Company Overview
Founded in 2015, PHIL is a San Francisco-based, Series D health-tech startup that is building a platform that interfaces between doctors, pharmacies, and patients to streamline the process of patients receiving prescriptions. This is a complex, archaic industry, and we've set out to change that.
PHIL’s B2B2C platform provides an end-to-end prescription management and delivery service. Our robust platform connects patients, prescribers, pharmacies, and manufacturers, enabling easy and affordable access to medicine. Through its digital stakeholder experiences, patient access services, market access solutions, and distribution models, pharma manufacturers can deliver affordable and timely therapy access to patients, resulting in more patients staying on their treatment plans longer. Consequently, pharma manufacturers are enabled for more innovation.
The team at PHIL is a group of like-minded individuals from varying backgrounds, passionate about creating a new and innovative healthcare platform that is focused on patient experience and overall human wellbeing. Ready to join our team of mission-driven, analytical, and passionate people? Keep reading!
Position Overview
PHIL is seeking a talented and experienced Prior Authorization Lead to oversee the day-to-day operations of the Prior Authorization team. This role involves coaching and guiding associates to meet team quality and productivity goals, ensuring that all activities align with company objectives. Reporting to the Prior Authorization Manager, you will play a key role in supporting the success of the Prior Authorization team and ensuring smooth workflow and client satisfaction.
Responsibilities
Goal Formulation: Assist in formulating goals for individuals and the team, ensuring alignment with organizational objectives and metrics.
Hiring & Onboarding: Support the hiring process and assist in onboarding new team members to ensure they are equipped for success.
Staff Guidance & Support: Answer questions from staff, provide guidance, and offer constructive feedback to ensure ongoing development and performance.
Escalation Management: Triage and respond to client or patient escalations, providing timely and effective resolutions.
Process Improvement: Identify inefficient procedures, investigate and suggest improvements to enhance agent productivity or performance.
Policy Adherence: Ensure team members adhere to attendance policies and maintain adequate daily coverage to meet performance metrics.
Performance Evaluation: Regularly evaluate team performance using key metrics and provide actionable feedback to drive continuous improvement.
Workflow Management: Assess queues, implement daily workflow plans, and report on progress to the Manager of Operations.
Qualifications
Must be available to assist with training and onboarding in the Arizona office as needed
Solid knowledge of insurance authorization and appeals processes, PHILRx program rules, operations dashboard, Zendesk, and CoverMyMeds
Professional leadership experience preferred, or a demonstrated ability to lead projects and guide the work of others
Experience reading metric reports and maintaining spreadsheets in Excel / Google Docs
Strong written and verbal communication skills, with the ability to clearly explain complex concepts to team members and stakeholders
Strong problem-solving skills, with the ability to identify issues and implement effective solutions
Benefits
Ground floor opportunity with one of the fastest-growing startups in health-tech
Fully remote working environment with occasional travel to the Arizona office
Competitive compensation (commensurate with experience)
Full benefits (medical, dental, vision)
401(k) contribution opportunity
PHIL Inc. is an equal-opportunity employer.
If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.
At PHIL, we're transforming healthcare into something that prioritizes the patient experience, and we’re on the lookout for a Prior Authorization Specialist, Lead to be part of our mission-driven team in Scottsdale. Joining us means you’ll play a crucial role in overseeing our Prior Authorization operations, guiding a dedicated team as we work to streamline prescription management to better serve patients, pharmacies, and providers alike. Your day-to-day will involve coaching associates to achieve their goals while ensuring we meet the high standards we set for ourselves. You’ll be at the heart of our Prior Authorization process, tackling client escalation issues, identifying inefficiencies, and collaborating with the team to refine our approach. We’re a tight-knit group of innovative minds from diverse backgrounds, all passionate about making a positive impact. Your leadership will help ensure that every team member shines, receiving the guidance they need as we navigate the complex landscape of healthcare. With us, you'll have the opportunity to assist with hiring and onboarding, evaluate team performance, and create a solid workflow plan for daily operations. Our ideal candidate comes with a solid grasp of insurance authorizations and the PHILRx program, along with strong communication and problem-solving skills. If you're ready to lead with confidence and innovation, while enjoying a fully remote working environment that occasionally welcomes you to our Arizona office, we’d love to see how you can contribute to the PHIL vision.
We started Phil with the simple conviction that the medications we take should improve our sense of wellbeing. In other words, we should not have to suffer through an inconvenient, stressful and archaic experience to ensure a consistent supply of ...
25 jobsSubscribe to Rise newsletter