Specialist III, Prior Authorization
Коротко о вакансии
Компания Lumicera, специализирующаяся на инновационных аптечных решениях, ищет специалиста по предварительному разрешению (Prior Authorization). В этой роли вы будете координировать повседневную работу команды, обучать коллег, помогать с получением информации и взаимодействием с поставщиками и страховыми компаниями. Важно иметь опыт работы в фармацевтике или здравоохранении, а также сертификацию CPhT или лицензию в зависимости от штата.
- Роль и уровень
- Специалист по предварительному разрешению, III уровень
- Формат работы
- Удалённая работа, полный день (M-F 8am to 5pm)
- География
- США, только для жителей следующих штатов: Аризона, Алабама, Арканзас, Калифорния, Колорадо, Флорида, Джорджия, Иллинойс, Индиана, Айова, Луизиана, Мэриленд, Мичиган, Миннесота, Миссури, Небраска, Невада, Нью-Джерси, Нью-Йорк, Северная Каролина, Огайо, Оклахома, Орегон, Пенсильвания, Теннесси, Техас, Юта, Виргиния, Вашингтон, Висконсин
- Зарплата
- 21,05 — 25,06 $ — по данным Himalayas
- Ключевые требования
- Диплом средней школы или GED
- Национальный сертификат CPhT или регистрация/лицензия по требованиям штата
- 2+ года опыта в фармацевтике или здравоохранении
- Участие в программах комплаенс
- Способность к кооперативному и уважительному взаимодействию с коллегами
- Кому подойдёт
- Вакансия подойдёт опытным специалистам по предварительному разрешению, которые хотят развивать команду и работать удалённо в сфере специализированной фармацевтики.
Пересказ openqareer по тексту работодателя. Ниже — оригинал объявления.
Company
Lumicera
About Us
Pay Range
USD $21.05 - USD $25.06 /Hr.
STAR Bonus % (At Risk Maximum)
0.00 - Ineligible
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
Due to growth, we are adding a Specialist III, Prior Authorization to our team.
Under direction from the Supervisor, Prior Authorization, and other leaders at Lumicera, the Specialist III, Prior Authorization is primarily responsible for coordinating and directing the day-to-day operations of the Prior Authorization team. This position will support and foster team success of the Prior Authorization Specialists through leading by example with subject matter expertise and coaching teammates. Achieving success in this position will be represented by reaching team goals for key performance indicators, provider and patient satisfaction, and continual workflow improvement.
The Specialist III, Prior Authorization will also be responsible for assisting the team with obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Specialist III, Prior Authorization will solve problems in both overcoming challenges operationally while serving as a point of contact for other associates with escalations with the goal of achieving the best outcomes for all parties. This position will function with, educating and assisting other areas of Lumicera as needed related to prior authorization type duties.
Is this you? Find out more below!
Responsibilities
How do I make an impact on my team?
- 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. This may include, but not limited to, RxVector, NCRX, Lighthouse, Banjo, Cover My Meds, phone platforms and proper documentation and communication
- 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
Qualifications
What our team expects from you?
- 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
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!
Location : Address
Remote
Location : Country
US
Originally posted on Himalayas
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