Supervisor, Patient Care

Navitus Health Solutions, LLC; Minnesota; 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 company match

Adoption Assistance Program

Flexible Spending Account

Educational assistance

Professional membership assistance

Referral bonus program

Descripción de la vacante

Lumicera Health Services in the United States is seeking a supervisory leader for the care coordination team. You will guide daily operations, monitor quality, coach staff, and ensure efficient patient service while aligning with department policies.

This role involves hands-on leadership in a remote-friendly environment, with a strong emphasis on compliance, claims processing knowledge, and cross-functional collaboration. A background in managed care or PBM is preferred.

Formación

• High school diploma or GED required; Associate or Bachelor’s degree preferred.
• CPhT preferred.
• 2 years’ experience in managed care, specialty pharmacy, customer service, or PBM.
• Call center experience and leadership experience preferred.
• Pharmacy claim/benefit knowledge and HIPAA/data privacy familiarity.

Responsabilidades

• Meet daily workload standards and align staffing with workflow goals.
• Identify and remove barriers to achieve objectives.
• Review client transitions and volume changes; ensure clear scripting and resources.
• Share information with staff promptly and clearly.
• Coach, motivate and develop staff to achieve outstanding results.
• Lead day-to-day department supervision and quality metrics.
• Coordinate with staffing agencies and escalate issues when needed.
• Maintain up-to-date knowledge of pharmacy processing software and tools.

Conocimientos

2 years experience

Call center experience

Leadership coaching

HIPAA knowledge

Pharmacy claim/benefit experience

CPhT preferred

Educación

High school diploma or GED

Associate or Bachelor’s degree preferred

Pharmacy Technician certification (CPhT) preferred

Herramientas

Pharmacy claims processing software

Lumicera claims system

Descripción del empleo

CompanyLumicera About Us Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. ._____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________.

Current associates must use SSO login option at to be considered for internal opportunities. ______________________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.

Pay Range USD $54,236.00 - USD $64,567.00 /Yr. STAR Bonus % (At Risk Maximum)10.00 - Pharm, Supvr, AsMgr, SrCSEII, PrgMgr, SrPrgMgr, SrProdMgr Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm) Remote Work Notification ATTENTION: Lumicera is only able to offer remote work to residents of Arizona, Alabama, Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin Overview

Responsibilities

How do I make an impact on my team?

• 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.

Qualifications

What our team expects from you?

• High school diploma or GED required. Associate or Bachelor’s degree preferred.
• CPhT preferred.
• 2 years’ experience in a managed care, specialty pharmacy, customer service, or PBM environment required.
• Experience in a call center environment preferred.
• Direct leadership or coaching / mentoring experience preferred.
• Pharmacy Claim / benefit experience preferred.
• Knowledge of industry practices, HIPAA, and applicable data privacy practices preferred.
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Lumicera?

• Top of the industry benefits for Health, Dental, and Vision insurance

• 20 days paid time off

• 4 weeks paid parental leave

• 9 paid holidays

• 401K company match of up to 5% - No vesting requirement

• Adoption Assistance Program

• Flexible Spending Account

• Educational Assistance Plan and Professional Membership assistance

• Referral Bonus Program – up to $750!

#LI-Remote

Location : Address Remote Location : Country US