Medical Leadership Position: Prior Authorization Supervisor

2 weeks ago

Palo Alto, California, United States Guardant Health Full time

Overview:

Guardant Health is a leading precision oncology company dedicated to conquering cancer globally through its proprietary tests, vast data sets, and advanced analytics. The company's platform leverages capabilities to drive commercial adoption, improve patient clinical outcomes, and lower healthcare costs across all stages of the cancer care continuum.

About the Role:

We are seeking an experienced supervisor to lead our prior authorization team. As a key member of our revenue cycle management team, you will be responsible for driving payment for our services by partnering with colleagues in Finance and Client Services. Your goal will be to facilitate optimized billing processes and operations that align with our mission and values.

Duties and Responsibilities:

  • Serve as the knowledge expert and information source for staff and key stakeholders.
  • Ensure authorization team compliance with contract requirements, policies, procedures, and performance standards.
  • Monitor authorization requests inventory to ensure proper resource allocation throughout the day.
  • Maintain knowledge of contract requirements, policies, procedures, and performance standards.
  • Assist in the reimbursement appeals process by providing chronological documentation/tracking of prior-authorization verification and advisor follow-up for cases under review.
  • Work with the authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes.
  • Evaluate authorization team performance and provide feedback regarding performance, goals, and career milestones.
  • Provide coaching and guidance to the authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests.
  • Proactively monitor for organization risks, communicate risks to leadership, and develop action plans to mitigate risks.
  • Assist with onboarding, hiring, and training authorization team members. Participate in developing and/or updating job aids, training modules, workflows, and implement change management strategies.
  • Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures.

Required Skills and Qualifications:

  • Bachelor's degree in business, healthcare administration, or related field.
  • A minimum of 3 years of experience in professional healthcare revenue cycle management and at least 1 year of leadership role experience reflective of this position.
  • Exceptional leadership and team management skills.
  • Excellent attention to detail and accuracy.
  • Knowledge of medical terminology, CPT, and ICD coding.
  • Knowledge in managed care requirements as they relate to reimbursement, including US Commercial, Medicare, Medicaid, and third-party payer reimbursement.
  • Experience with contacting and following up with insurance carriers, file reconsideration requests, formal appeals, and negotiations.
  • Proficiency in using computer software, particularly Microsoft Office Suite, especially Excel, and above-average typing skills.

Benefits:

This full-time position offers a competitive salary range of $75,500 to $120,800 based on location and individual factors. Our benefits package includes health insurance, retirement plan, paid time off, and opportunities for growth and development. We also offer a hybrid work model with defined days for in-person collaboration and work-from-home days for individual-focused time.

Additional Information:

The majority of the work is performed in a desk/office environment with ability to sit for extended periods. You must have strong communication skills, both written and verbal, and be able to effectively incorporate our mission and core values into processes and workflows. Guardant Health is an Equal Opportunity Employer committed to diversity and inclusion.

  • Reimbursement Authorization Supervisor

    2 weeks ago

    Palo Alto, California, United States Guardant Health Full time

    Job OverviewGuardant Health is a pioneering precision oncology company dedicated to revolutionizing cancer care through its innovative tests and advanced analytics.About the RoleThis critical position plays a pivotal role in ensuring seamless payment for our services, working closely with our billing tool provider and cross-functional teams in Finance and...

  • Supervisor Retail Operations

    2 days ago

    Palo Alto, California, United States Fjällräven North America Full time

    Fjällräven North America is seeking a highly motivated Supervisor Retail Operations to join our team in Palo Alto, CA.About the PositionIn this part-time supervisor role, you will oversee daily operations, ensure store performance meets expectations, and support employee development and training.Key ResponsibilitiesMain Duties:Lead daily operations,...

  • Nursing Supervisor Med Surg Lead Position

    2 weeks ago

    Palo Alto, California, United States Cross Country Nurses Full time

    We are seeking a skilled Nursing Supervisor to oversee patient care and staff management in our Med Surg unit. As a registered nurse - nurse supervisor, you will play a vital role in ensuring high-quality patient care.Key Responsibilities:Supervise and manage nursing staff to ensure effective delivery of patient careOversight of patient care planning,...

  • Nursing Supervisor for Medical Staff

    6 days ago

    Palo Alto, California, United States Cross Country Nurses Full time

    About the JobWe are seeking a skilled Nursing Supervisor to oversee medical staff and ensure high-quality patient care. As a key member of our team, you will be responsible for supervising nursing personnel, providing guidance, and evaluating their performance.The ideal candidate will have at least 1 year of recent acute care experience in a specialty and...

  • Healthcare Reimbursement Specialist Leader

    2 weeks ago

    Palo Alto, California, United States Guardant Health Full time

    Guardant Health OverviewAt Guardant Health, we are committed to helping conquer cancer globally through the use of our proprietary tests, vast data sets, and advanced analytics. Our precision oncology platform leverages capabilities to drive commercial adoption, improve patient clinical outcomes, and lower healthcare costs across all stages of the cancer...

  • Part-Time Retail Store Leadership Opportunity

    2 weeks ago

    Palo Alto, California, United States Fjällräven North America Full time

    About Fjällräven North AmericaWe are a leading outdoor brand committed to connecting people with nature and promoting sustainability.Job SummaryFjällräven North America is seeking a Part-Time Retail Supervisor to join our dynamic team in Palo Alto, CA. As a key member of our retail store, you will oversee daily operations, provide exceptional customer...

  • Overnight Radiology Supervisor

    2 weeks ago

    Palo Alto, California, United States Stanford Health Care Full time

    About Us">We are a leading healthcare provider dedicated to delivering exceptional patient care and advancing medical research and education.Our team of experts is committed to staying at the forefront of innovation and technology, ensuring that we provide the best possible outcomes for our patients.At Stanford Health Care, we value diversity, equity, and...

  • Leadership Position

    3 weeks ago

    Palo Alto, California, United States BridgeBio Pharma Full time

    BridgeBio Pharma is a biopharmaceutical company dedicated to discovering, developing, and delivering innovative treatments for patients with genetic diseases and cancers.We bridge the gap between groundbreaking scientific research and effective patient care by translating today's discoveries into tomorrow's medicines.The Director, KOL Management will play a...

  • Restaurant Leadership Role

    2 weeks ago

    Palo Alto, California, United States sweetgreen Full time

    Restaurant Leadership Position at sweetgreenAt sweetgreen, we're committed to building healthier communities by connecting people to real food. As an Assistant General Manager, you'll play a crucial role in leading our team and driving success in our restaurants.About the JobWe're seeking an experienced Restaurant Manager to join our team. In this role,...

  • Technical Leadership Position for High-Growth Software Engineering

    2 weeks ago

    Palo Alto, California, United States ZipRecruiter Full time

    Job Overview:We are seeking a seasoned Software Engineering Manager to join our team at Assured. This is an exceptional opportunity to lead a skilled team of engineers in launching core products and features while driving growth and success.About the Role:This position requires a proven track record of 8+ years of software engineering experience, with at...

  • Lead Med Surg RN Supervisor

    6 days ago

    Palo Alto, California, United States Cross Country Nurses Full time

    Med Surg RN Supervisor Job in Palo Alto, California">Cross Country Nurses is seeking a travel nurse RN Med Surg Supervisor for a travel nursing job in Palo Alto, California.Job Details">">Specialty: Med Surg">Discipline: RN">Duration: 13 weeks">Shift: 8 hours, days">">About the Job">This registered nurse - nurse supervisor (RN) position requires you to...

  • Financial Leadership Manager

    4 days ago

    Palo Alto, California, United States Citibank Full time

    Citibank seeks a skilled Branch Sales leader to drive growth and customer loyalty in Palo Alto, California. As a key member of our Consumer Sales team, this role will lead a team of employees, grow sales, build relationships with clients, and develop business strategies to meet company priorities.Job Overview:This position is responsible for developing a...

  • Customer Service Supervisor

    2 weeks ago

    Palo Alto, California, United States Whole Foods Full time

    At Whole Foods Market, we are dedicated to providing an exceptional customer experience. As a Customer Service Supervisor, you will play a vital role in ensuring our customers receive the best possible service. Your primary responsibility will be to lead and manage our customer-facing teams, ensuring that every interaction is positive and memorable.About the...

  • Travel Nurse Leadership Role

    2 weeks ago

    Palo Alto, California, United States Cross Country Nurses Full time

    About the PositionWe are seeking a Travel Nurse Supervisor RN to join our team in Palo Alto, California.Job DescriptionThis position involves supervising staff and overseeing patient care. The successful candidate will encourage best practices, conduct training and evaluations, handle scheduling and coding, and focus on creating a positive patient and staff...

  • Technical Leadership Position

    2 days ago

    Palo Alto, California, United States Snapchat Full time

    Job DescriptionWe're looking for a Principal Software Engineer to join the Ads Format team at Snap. This role requires building the next generation ads formats infrastructure and solutions to deliver more clicks and conversions for advertisers. You'll work end-to-end across innovating new ads format ideas, experimentation, analysis, and optimization, as well...

  • Operations Leader

    2 days ago

    Palo Alto, California, United States Asian Box - Palo Alto Town and Country Full time

    About Us:Asian Box - Palo Alto Town and Country is a dynamic and rapidly growing company with a passion for delivering delicious food and exceptional customer service. We are dedicated to providing a positive and supportive work environment that allows our employees to grow and develop their skills. Our team members are passionate about what they do and are...

  • Administrative Operations Director, Abdominal Transplantation Division

    2 weeks ago

    Palo Alto, California, United States Stanford Blood Center Full time

    About Stanford UniversityAt Stanford University, we are dedicated to creating a work environment that is inclusive, equitable, and fulfilling. Our university provides exceptional patient care, delivers outstanding undergraduate and graduate education, and furthers the field of surgery through innovative basic science and clinical research.About the RoleWe...

  • Travel Healthcare Professional for Medical/Surgical Unit

    2 weeks ago

    Palo Alto, California, United States Fusion Medical Staffing Full time

    Are you passionate about delivering exceptional patient care and making a positive impact in the lives of others? Fusion Medical Staffing is seeking an experienced Registered Nurse (RN) to join our team as a Travel Healthcare Professional for a 13-week assignment in Palo Alto, CA.About the JobThis is an exciting opportunity to work with a reputable client in...

  • Technology Leadership Role

    2 weeks ago

    Palo Alto, California, United States Proximity Works Full time

    Job DescriptionAs a Senior Director of Engineering at Proximity Works, you will oversee the development and implementation of cutting-edge technologies to drive business growth and scalability. This is a unique opportunity to shape the future of technology and lead transformative projects that influence millions of users.About the JobWe are seeking an...

  • Clinical Travel RN Position in California with Medical Solutions

    2 weeks ago

    Palo Alto, California, United States Medical Solutions Full time

    Medical Solutions is seeking a clinical travel nurse to join their team as a Registered Nurse (RN) for a telemetry position in Palo Alto, California. This 13-week assignment offers flexibility and high pay.About the JobDuration: 13 weeksShift: 12 hours, nightsWe're looking for talented healthcare professionals who want to explore new adventures while staying...