AbbVie

Supervisor, Insurance Analyst

AbbVie • $75K — $95K *
North Chicago, IL 60064In-Person
Healthcare
Less than 5 years of experience
Today
Be an Early Applicant
Job Overview by Ladders

Qualifications

  • Bachelor's or Associate Degree in health sciences or business preferred; relevant experience considered.
  • 3-5 years in healthcare with knowledge in reimbursement, billing, prior authorization, appeals, and specialty pharmacy operations.
  • 1-2 years supervisory experience in a healthcare insurance setting desired.
  • Strong technical skills; detail-oriented with in-depth knowledge of commercial and government pharmacy and medical insurance programs.
  • Demonstrated leadership and coaching skills with the ability to manage multiple priorities and meet timelines.
  • Professional written and verbal communication skills to build relationships across all organizational levels.
  • Proven organizational, time management, and problem-solving skills.

Responsibilities

  • Supervise the insurance analyst team in verifying patient insurance benefits and managing claim rejections.
  • Collaborate with team leads to adjust workloads to ensure timely task completion.
  • Monitor calls and case reviews to guarantee accuracy and excellent service; provide coaching as needed.
  • Handle administrative tasks related to scheduling, attendance, and employee issues for direct reports.
  • Utilize effective coaching to maintain a motivating and interactive team environment.
  • Meet department performance metrics and provide progress reports on goals and metrics.
  • Foster collaborative cross-functional relationships to enhance customer experiences for patients and healthcare providers.
  • Identify process improvements for increased operational efficiencies within the Pharmacy.

Benefits

  • Comprehensive package of benefits including medical/dental/vision insurance and 401(k).
  • Eligible for paid time off including vacation, holidays, and sick leave.
  • Opportunity to participate in short-term incentive programs.
Full Job Description
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.

Responsibilities
  • 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 solutions to challenging patient access issues regarding prior authorization, and denied coverage requests to ensure patient care.
  • 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 regularly with direct reports to provide direct feedback on their performance and progress against goals. Responsible for writing and communicating
    performance reviews.
  • Perform administrative tasks such as work hour scheduling, attendance monitoring and counseling, vacation request scheduling, and overtime scheduling. Participate in the hiring process and handle all employee issues for 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 accountability for the day-to-day execution of tasks and is responsible for providing periodic progress reports on goals and metrics. Provide activity metrics, status updates, and local payor intelligence information to management per established guidelines.
    Elevate issues as appropriate.
  • Consistently build and maintain collaborative relationships cross-functionally to ensure a seamless customer experience 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 local pharmacy 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
  • Bachelor's degree or Associate Degree in health sciences or business preferred. Comparable or relevant experience will be considered.
  • 3-5 years of experience in the healthcare industry with knowledge in reimbursement, billing, prior authorization, appeals, and specialty pharmacy operations
  • 1-2 years supervisory experience in a call center, large physician, managed care, or healthcare insurance setting desired
  • 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.

#LI-AL1

Additional Information

Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law:
  • The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this roleat the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on manyfactors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future.
  • We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees.
  • This job is eligible to participate in our short-term incentive programs.

Note: No amount of pay is considered to be wages or compensation until such amount isearned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that areallocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolutediscretion, consistent with applicable law.

About AbbVie

AbbVie develops pharmaceuticals and medical devices. They provide products and services to therapeutic areas including immunology, oncology, neuroscience, eye care, virology, women's health, and gastroenterology.

AbbVie Careers

Joining AbbVie means becoming part of a global team dedicated to making a remarkable impact on patients' lives. At AbbVie, our employees are united in the pursuit of groundbreaking innovation and are committed to transforming the future of healthcare with leading-edge science.

Work You’ll Do

At AbbVie, you’ll collaborate with some of the brightest minds in the industry to solve challenging problems that have a high impact on society. Our culture fosters growth and embraces leadership and diversity training, ensuring that every team member can thrive.

Explore Job Opportunities

AbbVie offers a wide range of job opportunities and career paths, providing a platform where professionals can propel their careers forward. From research and development to marketing and sales, the potential to make a significant impact is limitless.

Internship Programs

Kickstart your career with an AbbVie internship. Our programs provide invaluable industry experience and a chance to develop essential skills in a real-world setting. Interns at AbbVie are considered integral members of the team and are given tasks that are both challenging and rewarding.

Professional Growth and Development

We believe in nurturing our team's professional growth through comprehensive training programs, leadership development opportunities, and continuous learning. Our commitment to your career growth is reflected in our robust offerings that enhance your skills and knowledge.

Benefits and Culture

AbbVie is dedicated to supporting our employees' well-being both inside and outside of work. Our benefits package includes health, financial, and social benefits that are designed to support the diverse needs of our employees. Our inclusive culture encourages collaboration and innovation, fostering a workplace where all can excel.

Hiring Process

Our hiring process is designed to ensure a match that will be beneficial both for the company and for your career aspirations. From resume submission to interview, each step is an opportunity to showcase your skills and fit with the AbbVie team.

Networking and Career Advancement

At AbbVie, networking doesn’t just enhance your career; it propels it. We encourage our employees to engage internally and externally to build relationships that foster personal and professional growth.

Join Our Team

Search open positions that match your skills and interests. We are looking for passionate, curious, and innovative team players who are ready to make a difference.

Stay Connected

Keep up to date with career tips, insider perspectives, and industry-leading insights you can put to use today—all from the people who work here.

Job Alert Emails

Personalize your subscription to receive job alerts, latest news, and insider tips tailored to your preferences. Discover the exciting and rewarding opportunities that await at AbbVie.

Explore AbbVie Jobs

Whether you’re seeking to advance your career in a dynamic and empowering environment, or looking for a place where you can innovate, lead, and contribute to something bigger, AbbVie is the place for you. Join us in our mission to discover and deliver innovative medicines that solve serious health issues today and address the medical challenges of tomorrow.
Learn more about AbbVie
Size
50,000 employees
Market Cap
$288.5 billion
Industry
Pharmaceuticals & Biotech
Net Income
$4.6 billion
Founded
2013
5 Year Trend
+17%
Revenue
$45.8 billion
NASDAQ
ABBV
* Ladders Estimates

Similar Jobs

Ad banner background

Get Ready For Your
Next Interview

More Jobs at AbbVie

More Healthcare Jobs

Find similar Supervisor, Insurance Analyst jobs:

NationwideNorth Chicago, IL