[Hiring] Specialist, Provider Accounts @Navitus Health Solutions

Role Description

Lumicera Health Services is seeking a Specialist, Provider Accounts to join our team! The Specialist, Provider Accounts is responsible for managing and enhancing client relationships, particularly with clinic contacts, while ensuring a seamless referral and prescription management process. This position builds on the foundational knowledge of a Referral Coordinator, focusing on direct client interaction, problem-solving, and collaboration with the Sales team to meet both clinic and patient needs.

How do I make an impact on my team?

• Develop and maintain strong, professional relationships with clinic contacts, ensuring their satisfaction and addressing any concerns or issues promptly to instill confidence in Lumicera's services.
• Oversee all aspects of the prescription referral process, including prior authorizations, ensuring compliance with all regulatory and company standards.
• Conduct weekly meetings with the Sales team to review previous actions, plan for upcoming activities, and ensure that sales strategies align with referral and clinic operational needs.
• Act as the primary point of contact for resolving clinic issues related to the referral process, utilizing resources from both the clinical support and sales teams.
• Serve as the liaison between medical staff, pharmacies, insurance providers, and patients to enhance communication and continuity of care.
• Work alongside the Sales team to provide on-site support when necessary to address clinic needs or to facilitate relationship building.
• Participate in and support compliance program objectives, acting in accordance with all applicable federal and state laws with high ethical standards.
• Perform other tasks as assigned by upper management to support the broader goals of Lumicera Health Services.
• Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives.
• Other duties as assigned.

Qualifications

• Associate’s degree or equivalent experience required.
• Certified Pharmacy Technician (CPhT) or a relevant healthcare certification preferred.
• 2 years of experience in specialty pharmacy or a similar client-facing role within healthcare required.
• Experience as a Referral Coordinator is highly desirable.
• Participate in, adhere to, and support compliance program objectives.
• The ability to consistently interact cooperatively and respectfully with other employees.

Benefits

• 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!

Company Description

Remote Work Notification: 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.

Pay Range: USD $26.08 - USD $31.04 /Hr.