Prior Authorization And Pre-Registration Manager

JOB SUMMARY

IVX Health is a national provider of infusion and injection therapy for those with Rheumatoid Arthritis, Crohn's Disease, Multiple Sclerosis and other complex chronic conditions. IVX offers a different, better approach to caring for our patients and believes it is vital to take the same approach with our employees. We strive to empower our team to succeed while embodying our core values: Be Kind, Do What's Right, Never Settle, Make It Happen, and Enjoy the Ride.

The Manager, Prior Authorization & Preregistration is responsible for ensuring that all patients receive financial and medical clearance for treatment of their chronic conditions. This is achieved by overseeing the patient access and intake functions to include centralized scheduling, financial counseling, copay assistance and prior authorization functions.

ESSENTIAL FUNCTIONS

• Works closely with leadership to develop a strategic plan for onboarding new markets.
• Creates and helps review process, language, and training documents to ensure accuracy, completeness and in compliance with company standards and guidelines.
• Oversees intake and prior authorization team and process effectively with a focus on improving the centralized patient onboarding experience.
• Mentors and coaches team members to ensure successful support of markets. Evaluates staffing and training needs of new employees.
• Manages department-related ad-hoc projects as needed.
• Develops, collaborates, and maintains productive and positive working relationships with key local, regional, and national teams to effectively resolve issues.
• Performs other duties as assigned.
• Performs market, Health Plan, and legislative research as needed and analyzes data.
• Monitors centralized intake performance; reports, tracks and resolves potential or escalated issues including market related intake, financial counseling needs, and other operational issues.

Job Qualifications

ESSENTIAL COMPETENCIES

• Proficiency with standard office software applications (Microsoft Office, Outlook, Teams, etc.)
• Ability to communicate and lead effectively through change
• Detail Oriented
• Excellent communication and interpersonal skills
• Ability to multi-task and work collaboratively in an organization with multiple sites and multiple interdepartmental dependencies.

REQUIRED EDUCATION & EXPERIENCE

• Bachelors Degree in Healthcare Management or related field
• Extensive experience with patient intake, prior authorization and financial counseling preferred
• At least five (5) years of experience working in a health care organization with a specific background in operations and intake processes

EEO STATEMENT

IVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. IVX Health wants to have the best available people in every job, and we make employment decisions on the basis of business needs, job requirements, individual qualifications, and merit. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, military and veteran status, age, physical or mental disability, genetic characteristic, reproductive health decisions, family or parental status, or any other legally protected category in accordance with applicable federal, state, or local laws. IVX Health prohibits discrimination, harassment, or retaliation of any kind based on any of these characteristics. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation benefits, and separation of employment.