Remote Prior Authorization Lead & Team Coach

Lumicera; Olympia (WA); Remote; USD 60,000 - 80,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

PTO 20 days

Job summary

Lumicera is expanding its Prior Authorization team and seeks a Specialist III to lead day-to-day operations, coach staff, and drive key performance indicators for provider and patient satisfaction.

The role focuses on triaging and processing prior authorizations, collaborating with providers and insurance companies, and training teammates on tools like RxVector, NCRX, Lighthouse, Banjo, Cover My Meds. Remote-friendly with strong teamwork.

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.
• Participate in, adhere to, and support compliance program objectives.
• 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

Interpersonal skills

Team collaboration

Education

High School diploma or GED

National CPhT registration/licensure

Job description

Lumicera is expanding its Prior Authorization team and seeks a Specialist III to lead day-to-day operations, coach staff, and drive key performance indicators for provider and patient satisfaction.

The role focuses on triaging and processing prior authorizations, collaborating with providers and insurance companies, and training teammates on tools like RxVector, NCRX, Lighthouse, Banjo, Cover My Meds. Remote-friendly with strong teamwork.