Regional Team Lead - Prior Authorizations - Certified Specialty Pharmacy Technician at Shields Health Solutions

Worldwide

<p>&nbsp;</p> <div> <h2>Job Purpose:</h2> <p>This role blends leadership and patient advocacy responsibilities, supporting the supervisor in ensuring the team has the tools and guidance needed to succeed while maintaining direct patient care responsibilities.</p> <p><strong>Additional context to attract candidates:</strong><br>This position is ideal for an experienced Pharmacy Technician who is passionate about patient access, enjoys mentoring others, and is seeking a pathway into leadership within specialty pharmacy or patient services operations.</p> <hr> <h2>Job Duties:</h2> <h3>Patient Advocacy &amp; Clinical Support</h3> <p>Maintain direct patient support responsibilities including benefit investigations, prior authorizations and financial assistance programs.<br>Troubleshoot insurance rejections and claim issues.<br>Communicate professionally with patients, clinicians, and payors.<br>Demonstrate clear and concise documentation practices to ensure accurate, timely, and compliant record-keeping across patient interactions and workflow processes.</p> <p><strong>Additional responsibilities include:</strong></p> <ul> <li>Serve as a subject matter resource for complex payer requirements, prior authorization escalations, and specialty medication access challenges.</li> <li>Proactively identify barriers to therapy initiation or continuation and partner with clinics and internal teams to resolve issues efficiently.</li> <li>Support adherence and continuity of care by ensuring timely follow-up, status updates, and patient education as appropriate.</li> <li>Maintain strong knowledge of specialty pharmacy workflows, reimbursement processes, and payer trends impacting patient access.</li> </ul> <hr> <h3>Team Leadership &amp; Support</h3> <p>Assist the supervisor in monitoring daily team activities and work queues.<br>Provide mentorship and stabilization support for new hires.<br>Share and educate team members on workflow best practices and system navigation.<br>Support clinic growth and stabilization efforts across therapeutic areas.<br>Provide coverage for clinics with staffing gaps or PTO needs.<br>Manage overflow work needs of supported clinics<br>Lead by example, fostering a collaborative and positive team culture<br>Build strong relationships with internal teams, clinic partners, and cross-functional teams.<br>Actively participate in team meetings, training sessions, and knowledge-sharing forums.</p> <p><strong>Additional responsibilities include:</strong></p> <ul> <li>Act as a point-of-contact for real-time workflow questions, prioritization guidance, and issue resolution during daily operations.</li> <li>Assist with onboarding activities, shadowing, and continued development of new and existing team members.</li> <li>Reinforce quality, productivity, and compliance standards through coaching and constructive feedback.</li> <li>Promote accountability, engagement, and teamwork while supporting a high-volume, patient-centered environment.</li> <li>Support change management initiatives by helping teams adapt to new systems, payer requirements, and operational enhancements.</li> </ul> <hr> <h3>Operational Excellence</h3> <p>Perform audits to ensure workflow adherence and quality standards.<br>Contribute to special projects and process improvement initiatives.<br>Report feedback and insights to supervisors to optimize team performance.<br>Monitor Key Performance Indicators (KPIs), assess gaps in meeting site and organizational goals, and develop targeted action plans to drive continuous improvement.</p> <p>A core responsibility of this role is to ensure the team consistently achieves performance metrics that reflect broader organizational objectives, with a focus on collective outcomes rather than individual contributions.</p> <p><strong>Additional responsibilities include:</strong></p> <ul> <li>Identify trends related to turnaround times, authorization approvals, and payer outcomes, and recommend operational improvements.</li> <li>Support documentation and updates to standard operating procedures and workflow guidance.</li> <li>Partner with leadership to pilot new processes, tools, or technologies aimed at improving patient access and team efficiency.</li> <li>Ensure compliance with regulatory, payer, and organizational requirements including HIPAA and industry best practices.</li> </ul> <hr> <h2>Experience / Education:</h2> <p>Nationally certified Pharmacy Technician (CPhT via PTCB or ExCPT).<br>Registered or willing to register with the state of employment.<br>2+ years of experience in specialty pharmacy, patient engagement, or prior authorization.<br>Internal candidates: Minimum 6 months in the Patient Support Center.<br>Proven track record of exceeding performance expectations and service levels.</p> <p><strong>Preferred qualifications to strengthen candidate interest:</strong></p> <ul> <li>Experience supporting specialty medications across high-touch therapeutic areas.</li> <li>Demonstrated ability to balance direct patient support with leadership and operational responsibilities.</li> <li>Strong communication, problem-solving, and organizational skills in a fast-paced healthcare environment.</li> <li>Comfort working with pharmacy systems, electronic medical records, payer portals, and workflow management tools.</li> </ul> </div><div class="content-conclusion"><p>California residents employed by or applying for work at Shields have certain privacy rights. 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