💼 Specialist I, Prior Authorization ☎️

Guide patients and providers through pharmacy authorizations—remotely.

Lumicera Health Services powered by Navitus (a specialty arm of Navitus Health Solutions) is hiring a Remote Prior Authorization Specialist I to ensure patients receive critical medications on time. You’ll connect with providers, pharmacies, and patients to collect medical info, process authorizations, and uphold compliance—all from your home office.

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✅ 100% remote (U.S.-based; exclusions may apply in certain states)
✅ Full-time, M–F schedule between 8 AM–7 PM (weekend rotation optional)
🧠 Experience Level: Entry-level with 2+ years in pharmacy support or healthcare environment; tech-savviness required

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🔎 What You’ll Own:
• Handle inbound and outbound communications with patients, prescribers, and pharmacies to gather necessary details for prior authorization requests
• Manage and prioritize workflow queues to ensure timely authorizations
• Enter accurate clinical and insurance data into records and prescription setups
• Apply rigorous legal, regulatory, and ethical guidelines to all documentation
• Collaborate with pharmacists and supervisors to escalate complex cases

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🧠 Must-Have Traits:
• High School diploma or GED (some college preferred); CPhT or trainee license valued
• Minimum 2 years in pharmacy support or clinical healthcare settings
• Ability to multi-task under time pressures across flexible shifts
• Strong communication, organization, and data-entry skills
• Ethical mindset with strict adherence to compliance standards

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💰 Compensation & Perks:
• Pay range: $18.67–$21.96/hr (estimate $36K–$42K annually)
• Full benefits: health, dental, vision, 401(k) match, PTO, holidays, parental leave, adoption assistance, FSA/HSA, and more
• Employer invests in remote work culture—no mandatory return to office

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🎯 Why It’s a Win for Remote Jobseekers:
Enter a compassionate, high-impact healthcare role that combines meaningful patient care with flexible scheduling. With Navitus backing a thriving PBM and specialty care service, you’ll grow professionally in a remote-first culture that values transparency and wellbeing.

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✍️ Call to Action:
Ready to help bring life-saving medications to patients faster? Apply now to become a Specialist I, Prior Authorization at Lumicera/Navitus and make every approval count—remotely.