76,700 - $98,460 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in oncology prior authorization processes, payer compliance, and operational oversight, with a strong focus on improving authorization approval rates and minimizing denials. Proven leadership in managing teams, developing training materials, and ensuring compliance with regulatory requirements.

Highest-signal resume keywords

Oncology Prior Authorization ManagementPayer Compliance ExpertiseLeadership and Team DevelopmentOperational KPI MonitoringAnalytical and Problem-Solving Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior Authorization ProcessesMedical Necessity ReviewReferral ManagementOperational ReportingQuality AuditsWorkflow DevelopmentDenial ManagementPatient AccessRevenue Cycle ManagementHealthcare Compliance

Soft Skills

LeadershipCoachingCommunicationRelationship BuildingProblem-Solving

Tools & Technologies

Electronic Health Records (EHRs)Practice Management SystemsAuthorization PlatformsMicrosoft ExcelReporting Tools

Certifications & Qualifications

CRCRCHAMCPARCPC

Industry Keywords

OncologyMedicareMedicaidCommercial PayerHMOIPARegulatory RequirementsPatient-Centered CareTreatment AccessSpecialty Pharmacy

About the role

Key responsibilities & impact

Supervise and coordinate daily activities of the oncology authorization team
Monitor work queues, assign priorities, and manage staff productivity
Oversee prior authorization, referral, and medical necessity processes across oncology and ancillary services
Review escalated cases, denied authorizations, urgent treatment requests, and payer issues
Ensure authorizations are obtained, tracked, renewed, and extended as needed
Collaborate with physicians, advanced practice providers, nursing, pharmacy, scheduling, and financial counseling teams
Conduct daily huddles, staff coaching, and workflow reviews
Monitor authorization turnaround times, aging inventories, pending requests, and high-priority patient cases
Maintain expertise on payer policies, medical necessity requirements, authorization guidelines, and regulatory changes
Review denials, identify root causes, and implement corrective actions
Perform quality audits for authorization accuracy and documentation compliance
Develop and maintain standard operating procedures, training materials, and payer-specific workflows
Generate and analyze operational reports on approval rates, denial trends, productivity, and turnaround times
Partner with Revenue Cycle, Patient Access, Managed Care, and Clinical Leadership teams
Support staff development through training, performance management, mentoring, and competency assessments
Ensure compliance with Medicare, Medicaid, commercial payer, IPA, and other regulatory requirements
Serve as the primary escalation point for complex authorization issues, payer disputes, peer-to-peer reviews, and treatment access concerns
Lead continuous improvement initiatives to reduce treatment delays, improve patient experience, increase authorization approval rates, and minimize preventable denials

Requirements

What you’ll need

Bachelor's degree in Healthcare Administration, Business, Nursing, or related field preferred
Minimum five (5) years of healthcare prior authorization, financial clearance, patient access, or revenue cycle experience preferred
Minimum two (2) years of leadership, supervisory, or team lead experience in a healthcare setting preferred
Oncology, infusion, radiation oncology, specialty pharmacy, or multi-specialty authorization experience strongly preferred
Extensive knowledge of medical oncology treatment regimens, radiation oncology services, imaging, genetic testing, surgical procedures, and specialty referrals
Strong understanding of Medicare, Medicaid, commercial payer, HMO, IPA, and delegated authorization requirements
Experience managing prior authorization workflows, referral management, medical necessity review, and payer compliance
Proven ability to reduce authorization-related denials, treatment delays, and revenue risk through effective operational oversight
Experience developing, monitoring, and reporting operational KPIs, productivity metrics, quality audits, and performance dashboards
Strong analytical, problem-solving, and process improvement skills
Excellent leadership, coaching, performance management, and employee development skills
Ability to manage workload prioritization in a fast-paced oncology environment with competing patient care and payer deadlines
Strong communication and relationship-building skills with physicians, clinical staff, executives, payers, and external partners
Proficiency with electronic health records (EHRs), practice management systems, authorization platforms, Microsoft Excel, and reporting tools
Demonstrated commitment to compliance, regulatory requirements, patient-centered care, and operational excellence
Preferred certifications include CRCR, CHAM, CPAR, CPC, or other revenue cycle, reimbursement, or healthcare access certifications