Supervisor, Medication Access Specialist - Medical Benefit

Description

ABOUT VISANTE

 We are relentless in solving the most complex challenges in health system pharmacy—designing pharmacy footprints that meet our clients where they are today and position them to win tomorrow. Our work delivers measurable financial gains, operational excellence, and an elevated patient experience.

We set ambitious goals, move with urgency, and create extraordinary value. Obsessed with client impact, we thrive in a collaborative, innovative culture where deep expertise turns insight into action. We’re proud of the results we deliver and the trust we earn—fueling sustained growth and exceptional client satisfaction.  

Our mission is to transform healthcare through pharmacy, and our vision is to reimagine pharmacy to improve lives. 

ABOUT THE POSITION (Fully Remote)

The Supervisor, Medication Access Specialist - Medical Benefit is a key member of Visante's managed services team and is responsible for overseeing the daily operations of medication access specialists supporting medical benefit services. Reporting to Visante leadership, the supervisor provides direct oversight of team members, including scheduling, recruitment, onboarding, training, performance management, and professional development to ensure a high-performing and engaged workforce.

This position serves as a subject matter expert in medical benefit access and reimbursement, benefits investigations, prior authorizations, coverage denials, patient assistance programs, and financial assistance resources. The supervisor provides guidance and support for complex patient access cases, escalated authorization requests, payer policy interpretation, and reimbursement challenges while promoting timely access to therapy.

Collaboration is critical to this role, as the supervisor works closely with clients, pharmacists, providers, clinic personnel, pharmacies, payers, and Visante team members to enhance operational workflows, improve patient access, and support successful treatment initiation. The supervisor monitors key performance indicators, quality outcomes, and operational trends to drive continuous improvement and maintain service excellence.

This role requires strong leadership abilities, expertise in medication reimbursement and medical benefit processes, excellent communication skills, and a commitment to advancing patient care through improved medication access and operational efficiency.

 Principle Duties and Responsibilities

• Oversee daily operations and staffing for assigned teams to ensure adequate resources meet client needs and project   demands.
• Adjust staff schedules and address workflow gaps to maintain operational efficiency and service continuity.
• Assist   with recruit, hire, evaluate, and retain personnel to support a high-performing and engaged team.
• Proactively address personnel issues and establish clear expectations for performance and workplace behavior.
• Provide coaching, feedback, and professional development to enhance staff success, accountability, and job satisfaction.
• Coordinate training initiatives, competency assessments, and quality review activities to strengthen team capabilities.
• Respond to client inquiries and triage requests promptly to ensure timely and effective service delivery.
• Monitor key performance indicators related to patient access, productivity, satisfaction, and workflow efficiency, implementing corrective actions as needed.
• Ensure compliance with healthcare regulations, privacy requirements, and organizational policies, including completion of employee competencies.
• Review medication authorizations and determine appropriate actions based on patient, payer, and client needs.
• Conduct benefits investigations, assess coverage and out-of-pocket costs, and identify financial assistance options to reduce patient burden.
• Collaborate with clinics to obtain required documentation, submit prior authorizations, and support appeals for coverage   denials.
• Communicate authorization determinations and next steps to patients, including coverage outcomes, financial assistance   options, and pharmacy access pathways.
• Ensure accurate and timely documentation within client EMR systems and Visante tracking platforms in accordance with   agreed-upon workflows.
• Support client onboarding, training, workflow optimization, and continuous process improvement while collaborating with   Visante leadership and team members.
• Complete other duties as assigned.

Requirements

Education

Required: High school diploma or equivalent

Preferred: An Associate Degree

Experience

Required: 3 years of experience working within healthcare or with pharmacy providers on medication access

Preferred: Minimum of 1 year experience supervising or managing a team, including staff scheduling, performance management, and professional development.

Licensure

Required: State Board of Pharmacy Technician registration obtained within 6 months of hire 

Preferred: Active CPhT certification through either PTCB or NHA 

Skills and Abilities

• Demonstration of good judgment, multi-tasking and meeting deadlines with a sense of urgency, and being able to prioritize   
• Exhibits good judgment and ability to multi-task, prioritize, and meet deadlines with a sense of urgency in the face of competing demands. 
• Exceptional interpersonal skills and ability to cultivate strong client relationships.      
• Proven analytical and problem-solving skills.  
• Clear and concise communication, ensuring transparency within the team.
• Commitment to maintaining patient confidentiality.
• Possesses extensive knowledge of medication reimbursement and healthcare prior authorization/coding.
• Proficiency in Office Suite (Word, Excel, PowerPoint).
• Analyzes and disseminates information effectively, showcasing strong analytical skills.
• Excellent conflict resolution skills, fostering a positive team environment.
• Strong leadership skills, supervising a high-performing team, and fostering a culture of accountability.
• High attention to detail, ensuring thoroughness and efficiency in team deliverables.

Compensation and Benefits: We offer competitive salary and benefits for this full-time salaried role.

Equal Opportunity Statement: Visante is an equal opportunity employer. Visante’s people are its greatest asset and provide the resources that have made the company what it is today. Visante is, therefore, committed to maintaining an environment free of discrimination, harassment, and violence. This means there can be no deference because of age, religion or creed, gender, gender identity or expression, race, color, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by applicable laws and regulations