Remote Prior Authorization Lead – Specialist III

Lumicera; City of Albany (NY); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off (20 days)

Parental leave (4 weeks)

401K with company match

Adoption Assistance

Flexible Spending Account

Educational Assistance

Referral Bonus Program

Job summary

Lumicera is expanding and seeks a Specialist III, Prior Authorization in a remote capacity within the United States. The role focuses on coordinating the Prior Authorization team and delivering high-quality support to providers and patients.

The candidate will train staff, triage complex cases, optimize workflows, and ensure adherence to compliance and quality standards. Strong collaboration and communication are essential.

Qualifications

• High School diploma or GED required.
• National CPhT and/or registration/licensure required per state.
• 2+ years pharmacy support or healthcare environment experience.
• Must participate in, adhere to, and support compliance program objectives.
• Ability to interact cooperatively and respectfully with coworkers.

Responsibilities

• Coordinate and direct day-to-day operations of the Prior Authorization team.
• Lead by example with subject matter expertise and coaching.
• Assist providers and insurance companies with triaging prior authorizations.
• Educate and assist Lumicera areas related to prior authorization duties.
• Provide daily support for new and established associates and answer day-to-day questions.
• Support compliance and diversity, equity, and inclusion program objectives.
• Other duties as assigned.

Skills

Teamwork

Effective communication

Education

CPhT certification/registration

Job description

Lumicera is expanding and seeks a Specialist III, Prior Authorization in a remote capacity within the United States. The role focuses on coordinating the Prior Authorization team and delivering high-quality support to providers and patients.

The candidate will train staff, triage complex cases, optimize workflows, and ensure adherence to compliance and quality standards. Strong collaboration and communication are essential.