Remote Prior Authorization Lead Specialist

Lumicera; Sacramento (CA); A distancia; USD 65.000 - 90.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health, Dental, Vision insurance

20 days paid time off

4 weeks paid parental leave

9 paid holidays

401K company match up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan and Pro Mp

Professional Membership assistance

Referral Bonus Program – up to $750

Descripción de la vacante

Lumicera is expanding its Prior Authorization team. This Specialist III role focuses on coordinating day-to-day operations, coaching teammates, and driving key performance indicators, provider and patient satisfaction, and workflow improvements.

You will assist providers and insurers, triage prior authorizations, and serve as a contact for escalations. Lumicera offers a comprehensive benefits package and remote-friendly work arrangements.

Formación

• High School diploma or GED.
• National CPhT and/or registration/licensure required per state.
• 2+ years pharmacy support experience or healthcare environment experience.
• Participate in, adhere to, and support compliance program objectives.
• The ability to consistently interact cooperatively and respectfully with other employees.

Responsabilidades

• Cultivate a dynamic team environment for the Prior Authorization team.
• Communicate daily tasks and guide problem-solving to hit KPI goals.
• Train new and existing specialists on core responsibilities (RxVector, NCRX, Lighthouse, Banjo, Cover My Meds).
• Identify workflow and process improvement opportunities for leadership.
• Provide daily support for associates, explaining new protocols and day-to-day questions.
• Assist in prior authorization workflow with phones and work queues for patients and providers.
• Participate in compliance and DEI program objectives.
• Other duties as assigned.

Conocimientos

CPhT certification

Pharmacy support

Team coaching

Educación

High School diploma or GED

Descripción del empleo

Lumicera is expanding its Prior Authorization team. This Specialist III role focuses on coordinating day-to-day operations, coaching teammates, and driving key performance indicators, provider and patient satisfaction, and workflow improvements.

You will assist providers and insurers, triage prior authorizations, and serve as a contact for escalations. Lumicera offers a comprehensive benefits package and remote-friendly work arrangements.