Prior Authorization Team Lead (Remote) | Coach & Ops

Lumicera; Des Moines (IA); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

Paid time off (20 days)

Parental leave (4 weeks)

Paid holidays (9)

401K match up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance & Professional-

Referral Bonus up to $750

Job summary

Lumicera is seeking a Specialist III, Prior Authorization to lead and coordinate the Prior Authorization team within our organization. This role focuses on providing subject matter expertise, coaching teammates, and driving key performance indicators to improve provider and patient satisfaction.

The successful candidate will triage prior authorizations, mentor staff, and partner with other Lumicera teams to resolve operational challenges, ensuring optimal patient outcomes and efficient workflows

Qualifications

• High School diploma or GED required.
• National CPhT and/or registration/licensure required per associate's residing state's requirements.
• 2+ years pharmacy support experience or healthcare environment experience required.
• The ability to consistently interact cooperatively and respectfully with other employees.

Responsibilities

• Cultivate a dynamic team environment for the Prior Authorization team that is engaging, supportive, positive and forward thinking
• Communicate effectively with the prior authorization team to assign daily tasks, provide guidance in complex problem-solving scenarios, and drive accountability on overall team key performance indicator goals
• Serve as a trainer for new and existing Prior Authorization Specialists on core job responsibilities to fulfill the needs of the patient and providers related to prior authorizations.
• Identify and present opportunities for workflow and process improvement to direct supervisor and/or Lumicera leadership
• Provide daily support for new and established associates, i.e. making sure they understand new protocols, workflows, assist in the promulgation of information, answering day-to-day operations questions
• Responsible for assisting in prior authorization workflow when needed with phones and work queues related to patients, prescribers, and other healthcare professionals
• Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives
• Other duties as assigned

Skills

Pharmacy support experience

Cooperative communication

Team leadership

Education

High School diploma or GED

National CPhT and/or licensure

Tools

RxVector

NCRX

Lighthouse

Banjo

Cover My Meds

Phone platforms

Job description

Lumicera is seeking a Specialist III, Prior Authorization to lead and coordinate the Prior Authorization team within our organization. This role focuses on providing subject matter expertise, coaching teammates, and driving key performance indicators to improve provider and patient satisfaction.

The successful candidate will triage prior authorizations, mentor staff, and partner with other Lumicera teams to resolve operational challenges, ensuring optimal patient outcomes and efficient workflows