Senior Prior Authorization Lead - Remote

Lumicera; Lansing (MI); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

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-M

Referral Bonus Program – up to $750

Job summary

Lumicera is seeking a Specialist III, Prior Authorization to join our team. This role coordinates day-to-day Prior Authorization operations under the Supervisor and leads by example to drive team success, patient/provider satisfaction, and continual workflow improvements.

You will guide associates, train on tools like RxVector, and assist providers and insurers in triaging authorizations for specialty pharmacy patients.

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 KPI 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
• 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

Pharmacy support

Healthcare experience

Interpersonal cooperation

Compliance participation

Education

High School diploma or GED

Tools

RxVector

NCRX

Lighthouse

Banjo

Cover My Meds

Phone platforms

Job description

Lumicera is seeking a Specialist III, Prior Authorization to join our team. This role coordinates day-to-day Prior Authorization operations under the Supervisor and leads by example to drive team success, patient/provider satisfaction, and continual workflow improvements.

You will guide associates, train on tools like RxVector, and assist providers and insurers in triaging authorizations for specialty pharmacy patients.