Prior Authorization Jobs in Minnesota (NOW HIRING)

Surescripts serves the nation through simpler, trusted health intelligence sharing, in order to increase patient safety, lower costs and ensure quality care. We deliver insights at critical points of care for better decisions - from streamlining prior authorizations to delivering comprehensive medication histories to facilitating messages between providers.
Job Summary
The VP Product Innovation - Prior Authorization creates and oversees the product strategy, Go-To-Market planning, product roadmap, and lifecycle of an assigned solution portfolio, including solutions related to electronic prior authorization (ePA) and specialty pharmacy, in close collaboration with Product Platform, Sales, Marketing, Architects/Engineering and other administrative and operational teams within Surescripts. The incumbent executes the business plan and the short- and long-term growth strategy of the incumbent's portfolio of products and capabilities in the market to achieve financial, operational, and market success, with a focus on advancing connectivity, efficiency, and patient access across payer, provider, and pharmacy ecosystems. The VP Product Innovation directs the end-to-end leadership of new and existing products from inception through all phases of the products' lifecycle including complex workflows supporting prior authorization. The incumbent focuses on meeting the needs of the end users and the operational aspects of the portfolio.
Responsibilities

• Create and manage the financial operations of the assigned solution portfolio, including budgeting, forecasting, and financial planning.
• Serve as the primary business leader for the assigned solution portfolio to the Executive Team and occasionally Board of Directors, on business strategy, operations, and metrics.
• Market and lead customer stakeholder relations to support selling, managing customers and partners, and representing their solution portfolio in the industry.
• Develop business cases, new innovations, and value propositions for new solutions to extend the solution portfolio.
• Stay informed and influence regulatory and compliance matters that relate to the success of the solution portfolio.
• Collaborate within Product Innovation and Growth/Strategy, Finance, Marketing, Legal on the success of the solution portfolio.
• Recruit, onboard, train and provide leadership to team members supporting the portfolio.
• Work collaboratively with Surescripts Data & Analytics team to operate and devise new commercial solutions.

Qualifications
Basic Requirements:

• Bachelor's degree or equivalent experience.
• 12+ years of experience in related, progressive roles.
• 5+ years of experience working in health IT, PBM, pharmacy, payer, or healthcare-related field.
• Demonstrated experience with electronic prior authorization (ePA) solutions, ideally including experience supporting specialty pharmacy workflows and use cases.
• 7+ years of people management experience or experience in roles showing progressive leadership.
• 5+ years of experience directly managing the overall success of a product or line of business.

Preferred Qualifications:

• Advanced degree in business, marketing or computer science.
• Experience in a multi-sided network business.
• Deep familiarity with specialty pharmacy operations, including prior authorization complexities, payer-provider-pharmacy interactions, and patient access workflows.

Surescripts embraces flexibility through its Flexible Hybrid Work model for most positions. This model allows employees to work virtually while still utilizing our offices as collaboration centers. With alignment and agreement from your leadership, you can come and go from the office as needed .
To be considered for employment, applicants must have a valid U.S. work authorization allowing work without restrictions with Surecripts in the U.S. At this time, we are unable to provide support or provide sponsorship for immigration benefits such as work visas. Additionally, we do not participate in academic training programs or work-study programs through an academic institution that require employer endorsement of F-1/CPT or F-1/STEM.
What You're Like
Better care experiences. Improved outcomes. Reduced costs. These are what our customers care about. And you're ready to step into a key role as part of the solution, innovating unmatched solutions that solve some of the largest challenges in healthcare today, not just for our customers' benefit, but for patients and the people who care for them across the country.
What We're Like
Ours is a diverse team of leaders who execute customer-obsessed business strategy. If we had to choose just one thing that we all have in common, it's curiosity. Curiosity drives our understanding of health IT as we translate exciting concepts into actionable build requirements. We know what it takes to get new products to market.
What the Work is Like
This work has far-reaching impact, affecting healthcare nationwide. Through user-centered design philosophy and iterative innovation, we leverage open and trusted relationships with our partners to get at our customers' unmet needs throughout the product life cycle.
Why Wait? Apply Now
We're a midsize company. This means you're not just another employee ID number. Here, you can build real relationships and feel supported by truly awesome people with diverse backgrounds and talents in an innovative and collaborative work culture. We strive to create an environment where you can be yourself, share your ideas and work your way. We offer opportunities for employee development, as well as competitive compensation packages and extensive benefits.
At Surescripts, base pay is one part of our Total Rewards Package (which may also include bonus, benefits etc.) and is determined within a range. The base pay range for this position is $281,900 - $344,500 per year. Your base pay may vary within or outside of this range depending on a number of factors, including (but not limited to) your qualifications, skills, experience, and location.
Benefits include, but are not limited to, comprehensive healthcare (including infertility coverage), generous paid time off including paid childbirth and parental leave and mental health days, pet insurance, and 401(k) with company match and immediate vesting. To learn more, review the Keep You and Yours Healthy, Balancing Work and Life, and Where Talent Takes Shape links under the Better Benefits. Better Work. Better Life section of our careers site.
Physical and Mental Requirements
While performing duties of this job, an employee may be required to perform any, or all of the following: attend meetings in and out of the office, travel, communicate effectively (both orally and in writing), and be able to effectively use computers and other electronic and standard office equipment with, or without, a reasonable accommodation. Additionally, this job requires certain mental demands, including the ability to use judgement, withstand moderate amounts of stress and maintain attention to detail with, or without, a reasonable accommodation.
Surescripts is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate on the basis of race, color, religion, age, national origin, ancestry, disability, medical condition, marital status, pregnancy, genetic information, gender, sexual orientation, parental status, gender identity, gender expression, veteran status, or any other status protected under federal, state, or local law.
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