Supervisor – IDN Clinic Relations

Job not on LinkedIn

🔥 40 minutes ago

🐻 Alaska, Connecticut, +20 more states – Remote

🐻 Alaska – Remote 🦌 Connecticut – Remote 🏛️ District of Columbia – Remote 🌺 Hawaii – Remote 🥔 Idaho – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🗻 New Hampshire – Remote 🌶️ New Mexico – Remote 🌾 North Dakota – Remote 🍂 Massachusetts – Remote 🎸 Mississippi – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🦬 Wyoming – Remote

💵 $54.2k - $64.6k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

✨ Supervisor

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Navitus Health Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

Navitus Health Solutions is a pharmacy benefit manager (PBM) that provides transparent, people-centered pharmacy benefit solutions to health plans, employers, government programs and other plan sponsors. The company operates a 100% pass-through, cost-plus model that emphasizes lowering medication costs, managing formularies, specialty drug management (including a cost-plus specialty pharmacy), claims adjudication, pharmacy network management, and member enablement and support services. Navitus positions itself as a fiduciary partner focused on affordability, compliance, clinical quality and improving health outcomes through tailored PBM services and digital health integrations.

📋 Description

• Work with both clinical and administrative departments to create a collaborative and professional relationship on behalf of Lumicera Health Services with IDN partners and their associated team members and stakeholders. • Build and cultivate a dynamic team of Clinical Liaisons to effectively interface between administrative staff, clinical staff, specialty pharmacies, insurance providers, financial assistance entities, and patients. • Communicate effectively with both internal team members at Lumicera, and external clinic stakeholders to integrate workflows, processes, and procedures which will deliver collaborative solutions in the best interests of all parties. • Create and deliver educational resources, presentations, and references to enhance comprehension of and participation in workflow processes and procedures that optimize the IDN Shared Services Model. • Continually evaluate workflow and work task assignments specific to the Clinical Liaison team while maintaining ultimate ownership and accountability for those tasks including, but not limited to: IDN benefits determinations, IDN prior authorization requests, IDN billing resolution requests, IDN financial assistance requests, and IDN patient onboarding requests. • Utilize existing analytics tools internally at Lumicera, as well as externally with IDN partners including but not limited to the electronic health record, Microsoft Excel, Microsoft PowerPoint, SharePoint, and Compass. • 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. • Represent Lumicera and affiliated IDN organizations with a high degree of professionalism in all interactions within scope both inside and outside of the workplace. • 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.

🎯 Requirements

• Bachelor’s degree or equivalent work experience required. • Certified CPhT or ExCPT preferred. • 2 years of pharmacy support experience or healthcare environment experience required. • Previous management and/or leadership experiences preferred. • 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!