Senior Manager, Pharmacy Operations (Prior Authorization)
Pittsburgh · 5+ years experience · Posted Oct 13, 2026
At a glance
- Experience
- 5+ years experience
- Location
- Pittsburgh
About the role
- The Senior Manager, Pharmacy Operations (Prior Authorization) leads prior authorization production within a fast-growing hub pharmacy.
- This mid-senior level role involves managing day-to-day execution, building scalable processes, and developing high-performing hourly teams.
- The position requires balancing tactical execution with strategic thinking to evolve workflows and technology as the business scales.
Responsibilities
- Own end-to-end production performance for prior authorization workflows, ensuring consistent delivery against SLAs, turnaround time, quality, and productivity targets.
- Establish and evolve operating rhythms to manage volume variability, capacity planning, backlog health, and risk.
- Identify bottlenecks and failure points across people, process, and technology to drive scalable solutions.
- Hire, lead, and develop a high-performing hourly workforce, including front-line specialists and team leads.
- Set clear performance expectations and coach employees through regular 1:1s, real-time feedback, and structured performance management.
- Use performance data to drive staffing, scheduling, prioritization, and performance management.
- Own and continuously improve key operational metrics, including SLA attainment, cycle time, productivity, quality, rework, and attrition.
- Partner with Product and Engineering teams to improve workflows, tooling, automation, and system usability.
- Act as the voice of PA operations by documenting requirements, identifying impact, and validating solutions.
- Support pilots, launches, and change management efforts for new processes and technology.
Requirements
- 5+ years of managerial experience scaling operations/production in a start-up and/or high-volume/growth company.
- Bachelor’s degree in Business Administration, Operations Management, or a related field.
- Demonstrated success leading and developing high-performing hourly teams through hiring, coaching, and performance management.
- Experience owning and presenting SLAs, KPIs, key metrics, and operational reporting.
- Exceptional problem-solving skills and demonstrated experience delivering results using operational excellence best practice methodologies.
- Strong analytical mindset with experience using data to drive decisions and accountability.
- Proven ability to work cross-functionally with growth, product, and technology teams.
- Solid verbal and written communication skills.
- Ability to thrive in a dynamic, fast-paced environment and navigate ambiguity.
- Must reside locally in Pittsburgh, PA (Robinson Township) or be willing to relocate.
Preferred qualifications
- Healthcare tech, prior authorization, and/or pharmacy experience
- Lean/Six Sigma certification
- Experience using data analysis tools and BI platforms (e.g., Excel, SQL, Tableau)
Workplace
- This role is based in Pittsburgh, PA (Robinson Township).
Skills
- Operations Management
- Prior Authorization
- Capacity Planning
- Performance Management
- Data Analysis
- Lean
- Six Sigma
- Excel
- SQL
- Tableau
- Change Management
