Prior Authorization Specialist I – Lumicera

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🔥 0 minutes ago

🥔 Idaho – Remote

🥔 Idaho – Remote

💵 $18 - $21 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Navitus Health Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🤝 B2B

Healthcare Insurance • Pharmaceuticals • B2B

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

• 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 information and prescription order 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.

🎯 Requirements

• High school diploma or GED • Some college preferred • CPhT Preferred Pharmacy technician license or pharmacy technician trainee license is strongly preferred in states requiring pharmacy technician licensure • Minimum two years pharmacy support experience or healthcare environment experience preferred • Ability to work scheduled hours, shifts may vary based on department needs.

🏖️ 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!