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Navitus Health SolutionsNS

Referral Coordinator, Specialty Pharmacy (CA)

Navitus Health Solutions is a pharmacy benefit manager (PBM) founded in 2003 with a mission to make prescription medications more affordable through a transparent, 100% pass-through model. They serve nearly 18 million members across almost 800 clients.

Navitus Health Solutions

Employee count: 1001-5000

Salary: 42k-48k USD

United States only

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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. 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 $20.00 - USD $23.06 /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 unable to offer remote work to residents of Alaska, Connecticut, Delaware, Hawaii, 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 Referral Coordinator to our team.

The ideal candidate for this position will be working remote out of California***

The Referral Coordinator will assist in processing all inbound specialty prescriptions from referring prescribers. They are tasked with coordinating and assuring the smooth flow of the prescription referral and prior authorization process to meet the needs of patients while establishing collaborative relationships and communication with the prescriber’s office.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

  • Initiate prescription prior authorizations on behalf of prescriber’s offices
  • Coordinate and confirm with patients’ prescription deliveries
  • Initiate contact and create new potential clinic/prescriber relationships
  • Communicate current and relevant prescription, insurance and financial needs as they relate to appropriate pharmacists, providers, clinical support staff and patients
  • Interacts with clinic employees, including but not limited to pharmacists, clinical staff, fiscal personnel, department managers, access services staff, coding staff, and billing assistants. External contacts include but are not limited to third party payers, manufacturers, prescription benefit management companies, external pharmacy personnel, and referring providers and their support staff
  • 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
  • Serves as the liaison between the medical staff, outpatient pharmacies, insurance providers and patients to improve communication and continuity of care
  • Other duties as assigned

Qualifications

What our team expects from you?

  • High school diploma or GED, some college preferred
  • Certified CPhT or licensed Medical Assistant preferred
  • One year experience in specialty pharmacy or medical office 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!

Location : Address

Remote

Location : Country

US

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Salary

Salary: 42k-48k USD

Education

High school

Experience

1 year minimum

Location requirements

Hiring timezones

United States +/- 0 hours

About Navitus Health Solutions

Learn more about Navitus Health Solutions and their company culture.

View company profile

We are Navitus Health Solutions, and for more than two decades, we've been dedicated to transforming the pharmacy benefit management (PBM) landscape. Founded in 2003, our core belief was that the traditional PBM model needed a fundamental shift to better serve the interests of plan sponsors and their members. This conviction led us to pioneer a 100% pass-through business model, a transparent approach designed to eliminate unnecessary costs and ensure that all negotiated rebates, discounts, and fees are returned directly to our clients. We're driven by a profound commitment to helping people access the medications they need at more affordable prices, ultimately enabling them to lead fuller lives.

Our journey began with a vision to disrupt the industry norms and establish a new standard for financial and operational transparency in pharmacy benefits. We're proud to have consistently upheld this unique model, which stands in contrast to other established PBMs. Our purpose is clear: to humanize the pharmacy benefit experience and to relentlessly pursue strategies that lower overall drug spend and the cost of care. We achieve this by providing full financial and operational disclosures, improving medication adherence, and offering alternative treatment options that can reduce long-term drug reliance. We proudly serve almost 18 million members through nearly 800 clients, a testament to the trust placed in our approach. Our mission is to make medications more affordable for those who need them, fostering a healthcare system where honesty and open communication build unwavering trust.

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Navitus Health Solutions

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