Supervisor, Referrals

Accountabilities:: Referral and Authorization Oversight: Supervise the processing of referrals and authorizations, monitoring team activities to ensure work is completed accurately, efficiently, and in accordance with established performance standards. Team Coordination: Serve as a resource for associates by coordinating referral and authorization activities, answering operational questions, and helping the team navigate process-related challenges. Workload Management: Prioritize and distribute caseloads among team members to optimize available resources, maintain appropriate workloads, and support consistent service levels. Operational Continuity: Implement contingency operations and adjust team priorities as needed to maintain performance standards during changing volumes, staffing challenges, or other operational disruptions. Issue Resolution: Research and resolve complex issues related to referrals and authorizations, identifying appropriate solutions and communicating relevant information to team members and stakeholders. Training and Development: Facilitate required training for non-clinical associates and provide ongoing coaching to strengthen performance, knowledge, and professional capabilities. Performance Management: Support associate development and future growth opportunities through regular coaching, feedback, performance management plans, and guidance on professional objectives. Requirements: Supervisory Experience: At least 3 years of supervisory, management, or Team Lead experience , with demonstrated ability to coordinate workloads, support employees, and manage team performance. Referral and Authorization Expertise: At least 5 years of experience in referral and authorization management , with strong knowledge of related processes, workflows, and operational requirements. TRICARE Experience: Previous or current TRICARE experience is required. Government Contract Eligibility: Must be a U.S. citizen due to the requirements of the applicable Department of Defense contract. Security Clearance: Must be able to successfully receive interim approval for a government security clearance through the National Background Investigation Services (NBIS). Geographic Eligibility: Candidates must not currently reside in Puerto Rico due to the requirements of the applicable government contract. Leadership and Communication: Strong organizational, problem-solving, communication, and interpersonal skills, with the ability to coach associates, resolve operational issues, and coordinate competing priorities. Remote Work Readiness: Ability to work independently from a dedicated workspace that protects confidential member and healthcare information, with reliable internet connectivity of at least 25 Mbps download and 10 Mbps upload . Travel Flexibility: Although the position is remote, occasional travel to company offices for training or meetings may be required. Benefits: Competitive Compensation: Annual base salary range of $71,100–$97,800 , with actual compensation varying based on geographic location, experience, education, certifications, knowledge, and job-related skills. Bonus Eligibility: Opportunity to participate in a bonus incentive plan based on organizational and/or individual performance. Remote Work: Full-time remote position with work-from-home flexibility. Healthcare Benefits: Medical, dental, and vision coverage designed to support employees and their families. Retirement Benefits: Access to a 401(k) retirement savings plan . Paid Time Off: Paid time off, company and personal holidays, and paid parental and caregiver leave. Protection Benefits: Short-term and long-term disability coverage and life insurance. Professional Development: Opportunities to coach and develop team members while building leadership and operational expertise in healthcare referral and authorization management.