Remote Patient Care Supervisor: Lead & Coach

Navitus Health Solutions, LLC; Maryland City (MD); A distancia; USD 54.000 - 65.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

Dental insurance

Vision insurance

Paid time off

Parental leave

401K match

Adoption Assistance

Flexible Spending Account

Educational assistance

Professional membership assistance

Referral bonus

Descripción de la vacante

Lumicera Health Services is seeking a capable leader to guide pharmacy operations in a remote-capable role. You will manage daily staffing, QA, and client transitions while ensuring compliance with HIPAA and PBM practices.

Join a team focused on transparency and patient well-being, with a strong benefits package and opportunities for development. Remote work is offered to multiple US states.

Formación

• 2 years’ experience in a managed care, specialty pharmacy, customer service, or PBM environment.
• Experience in a call center environment preferred.
• Knowledge of HIPAA and applicable data privacy practices preferred.
• CPhT preferred.

Responsabilidades

• Ensure daily workload standards are met by understanding current workflow/scheduling needs and plans and ensuring direction to staff supports workflow/scheduling goals.
• Identify and remove barriers that prevent goals from being achieved.
• Review client transitions and changes in volume; ensure scripting and resources are clear.
• Ensure all information impacting staff is shared timely and in an appropriate way.
• Ensure staff comprehension by requesting feedback or through observation.
• Responsible for day-to-day leadership/support of department staff.
• Participate in setting and enforcing appropriate quality metrics for staff.
• Perform periodic quality monitoring of staff.
• Facilitate training/development needs for individuals and department.
• Manage disciplinary process as outlined in department/company policies.
• Consistently document and retain records of all training, reviews, and feedback with Specialists.
• Coach, motivate and develop staff to produce outstanding results.
• Communication and coordination with hiring/temp agencies.
• Act as a prompt escalation resource for calls or department issues or supervisor calls.
• Triage service and technical issues to resolution and educate staff of cause/resolution throughout.
• Conduct appropriate triage to pharmacist staff members, as appropriate.
• Ensure resources available to staff are current and clear through regular maintenance.
• Maintain technical knowledge of the pharmacy processing software, Lumicera’s claims processing software, phone system, quality monitoring and tracking tools, scheduling software, reporting suite, knowledge management application, and other applications and tools as applicable.
• Ability to travel 5% of the time.
• Other duties as assigned.

Conocimientos

Leadership experience

Customer service

Call center experience

Pharmacy claim/benefit experience

HIPAA knowledge

Educación

High school diploma or GED

CPhT preferred

Associate or Bachelor’s degree preferred

Herramientas

Pharmacy processing software

Descripción del empleo

Lumicera Health Services is seeking a capable leader to guide pharmacy operations in a remote-capable role. You will manage daily staffing, QA, and client transitions while ensuring compliance with HIPAA and PBM practices.

Join a team focused on transparency and patient well-being, with a strong benefits package and opportunities for development. Remote work is offered to multiple US states.