Supervisor, Patient Care

Lumicera; Trenton (NJ); Remote; USD 70,000 - 90,000; Full time

Benefits offered by this job

Health benefits

Paid time off

Parental leave

401K match

Adoption assistance

Flexible Spending Account

Educational assistance

Referral bonus

Job summary

Lumicera Health Services seeks a Supervisor, Patient Care (SPC) to lead the Patient Care Assistant staff and ensure service levels and performance metrics are met. The role focuses on disseminating information, monitoring workflows, and driving improvements across the department.

The SPC will coordinate training, manage disciplinary steps, and maintain knowledge of pharmacy processing software andLumicera systems while supporting interdepartmental collaboration.

Qualifications

• High school diploma or GED required; degree preferred
• 2 years' experience in managed care, specialty pharmacy, customer service, or PBM environment
• Call center experience preferred
• Leadership or mentoring experience preferred
• Pharmacy claim/benefit experience preferred
• HIPAA and data privacy knowledge preferred

Responsibilities

• Ensure daily workload standards are met and direct staff accordingly
• Identify and remove barriers to achieve goals
• Review client transitions and changes in volume with clear scripting/resources
• Share information timely to staff
• Ensure staff comprehension through feedback/observation
• Lead day-to-day department staff, set quality metrics
• Perform quality monitoring of staff
• Facilitate training and development
• Manage disciplinary process per policies
• Document training, reviews, and feedback with Specialists
• Coach and develop staff for outstanding results
• Coordinate with hiring/temp agencies
• Escalate call/department issues promptly
• Triage service/technical issues to resolution
• Coordinate pharmacist triage as appropriate
• Keep resources current and clear
• Maintain pharmacy processing and scheduling systems
• Travel up to 5%
• Other duties as assigned

Skills

Staff leadership

Customer service

Call center experience

Pharmacy knowledge

Training and development

Education

High school diploma or GED

Associate or Bachelor's degree preferred

CPhT preferred

Tools

Pharmacy processing software

Lumicera claims software

Scheduling software

Job description

Overview

Lumicera Health Services is seeking a Supervisor, Patient Care (SPC) to join our team!

The Supervisor, Patient Care (SPC) is responsible for day-to-day leadership/support of Patient Care Assistant staff members. The Supervisor is responsible for disseminating information through proper media channels and ensuring staff comprehension. The SPC will assist with analyzing, monitoring, and implementing change as necessary to ensure the staff consistently meet performance metrics and deliver superior service to internal and external goals and guarantees. The SPC will remain informed of current and anticipated client or contractual requirements, changes facing the department and assist or lead interventions or changes as directed.

Is this you? Find out more below!

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, Lumiceras 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

  Navitus Health Solutions is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status or any other characteristic protected by law.

  Equal employment opportunity, including veterans and individuals with disabilities.