Remote Lead: Prior Authorization Specialist III

Lumicera; Madison (WI); Remote; USD 65,000 - 85,000; Full time

Benefits offered by this job

Health insurance

Paid time off: 20 days

Parental leave: 4 weeks

9 holidays

401K match up to 5%

Adoption Assistance

Flexible Spending Account

Educational assistance

Referral bonus up to $750

Job summary

Lumicera is seeking a Specialist III, Prior Authorization to lead and coordinate the Prior Authorization team. This role focuses on coaching teammates, achieving KPI goals, and improving workflows while supporting providers and patients.

The position involves acting as a point of escalation, training staff on core duties, and collaborating with Lumicera leadership to optimize prior authorization processes nationwide.

Qualifications

• High School diploma or GED is required.
• National CPhT registration or licensure per state requirements.
• 2+ years of pharmacy support or healthcare experience.
• Commitment to compliance programs and respectful teamwork.

Responsibilities

• Lead and coordinate day-to-day Prior Authorization operations.
• Coach and train Specialists on core responsibilities and tools.
• Assist in triaging prior authorizations for patients and providers.
• Identify workflow improvements and report to leadership.
• Support new protocols and day-to-day operations questions.

Skills

Pharmacy support

Healthcare experience

Team coaching

Education

High School diploma or GED

CPhT certification/registration

Tools

RxVector

NCRX

Lighthouse

Banjo

Cover My Meds

Job description

Lumicera is seeking a Specialist III, Prior Authorization to lead and coordinate the Prior Authorization team. This role focuses on coaching teammates, achieving KPI goals, and improving workflows while supporting providers and patients.

The position involves acting as a point of escalation, training staff on core duties, and collaborating with Lumicera leadership to optimize prior authorization processes nationwide.