Pharmacist Prior Authorization

Position Overview

Ann & Robert H. Lurie Children’s Hospital of Chicago, a 140-year legacy leader in pediatric care and ranked in all 10 specialties by U.S. News & World Report, is seeking a Clinical Prior Authorization Department (CPAD) Manager. This role drives the development and management of a program that ensures high quality, accurate, and efficient prior authorization services while promoting operational excellence and staff growth.

Key Responsibilities

• Develop and maintain a program for prior authorization in collaboration with Financial Clearance and Ambulatory Division Leadership.
• Manage day-to-day operations including staffing, scheduling, and performance oversight of CPAD employees.
• Coordinate with pharmacy teams and clinical staff to optimize workflow and ensure excellence in service delivery.
• Oversee recruitment, staff development, training, and performance evaluations.
• Implement process improvements, cost savings, and revenue enhancement strategies.

Required Qualifications

• Active Illinois Pharmacist License.
• Minimum 5 years of experience as a practicing pharmacist.
• At least 1 year of experience with specialty medications or direct prior authorization.
• Excellent communication, leadership, and analytical skills.

Preferred Qualifications

• Experience in Pharmacy Benefits Management.
• Background in commercial and/or Medicaid prescription drug plans or formularies.
• Experience in formulary management and comprehensive drug benefit strategies.

Benefits & Perks

• Medical, Dental, and Vision Insurance
• Employer-paid group term life, disability, and Health Savings Account contributions
• Paid Time Off (PTO), Paid Holidays, and Paid Parental Leave
• Retirement plans including a 403(b) with a 5% employer match
• Additional voluntary benefits such as Supplemental Life, AD&D, Disability, Critical Illness coverage, and more.

Compensation

• Salary: $135,200.00 - $223,080.00
• This range reflects competitive and fair compensation aligned with market rates and internal equity, along with a comprehensive rewards package.