Prior Authorization Jobs in Spring, TX (NOW HIRING)

Application Deadline: Ongoing until positions are filled.

to apply, please visit the TP Careers site at https://www.tp.com/en-us/careers.

About TP

TP is a leading global provider of digital business services. We partner with the world's most prominent brands to optimize operations through advanced technology and sustainable business practices. With a global workforce of 500,000 across 300 languages, we are a force for good in our communities and for our clients.

Benefits of working with TP include

TP offers benefits to you and your family. Eligible team members can take advantage of our comprehensive health benefits, which may include medical, vision, and dental.

We invest in and prioritize the mental health and well-being of our team members by providing resources, including Employment Assistance Programs, space in the form of health and personal time off (HPT), and leave programs as eligible.

We offer benefits and tools to help our team members and their families for their financial future. This includes offering competitive 401(K) plans, life insurance, supplemental medical coverage, critical care insurance, pet insurance, FSA plans, and retailer discounts.

Career Growth and Culture

At TP, we prioritize a culture of inclusion and diversity where every employee feels valued. We provide a platform for limitless career advancement, fostering an environment where ambition and high performance lead to long-term success. 

TP is committed to supporting those who serve. We welcome applications from active-duty service members, veterans, and military families. 

Equal Opportunity Employer 

TP is an Equal Opportunity Employer. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 

If you require reasonable accommodation during the application process, please contact us at 877-877-3944 or contact us here.  Please note, this contact channel is not a means to apply for or inquire about a position and we are unable to respond to non-accommodation-related requests.

• Knowledge of insurance verification workflows
• Understanding of payer rules and coverage determination
• Experience managing authorization/prior authorization processes
• Familiarity with specialty pharmacy, healthcare, or pharmacy benefit environments
• Experience leading teams that support patient access or reimbursement services
• Experience leading supervisors and/or large frontline teams
• Proven ability to manage KPIs, quality, productivity, and customer experience
• Experience coaching leaders and holding performance discussions
• Ability to translate client goals into operational action plans strongly Preferred
• Experience managing end-to-end patient or member cases
• Ability to track work through completion and resolve barriers
• Understanding of case aging, escalation management, and follow-up processes
• Experience balancing productivity with quality and patient outcomes
• PBM, Specialty Pharmacy, Health Plan, Prior Authorization, Benefits Verification, Patient Support Program, Care Coordination, or Case Management operations
• HIPAA and compliance awareness
• Experience working with healthcare documentation and workflows

• Must have at least 6 months experience in benefits verification and or case management
• Flexible to work Monday-Friday and any 8 hours between 8:00AM-8:00PM EST
• Must be located in one of these states FL,TN,NJ,TX,MI, PA
• Must have time management skills, prioritize tasks and multi-task. Client ratio is 1:25, so ability to manage larger sized team
• Excellent organizational and time management skills.
• Excellent verbal and written communications skills.
• High level of expertise in company and client policies, tools, applications, and practices.
• Experience with creating or compiling reports using various sources of data.
• Must be extremely detail oriented with the ability to develop thorough corrective and preventative plans.
• Strong team building and leadership skills focused on production-oriented goals.
• Able to manage multiple priorities in an ever-changing environment.
• Excellent attendance history is required.
• Schedule based on business needs: Open Availability.
• Strong leadership skills.
• Must be able to complete background check

Required Skills

BEST Skills

Process Excellence

Collaboration

Communication

Emotional Intelligence

Open-Mindedness

Critical Thinking

Solution Orientation

Entrepreneurship

AI Proficiency

Data Literacy 

Be Part of Our TP Family

It is our mission to always provide an environment where our employees feel valued, inspired, and supported, so that they can bring their best selves to work every day. We believe that when employees are happy and healthy, they are more productive, creative, and engaged. We are committed to providing a workplace that is conducive to happiness and a healthy work-life balance. We also believe that to be our best selves, we need to be surrounded by people who are positive, supportive, and challenging. We are committed to creating a culture of inclusion and diversity, where everyone feels welcome and valued.