Job Details

Prior Authorization Supervisor

Position Number: 9904235
Location: Salt Lake City, United States
Position Type: Health - Healthcare Administration

Prior Authorization Supervisor

Job Summary

Job Summary:
Clinical Enterprise has an immediate opening for a Prior Authorization Supervisor, in the Department of Pediatrics at the University of Utah Spencer F. Eccles School of Medicine. This position supervises and coordinates the daily operations of the Prior Authorization department by hiring, training, coaching, and evaluating staff; assigning and monitoring work queues and EPIC In Basket activity; resolving escalated authorization issues; monitoring productivity and turnaround times; and preparing operational and statistical reports. This position is part of the operations team responsible for pediatric ambulatory clinic services.
The ambulatory group in the Department consists of 13 pediatric subspecialty divisions and service lines that practice primarily at Eccles Primary Children's Outpatient Services building (PCOS), Primary Children's Hospital (PCH) Riverton, PCH Layton, Miller Primary Children's Lehi, and some satellite clinics. The pediatric ambulatory clinics at PCH operate in clinic space that is leased from PCH and used in conjunction with PCH and other University and community pediatric providers.
This position is housed in a call center, separate from clinic locations.
The Department of Pediatrics is the second largest department in the University of Utah School of Medicine and one of the largest pediatric departments in the country. We are committed to improving the lives of children through excellence in advocacy, education, research, and clinical care. For more information about the Department of Pediatrics, please visit: http://medicine.utah.edu/pediatrics/.

The University of Utah offers a comprehensive benefits package including:

Excellent health care coverage at affordable rates (see the Summary Comparison for more information)
14.2% retirement contributions
Generous paid leave time
11 paid Holidays per year
50% tuition reduction for employees, spouses, and dependent children
Flex spending accounts
University provided basic employee life insurance coverage equal to a salary of up to $25,000
Variety of elective insurance coverage, including life insurance, short and long-term disability, accidental death & dismemberment, accident, critical illness, hospital indemnity, and pet.
Free transit on most UTA services
Employee discounts on a variety of products and services, including cell phones & plans, entertainment, health and fitness, restaurants, retail, and travel
Professional development opportunities

Additional benefits information is available at https://benefits.utah.edu/.

Employee Health Requirements:
This position is patient-sensitive and must fulfill all associated vaccination requirements, or be approved for an exemption, prior to the first day of work. We protect our patients, coworkers and community by requiring all patient-sensitive employees to be immunized according to CDC standards and hospital policy. Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations.

Responsibilities
Essential Functions:

Supervises the daily operations of the Prior Authorization department including interviewing and hiring staff, assigning work and work queues, evaluating performance, training staff, planning work schedules, and recommending pay increases.
Resolves problems and responds to complaints related to prior authorization requests, payer requirements, insurance issues, patient access, and escalated staff or provider concerns.
Assists in the revision and addition of department policies, procedures, workflows, and standards related to prior authorization processes.
Assists in the long-range planning of department goals, including staffing needs, productivity, turnaround times, workflow improvements, and patient access initiatives.
Maintains department records and helps prepares monthly reports related to authorization volume, productivity, turnaround times, work queue activity, denials, and other departmental performance metrics.
Participates and serves on departmental, interdisciplinary, and organizational committees/meetings as assigned.
May perform all duties of the Prior Authorization department as required, including processing or assisting with complex, urgent, or escalated authorization requests.
Utilizes the EPIC (EMR) to monitor department workflows, work queues, authorization activity, patient information, and related operational processes; serves as a resource to staff regarding appropriate use of EPIC for prior authorization functions.
Monitors and manages EPIC In Basket activity to ensure messages and authorization-related requests are appropriately reviewed, assigned, routed, and addressed within established department standards and turnaround times.

Supervisor, Administration ManagementDirectly supervise team members in day-to-day operations, ensuring adherence to university policies and procedures. Assist in planning and implementing unit-level strategies to support academic and administrative functions. Monitor team performance metrics, provide coaching and feedback, and contribute to workforce management decisions. Collaborate with University HR to address employee concerns and align team activities with the university's mission and objectives.Requires a bachelor's (or equivalency) with up to 2 years of directly related work experience or a master's (or equivalency) degree.This is a Supervisor-Level position in the Management track.

Disclaimer:This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.

Minimum Qualifications
EQUIVALENCY STATEMENT: 1 year of higher education can be substituted for 1 year of directly related work experience (Example: bachelor's degree = 4 years of directly related work experience).
Department may hire employee at one of the following job levels:
Supervisor, Administration Management: Requires a bachelor's (or equivalency) with up to 2 years of directly related work experience or a master's (or equivalency) degree.

Preferences
Preferences:

Experience processing and managing medical prior authorizations within a healthcare setting.
Experience supervising or leading healthcare revenue cycle, prior authorization, patient access, or clinical support staff.
Experience utilizing EPIC for prior authorization workflows, work queues, and In Basket management.

The Department will screen applicants according to the identified preferences.

Special Instructions

Requisition Number: PRN46513B
Full Time or Part Time? Full Time
Work Schedule Summary: Monday -- Friday, 8:00 a.m. -- 4:30 p.m. Hours may vary based on operational needs.Opportunities for a hybrid telework schedule may be considered after the initial training period, provided the arrangement is supported by operational needs and individual performance. Telework arrangements are not guaranteed and may be modified or discontinued at any time based on business requirements or performance. Employees approved for hybrid telework must provide their own private workspace, secure internet connection, and demonstrate the ability to work independently.
Department: 01101 - Pediatric Clinical Enterprise
Location: Other
Pay Rate Range: $51,000 to $72,800
Close Date: 01/16/2027
Open Until Filled:

To apply, visit <a href=""https://apptrkr.com/9904235"">https://utah.peopleadmin.com/postings/211037