Supervisor, Benefits Eligibility and Authorization

Responsibilities

• Supervise and coordinate the daily activities of the oncology authorization team to ensure timely completion of authorization requests and financial clearance activities.

• Monitor work queues, assign priorities, and manage staff productivity to support timely patient treatment and service scheduling.

• Oversee prior authorization, referral, and medical necessity processes for medical oncology, radiation oncology, imaging, genetic testing, surgery, specialty medications, and ancillary services.

• Review escalated cases, denied authorizations, urgent treatment requests, and payer issues to ensure timely resolution.

• Ensure authorizations are obtained prior to service, tracked appropriately, and renewed or extended as needed to avoid treatment delays.

• Collaborate with physicians, advanced practice providers, nursing, pharmacy, scheduling, and financial counseling teams to resolve authorization barriers and support patient readiness for treatment.

• Conduct daily huddles, staff coaching, and workflow reviews to drive accountability, quality, and service excellence.

• Monitor authorization turnaround times, aging inventories, pending requests, and high-priority patient cases to ensure departmental performance goals are met.

• Maintain expertise on payer policies, medical necessity requirements, authorization guidelines, and regulatory changes impacting oncology services.

• Review authorization-related denials, identify root causes, and implement corrective actions to reduce revenue leakage and prevent recurring issues.

• Perform quality audits to ensure authorization accuracy, documentation compliance, and adherence to organizational policies and procedures.

• Develop and maintain department standard operating procedures, training materials, and payer-specific workflows.

• Generate and analyze daily, weekly, and monthly operational reports, including authorization approval rates, denial trends, productivity, and turnaround times.

• Partner with Revenue Cycle, Patient Access, Managed Care, and Clinical Leadership teams to improve authorization efficiency and financial performance.

• Support staff development through training, performance management, mentoring, and competency assessments.

• Ensure compliance with Medicare, Medicaid, commercial payer, IPA, and other regulatory requirements governing authorization and financial clearance activities.

• Serve as the primary escalation point for complex authorization issues, payer disputes, peer-to-peer reviews, and treatment-related access concerns.

• Lead continuous improvement initiatives focused on reducing treatment delays, improving patient experience, increasing authorization approval rates, and minimizing preventable denials

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Nursing, or related field preferred.

• Minimum five (5) years of healthcare prior authorization, financial clearance, patient access, or revenue cycle experience preferred

• Minimum two (2) years of leadership, supervisory, or team lead experience in a healthcare setting preferred

• Oncology, infusion, radiation oncology, specialty pharmacy, or multi-specialty authorization experience strongly preferred.

• Extensive knowledge of medical oncology treatment regimens, radiation oncology services, imaging, genetic testing, surgical procedures, and specialty referrals.

• Strong understanding of Medicare, Medicaid, commercial payer, HMO, IPA, and delegated authorization requirements.

• Experience managing prior authorization workflows, referral management, medical necessity review, and payer compliance.

• Proven ability to reduce authorization-related denials, treatment delays, and revenue risk through effective operational oversight.

What is expected of you and others at this level

• Experience developing, monitoring, and reporting operational KPIs, productivity metrics, quality audits, and performance dashboards.

• Strong analytical, problem-solving, and process improvement skills with the ability to identify trends and implement corrective actions.

• Excellent leadership, coaching, performance management, and employee development skills.

• Ability to effectively manage workload prioritization in a fast-paced oncology environment with competing patient care and payer deadlines.

• Strong communication and relationship-building skills with physicians, clinical staff, executives, payers, and external partners.

• Proficiency with electronic health records (EHRs), practice management systems, authorization platforms, Microsoft Excel, and reporting tools.

• Demonstrated commitment to compliance, regulatory requirements, patient-centered care, and operational excellence.

• Preferred certifications include CRCR, CHAM, CPAR, CPC, or other revenue cycle, reimbursement, or healthcare access certifications.

Anticipated salaryrange: $76,700.00 - $98,460.00

Bonus eligible: No

Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

• Medical, dental and vision coverage

• Paid time off plan

• Health savings account (HSA)

• 401k savings plan

• Access to wages before pay day with myFlexPay

• Flexible spending accounts (FSAs)

• Short- and long-term disability coverage

• Work-Life resources

• Paid parental leave

• Healthy lifestyle programs

Application windowanticipatedto close:11/16/2026 if interested in opportunity, pleasesubmitapplication as soon as possible.

The salaryrange listed is an estimate. Pay at Cardinal Health isdeterminedby multiple factors including, but not limited to, a candidate27s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

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