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Supervisor, Benefit Investigation & Prior Authorization Team
The Cigna Group. Provide daily leadership, coaching, and support to Benefit Investigation and Prior Authorization Representatives .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong leadership and coaching abilities in managing Benefit Investigation and Prior Authorization teams, with a focus on operational improvement, compliance with HIPAA regulations, and effective communication with stakeholders. Proficient in analyzing performance metrics and implementing process enhancements to drive team productivity and quality.
Highest-signal resume keywords
Leadership ExperiencePharmacy Benefits KnowledgeHIPAA CompliancePerformance Metrics AnalysisMicrosoft Office Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Benefit InvestigationPrior AuthorizationPharmacy OperationsInsurance VerificationOperational ImprovementFormulary ManagementPatient AccessReimbursement ProcessesPerformance ReportingWorkflow Prioritization
Soft Skills
CoachingMotivatingOrganizational SkillsProblem-SolvingDecision-Making
Tools & Technologies
Microsoft ExcelMicrosoft OutlookMicrosoft Teams
Certifications & Qualifications
Pharmacy Technician LicenseCertification as Required by State Laws
Industry Keywords
HealthcarePharmacy BenefitsPayer RequirementsComplianceOperational Metrics
About the role
Key responsibilities & impact- Provide daily leadership, coaching, and support to Benefit Investigation and Prior Authorization Representatives
- Monitor team productivity, quality, service levels, and turnaround times
- Conduct one-on-one meetings, performance evaluations, and career development discussions
- Manage staffing, scheduling, workload distribution, and workflow prioritization
- Oversee pharmacy benefit investigations, coverage reviews, and prior authorization activities
- Partner with providers, health plans, pharmacies, and internal business partners to resolve complex issues
- Ensure accurate documentation and compliance with payer requirements, HIPAA regulations, and company policies
- Identify and implement process improvements
- Analyze operational metrics and prepare performance reports for leadership
- Support onboarding, training, cross-training, and ongoing development
- Lead team meetings, huddles, and communication initiatives
- Serve as subject matter expert and escalation point for complex cases
- Collaborate with leadership on departmental goals, strategic initiatives, and business priorities
- Promote accountability, collaboration, quality, and continuous improvement
Requirements
What you’ll need- High School Diploma or GED required
- 3+ years of healthcare, pharmacy operations, insurance verification, benefit investigation, prior authorization, or related experience
- Previous leadership, supervisory, or team lead experience preferred
- Strong understanding of pharmacy benefits, prior authorization processes, formulary management, and payer requirements
- Knowledge of specialty pharmacy, patient access, and reimbursement processes preferred
- Experience analyzing performance metrics and driving operational improvement
- Strong working knowledge of HIPAA and healthcare compliance requirements
- Proficiency in Microsoft Office applications, including Excel, Outlook, and Teams
- Excellent verbal and written communication skills
- Strong organizational, problem-solving, and decision-making skills
- Ability to effectively manage multiple priorities in a fast-paced environment
- Demonstrated ability to coach, motivate, and develop employees
- MA or AZ state Pharmacy Technician license, certification, and/or registration as required by applicable state laws
- Flexibility to work rotating weekly schedules and rotating weekend coverage
- If working at home, cable broadband or fiber optic internet with at least 10Mbps download/5Mbps upload
Benefits
Comp & perks- Annual bonus plan eligibility
- Medical insurance
- Vision insurance
- Dental insurance
- Well-being and behavioral health programs
- 401(k)
- Company-paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
- Tobacco-free policy
- Reasonable accommodation support for the online application process