Prior Authorization Supervisor

Inspire Medical Systems, Inc.
tuition reimbursement, flex time, 401(k)
United States, Minnesota, Minneapolis
Oct 29, 2024
Prior Authorization Supervisor ABOUT INSPIRE MEDICAL SYSTEMS Inspire is the first of its kind medical device designed to make a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are revolutionizing the sleep industry with our FDA-approved medical device, designed to reduce OSA severity for those who cannot tolerate or get consistent benefit from CPAP. Our focus on patient outcomes is at the core of everything we do, and our "think I can" attitude drives us to make a difference in the lives of those seeking alternative sleep apnea treatments. WHY JOIN OUR FAST-GROWING TEAM At Inspire, we value people - your diverse experiences, backgrounds, and thoughts. We elevate voices and encourage learning opportunities to build a professional network that grows into community. We embrace a people-first culture by offering hybrid work schedules, excellent benefits, 401k matching, ESPP, flexible time off (FTO), and tuition reimbursement. If you're passionate about making a difference in people's lives and want to work with innovative technology, come be a part of our great team! ABOUT THIS POSITION We are recruiting for a Prior Authorization Supervisor to join our team at our Golden Valley, MN location. In this newly created position, you be providing expertise in the areas of Government and Commercial reimbursement in the United States. You will be responsible for the intake and predetermination processes within the Inspire Prior Authorization Program and managing the Prior Authorization team in the United States. You will work with the Market Access-Prior Authorization Leader to ensure all patient prior authorizations are submitted in a timely manner and that all cases are treated with consistent attention to detail. OPPORTUNITIES YOU WILL HAVE IN THIS ROLE Managing the Inspire Prior Authorization team and process through regular coaching and guidance. Partner to track Inspire's predetermination success and work with the Market Access Prior Authorization Leader to drive/measure process improvements based on best practices methodology. Manage the Prior Authorization team to ensure standard and professional practices. Ensure level of performance and partnership is high quality across all territories. Collaborate with Market Access Prior Authorization Leader on territory assignments and responsibilities. Work in conjunction with Market Access Prior Authorization Leader to execute action plans and objectives to support internal/external customers. Seek continuous process improvement to increase success rates and reduce time to success. Assisting with the process of internal training of the sales team, along with customers and their staff on obtaining insurance prior authorizations Cover job responsibilities for team members and Market Access Prior Authorization Leader when needed. LEADERSHIP RESPONSIBILITIES: Assisting with Onboarding new hires, along with in office training Motivating Team members daily and partnering on development opportunities Communicating with direct reports on performance and coaching on feedback Training providers and their facilities/staff on prior authorization requirements Educating the Prior Authorization team where needed Working with field sales/leadership to assist where needed with account support Run Audit Reports as needed Rolling out and implementing new processes as needed QUALITY SYSTEM RESPONSIBILITIES: Document product and therapy related field reports within the prescribed timelines and provide any necessary documents required to complete the investigation. Provide follow-up reporting as needed. Complete training requirements and competency confirmations as required for this position within the required timeline. Comply with applicable quality system procedures/policies and make suggestions for continuous process improvement. Ensure all direct reports maintain training records that comply with applicable quality system requirements WHAT YOU CAN BRING TO OUR GREAT TEAM Required: High school diploma or equivalent 5+ years of experience in US reimbursement, including the ability to read, interpret and appropriately respond to payer requirements relating to prior authorization 1+ year of experience leading and managing a team Demonstrated knowledge of reimbursement compliance requirements and a maintaining a high level of personal integrity to promote a compliant reimbursement environment High aptitude and analytical skills to recognize and understanding data trends High attention to detail and strong team attitude Comfortable in a small, dynamic company environment with frequent changes in direction Excellent written and oral communication skills Proficient in Microsoft Office applications, including Word, PowerPoint, Excel Preferred: Bachelor's degree Inspire Medical Systems provides equal employment opportunity (EEO) to all employees and applicants without regard to race, color, religion, creed, sex, national origin, age, disability, marital status, familial status, sexual orientation, status regarding public assistance, membership or activity in a local commission, military or veteran status, genetic information, or any other status protected by applicable federal, state, and local laws. This policy applies to all aspects of the employment relationship, including recruitment, hiring, compensation, promotion, transfer, disciplinary action, layoff, return from layoff, training, and social and recreational programs. Inspire Medical Systems complies with applicable laws governing non-discrimination in employment in every location in which Inspire Medical Systems has facilities. All such employment decisions will be made without unlawfully discriminating on any prohibited basis. Inspire Medical Systems is anequal opportunityemployer with recruitment efforts focused on ensuring a diverse workforce.Applicants with a disability that need accommodation to complete the Inspire Medical Systems application process should contact Human Resources at 844-672-4357 or email careers@inspiresleep(dot)com Inspire Medical Systems participates in E-Verify.