Drimva

Oscar Health

Clinical Pharmacist Supervisor - Prior Authorization

$122K–$178K

New York, New York, United States +1 · Full-time · Posted Sep 8, 2026

Location
New York, New York, United States
Arizona, United States
Experience
4+ years in managed care performing clinical review/utilization management; 1+ year(s) of people or project management experience.
Education
Doctor of Pharmacy Degree.

About the job

Supervises pharmacists conducting clinical review of prior authorizations and appeals, ensuring efficient operations, team development, and evidence-based decisions.

What you'll do

  • Manage workflows, queue monitoring, scheduling, and team performance through coaching, reviews, and cross-training.
  • Review and resolve complex prior authorization cases and appeals, and collaborate on quality audits and follow-up coaching.
  • Improve operational processes and develop team job aids and training resources with cross-functional partners.

What they ask for

  • Doctor of Pharmacy Degree.
  • Active, unrestricted pharmacist license.
  • 4+ years of experience in managed care performing clinical review/utilization management.
  • 1+ year(s) of people or project management experience.

Nice to have

  • Experience managing a team of clinical pharmacists performing clinical review/utilization management operations.
  • Experience developing and managing key performance indicators/metrics for an operational team.

Pay

$135,792.00 - $178,227.00 per year base salary; $122,212.00 - $160,404.00 per year base salary

Model-written summary · the original posting is authoritative

First seen Oct 27, 2026 · Last verified Nov 6, 2026 (UTC)