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OverviewDue to growth, we are adding a Supervisor, Specialty Pharmacy Support Services to our team . Under general direction of the Associate Manager, Pharmacy Services, the Supervisor, Specialty Pharmacy Support Services is responsible for managing the day-to-day operations of a team of either Reimbursement or Intake Specialists. This position monitors productivity and performance standards and plans and directs workflow and project assignments. Oversees production volume to ensure service...
See full job descriptionOverviewDue to growth, we are adding a Pharmacist, Patient Consultation Services to our team . We are hiring part-time pharmacists to support two primary coverage models: 2 x 10-hour shifts per week, Mondays and one other weekday (typically 8:30 AM to 7:00 PM CT) 5 x 4-hour shifts per week, Monday-Friday (typically 11:00 AM to 3:00 PM CT) These schedules represent our primary staffing needs; however, shift assignments are not guaranteed to be limited to these hours. Additional coverage oppor...
See full job descriptionOverviewLumicera is seeking a Pharmacist, Clinical Consultation to join our team! This position is eligible for a 7.5% annual bonus. The main duty of the Pharmacist, Clinical Consultation is to perform telephonic consultations with patients regarding the use of their specialty medication and management of their disease state. The Pharmacist, Clinical Consultation will perform medication reconciliation, screen for potential drug interactions, and provide side effect management rec...
See full job descriptionOverviewNavitus Health Solutions is seeking a Pharmacy Relations Specialist to join our team! The Pharmacy Relations Specialist (PRS II) is a highly motivated professional with at least 2 years of successful experience working in a pharmacy or interfacing directly with pharmacies or accounts, preferably in healthcare. Responsibilities include executing contracts with pharmacies, responding to pharmacy inquiries, and completing the tactical and operational tasks required to maintain contracted...
See full job descriptionOverviewLumicera Health Services is seeking a Supervisor, Pharmacy Quality to join our team! The Supervisor, Pharmacy Quality, is responsible for managing the effectiveness of the Specialty Pharmacy Quality Management Program. The Supervisor, Pharmacy Quality identifies, assigns, and supervises the work of the quality analysts and will monitor the performance of the Quality team and individual analysts to make improvements where necessary. The Supervisor, Pharmacy Quality will oversee the ev...
See full job descriptionOverviewDue to growth, we are adding a Analyst, Pharmacy Contract Audit to our team! The Analyst, Pharmacy Contract Audit is responsible for the oversight of Navitus' contractual pharmacy network reimbursement accuracy. The individual in this position is expected to make independent assessments to confirm Navitus is conforming to contractual reimbursement obligations contained in Retail, Specialty, and Mail Order pharmacy agreements. The Analyst will continually review and monitor claims da...
See full job descriptionOverviewNavitus Health Solutions is seeking a Pharmacy Reimbursement Administrator to join our team! The Pharmacy Reimbursement Administrator (PRA) works in partnership with the Provider Relations Coordinators, IT Client Operations, and others to continually review, monitor, and update procedures to improve efficiencies of claims adjudication administration. The PRA will test and review pharmacy networks to ensure that claims are adjudicating per Navitus' pharmacy contract agreements. The PRA ...
See full job descriptionOverviewJoin Lumicera Health Services to lead the future of mail order pharmacy fulfillment- driving precision, scale, and innovation across a rapidly growing, multi-site pharmacy operation. Under general direction of the Vice President, Operations at Lumicera Health Services, the Director, Fulfillment Operations is responsible for directing the vision, strategy, and delivery of Lumicera and Lumicera partner pharmacy fulfillment operations. The Director is responsible for creating compliant, s...
See full job descriptionOverviewNavitus Health Solutions is seeking a Reimbursement Analyst, Pharmacy Network to join our team! The Analyst supports and evaluates agreements with providers and the Maximum Allowable Cost (MAC) program through financial price modeling, analysis, and reporting. This position will communicate and work cross functionally with other teams on generic trends and generic drug discount change effects. Provider and network performance will be analyzed in support of network development, contrac...
See full job descriptionOverviewLumicera is seeking a Pharmacist, Clinical Consultation to join our team! This position is eligible for a 7.5% annual bonus. The main duty of the Pharmacist, Clinical Consultation is to perform telephonic consultations with patients regarding the use of their specialty medication and management of their disease state. The Pharmacist, Clinical Consultation will perform medication reconciliation, screen for potential drug interactions, and provide side effect management rec...
See full job descriptionOverviewThe expected start timeframe for this position is January 2027 or later. Our team is growing! We're excited to be expanding our team with new Telehealth Pharmacist positions. If you're ready for a new challenge and an opportunity to use your pharmacy skills in a different way, check out the openings and take your next step with us! The Pharmacist, Telehealth will be a key contributor to the success of a newly launched Clinical Engagement Center (CEC) focused on improving member's ...
See full job descriptionOverviewLumicera Health Services is seeking a Analyst, Pharmacy Quality to join our team! The Analyst, Pharmacy Quality (aka Quality Analyst) collaborates with area business leaders to directly support teams and operations. This role is responsible for developing, implementing, and monitoring processes to obtain and audit key performance metrics. Through these efforts, the Quality Analyst will continually monitor the abilities, competencies, and service quality delivered by members of the t...
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