Team Leader – Prior Authorization (Medications)

At Ubiquity, we live and breathe our mantra: Head, Heart, Hustle. This isn’t just a philosophy—it’s the foundation of who we are and what we do. As a Team Leader, you’ll embody this mantra every day, delivering exceptional service with expertise, empathy, and a drive to succeed.

What You’ll Do:

Our company is seeking experienced Team Leaders for our Prior Authorization operations team in our Southwoods, Binan, Laguna office. This role is ideal for someone with strong leadership capability, hands-on experience in healthcare prior authorization (especially medications), and a solid understanding of operational performance management.

The Team Leader will play a critical role in ensuring team performance, quality compliance, and efficient workflow execution while supporting continuous improvement in prior authorization processes.

• Key Responsibilities

  • Lead and manage a team of Prior Authorization agents to meet or exceed defined KPIs through regular coaching, mentoring, and performance feedback.

  • Ensure agents are properly trained and updated on payer requirements, clinical guidelines, workflows, and system/process changes related to medication prior authorizations.

  • Conduct regular performance reviews, business reviews, and one-on-one coaching sessions to drive continuous improvement.

  • Provide floor support as a subject matter expert in prior authorization policies, payer rules, and medication approval workflows; handle escalations when necessary.

  • Monitor and manage work queues to ensure timely submission and follow-up of prior authorization requests in coordination with operations leadership and support teams.

  • Prepare and submit required operational reports, including but not limited to KPI dashboards, performance scorecards, trend analysis, and case reviews.

  • Participate in internal/external calibration sessions, client discussions, and operational alignment meetings.

  • Support administrative tasks and other responsibilities as assigned by management.

  • Act as a liaison between agents, management, and HR for escalations related to employee relations, benefits, and workplace concerns.

  • Drive engagement initiatives such as team-building activities and performance-based incentive programs in alignment with company policies.

  • Ensure strict adherence to company policies, compliance requirements, and quality standards in prior authorization processing.
    
    
    
    

What We’re Looking For:

• Minimum 1+ year of recent experience in Prior Authorization (medications) is required.

• At least 2 years of experience in Customer Support and Healthcare Operations

• Minimum 2 years of experience in a supervisory or team lead role.

• Proven experience managing teams of 10 or more members.

• Familiarity with prior authorization workflows, payer guidelines, and medication approval processes is highly preferred.

• Experience using Athenahealth (Athena) or CoverMyMeds is a strong advantage.

• Strong proficiency in PC-based systems, internet tools, and reporting applications.

• Ability to handle confidential and sensitive healthcare information in compliance with regulations.

• Strong analytical skills with the ability to prioritize tasks, manage workload effectively, and drive results.

• Excellent leadership, communication, and decision-making skills.
  
  

Why Join Us?

Head: Access to career development programs that help you grow professionally and personally.

Heart: Be part of a people-first culture that values your contributions and supports your aspirations.

Hustle: Thrive in a dynamic, fast-paced environment where your hard work and dedication are celebrated.

At Ubiquity, we’re more than a workplace—we’re a community that’s invested in your success. If you’re ready to make an impact and grow with us, apply now and experience how we bring Head, Heart, and Hustle to life every day.

Apply today and start your journey with Ubiquity!