Navitus Health Solutions, LLC

Supervisor, Prior Authorization

Location US-
ID 2025-5128
Category
Customer Service/Support
Position Type
Full-Time
Remote
Yes

Company

Lumicera

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 https://employees-navitus.icims.com/ to be considered for internal opportunities.

Pay Range

USD $55,151.00 - USD $66,447.00 /Yr.

Work Schedule Description (e.g. M-F 8am to 5pm)

M-F 7am to 7pm CT

Remote Work Notification

ATTENTION: Lumicera is unable to offer remote work to residents of Alabama, Alaska, Connecticut, Delaware, Hawaii, Iowa, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, Nebraska, New Hampshire, New Mexico, North Dakota,Rhode Island, South Carolina, South Dakota, Vermont, West Virginia, and Wyoming.

Overview

Due to growth, we are adding a Prior Authorization Supervisor to our Pharmacy Patient Services department.

 

Under direction from the Assoc. Manager, Specialty Pharmacy Services and pharmacists in the Specialty Pharmacy, the Supervisor, Prior Authorization is primarily responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Supervisor, Prior Authorization leads a team of pharmacy technicians involved in specialty pharmacy patient services. The Supervisor, Prior Authorization, is also responsible for answering phone calls, contacting providers, and patients via fax or phone or other communication means. Participate in meetings, work groups and work to increase workflow efficiency relating to prior authorization support. The Supervisor, Prior Authorization, may also be responsible for ensuring that all pertinent patient information is contained within the record. This position will function with and assist any other area in the facility as needed with regard to pharmacy technician type duties.

 

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team? 

  • Assists in workflow balancing and process improvement
  • Responsible for answering the inbound calls from patients, prescribers, and other healthcare professionals
  • Responsible for contacting doctors to obtain necessary information
  • Responsible for managing the assigned workflow queues
  • Responsible for accurate and thorough documentation of patient, prescription, and order information and set up
  • The Employee will act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Thus, legal and ethical compliance is an essential duty of each employee
  • Other duties as assigned

Qualifications

What our team expects from you?

  • High school diploma or GED required
  • Bachelors or Associates Degree preferred
  • CphT preferred
  • Minimum two years pharmacy support experience or healthcare environment experience preferred
  • Ability to work scheduled hours, shifts may vary based on department needs. Hours of operation are 8am to 7pm Monday thru Thursday and 8am to 6pm on Friday
  • 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

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.