Tipo de trabajo: En Las Instalaciones | Tipo de empleo: Tiempo Completo
Nivel de experiencia: Nivel de entrada | Fecha de publicación: 14/04/2025
Descripción
Company Description
AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas – immunology, oncology, neuroscience, and eye care – and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on X, Facebook, Instagram, YouTube, LinkedIn and Tik Tok.
Job Description
The Supervisor, Insurance Analyst provides leadership, support, and supervision for the Insurance Analyst team . This individual is a subject matter expert on commercial pharmacy, major medical, and government insurance plans, prior authorizations, appeals, and alternate coverage referrals. The supervisor ensures that all day to day activities of the team operate smoothly and seamlessly to provide the best customer experience for physician offices and ultimately patients. This position is responsible for ensuring all performance metrics, workload deliverables and customer services activities are completed in alignment with a high touch business model.
Supervise and oversee insurance analysts responsible for verifying new patient insurance benefits and handling claim rejections. Work proactively with staff and cross-functional groups to develop creative
Partner with Leads to monitor work flow and adjust workload and staffing requirements to ensure that all activities are addressed in a timely and efficient manner.
Monitor calls and perform case reviews to ensure accuracy of information, adherence to policies, and excellent customer service. Provide additional coaching and training to individuals as needed. Meet regularlywith direct reports to provide direct feedback on their performance and progress against goals. Responsiblefor writing and communicating performance reviews.
Perform administrative tasks such as work hour scheduling, attendance monitoring and counseling, vacationrequest scheduling, and overtime scheduling. Participate in the hiring process and handle all employee issuesfor their direct reports.
Use effective coaching and management techniques to maintain a highly motivated and interactive work staff.
Meet or exceed department standards relative to performance metrics. Take responsibility and accountabilityfor the day-to-day execution of tasks and is responsible for providing periodic progress reports on goals andmetrics. Provide activity metrics, status updates, and local payor intelligence information to management perestablished guidelines. Elevate issues as appropriate.
Consistently build and maintain collaborative relationships cross-functionally to ensure a seamless customerexperience for patients and physicians.
Identify process improvements to increase operational efficiencies and develop action plan for execution. Assist with the implementation of new projects and products within the Pharmacy.
Understand and comply with all required training, including adherence to applicable federal, state, and localpharmacy laws, HIPAA and privacy policies and guidelines, and the policies and procedures of the business.Perform additional tasks, activities, and projects as deemed necessary by management.
Qualifications
3-5 years of experience in the healthcare industry with knowledge in reimbursement, billing, prior authorization, appeals, and specialty pharmacy operations.
Demonstrated strong, accurate technical skills. Must be detail oriented. Must have a thorough understanding and knowledge of commercial and government pharmacy and medical insurance programs, billing, alternate funding resources, reimbursement processes, prior authorization and appeal filings, and specialty pharmacy operations.
Proven leadership and coaching skills. Demonstrated ability to lead and participate within a team, manage multiple priorities and meet associated timelines while maintaining accuracy.
Must have professional written and verbal communication skills to interact with and build and maintain relationships with all levels of the organization. Must maintain a positive service image at all times even when dealing with challenging issues and unsatisfied customers.
Proven organizational, time management, and problem solving skills, elevating to management when appropriate.
Skilled with the use of the Microsoft Office suite and the ability to use and effectively learn and navigate other computer systems.
Desired
1-2 years supervisory experience in a call center, large physician, managed care, or healthcare insurance setting.
Additional Information
En AbbVie estamos comprometidos a cultivar una cultura laboral que promueva la inclusión, la diversidad y el crecimiento personal. Reconocemos que nuestro éxito colectivo se basa en el bienestar individual de nuestros colaboradores y es por eso que hemos diseñado un paquete de beneficios pensando en cada aspecto de su vida.
Cobertura Mejorada de Salud y Bienestar: Nuestro personal administrativo goza de un seguro médico y dental integral, asegurando tranquilidad para usted y sus seres queridos.
Vacaciones Extendidas: Creemos en el equilibrio entre el trabajo y la vida personal de nuestro equipo administrativo. Por eso ofrecemos días adicionales de vacaciones, más allá de los requisitos legales.
Modelo de Trabajo Híbrido Flexible: Para los puestos elegibles dentro de nuestro personal administrativo, adoptamos un esquema de trabajo híbrido que le permite la comodidad de teletrabajar durante dos días a la semana.
Seguro de Vida: Asegure el futuro de su familia con nuestra póliza de seguro de vida.
Avance Educativo: Invierta en su futuro con nuestro programa de becas disponible para empleados y sus dependientes.
Programa de Asistencia al Empleado (EAP): Acceda a apoyo profesional con nuestro EAP integral, que ofrece asesoramiento psicológico, legal y financiero.
Servicios de Salud en la Empresa: Benefíciese de la comodidad de contar con un médico de la empresa y servicios de fisioterapia, demostrando nuestro compromiso con su salud y bienestar.
Compromiso Comunitario y Social: Haga la diferencia con un día de voluntariado pagado, que le permite contribuir a la comunidad durante el horario laboral de la empresa.
Beneficios Especiales de Permiso: Celebre sus logros de vida con días adicionales de permiso por matrimonio y disfrute de su cumpleaños con un día libre.
Plan de Compra de Acciones para Empleados: Participe en el éxito de nuestra compañía comprando acciones a un precio especial exclusivo para empleados.
Transporte y Comidas Subsidiadas: Disfrute de la facilidad de transporte y de las comidas con nuestros servicios de transporte y cafetería subsidiados.
Asociación Solidarista: Únase a una comunidad enfocada en la ayuda mutua y disfrute de los beneficios que conlleva ser miembro.
AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives, serving our community and embracing diversity and inclusion. It is AbbVie’s policy to employ qualified persons of the greatest ability without discrimination against any employee or applicant for employment because of race, color, religion, national origin, age, sex (including pregnancy), physical or mental disability, medical condition, genetic information, gender identity or expression, sexual orientation, marital status, status as a protected veteran, or any other legally protected group status.
Supervisor, Insurance Analyst