by Terrance Ellis | Jul 14, 2025 | Uncategorized
(Remote – U.S. Based*)
🧾 About the Role
Lumicera Health Services is redefining what specialty pharmacy can be. As a Referral Coordinator, you’ll serve as the central connection point between prescribers, pharmacies, and patients. You’ll help ensure prescriptions are processed efficiently, care remains uninterrupted, and patients feel supported every step of the way. If you thrive in fast-moving environments and love making systems run smoother, this is your moment.
✅ Position Highlights
• Pay: $19.60–$23.06/hour
• Employment: Full-time
• Schedule: Monday–Friday, 8:00 AM – 5:00 PM
• Location: Remote (U.S., some state restrictions*)
• PTO: 20 days + 9 paid holidays
• Paid Leave: 4 weeks parental leave
• Retirement: 401(k) with 5% company match
• Additional perks: Education/adoption assistance, $750 referral bonus
📋 What You’ll Own
• Manage incoming prescription referrals from medical providers
• Initiate prior authorization requests for prescribers
• Coordinate prescription deliveries and timing with patients
• Communicate with insurance companies, billing teams, and care providers
• Build and maintain positive relationships with clinics and prescribers
• Ensure patients are informed and supported throughout the process
• Collaborate with pharmacists, clinical teams, and third-party payers
• Maintain compliance with all regulatory, legal, and internal standards
• Handle additional coordination or administrative tasks as assigned
🎯 Must-Have Traits
• High school diploma or GED required (some college preferred)
• CPhT certification or Medical Assistant license a plus
• 1+ year experience in specialty pharmacy or a medical office strongly preferred
• Excellent communication and follow-through skills
• Personable, organized, and proactive
• Tech-savvy and comfortable working across systems and teams
💻 Remote Requirements
• Must reside in the U.S.
• Not eligible for residents of: AL, AK, CT, DE, HI, IA, KS, KY, ME, MA, MS, MT, NE, NH, NM, ND, RI, SC, SD, VT, WV, or WY
• Reliable high-speed internet and a dedicated home workspace
• Must be available for full-time hours, Monday–Friday
💡 Why It’s a Win for Remote Job Seekers
• Build your career in healthcare coordination
• Work with a patient-first, transparency-driven company
• Join a supportive, growth-oriented team
• Clear hours, defined responsibilities, and meaningful impact
✍️ Call to Action
Ready to help patients get the care they need—right when they need it? Apply now to become a Referral Coordinator at Lumicera and help shape the future of specialty pharmacy.
by Terrance Ellis | Jul 14, 2025 | Uncategorized
(Remote – U.S. Based*)
🧾 About the Role
Navitus is hiring a Coordinator, Accumulator to support accurate pharmacy benefits administration. You’ll oversee critical data processes that affect members’ access to care, troubleshoot file issues, and ensure accumulators are correctly maintained across systems. If you’re organized, tech-literate, and proactive, this role puts you at the core of operations that matter.
✅ Position Highlights
• Pay: $19.60–$23.06/hour
• Employment: Full-time
• Schedule: Monday–Friday, 8:00 AM – 4:30 PM
• Location: Remote (U.S. only, with state restrictions*)
• PTO: 20 days + 9 paid holidays
• Paid Leave: 4 weeks parental leave
• Retirement: 401(k) with 5% company match
• Additional perks: Education/adoption assistance, $750 referral bonus
📋 What You’ll Own
• Maintain and update accumulator data for assigned client groups
• Ensure timely updates to avoid care access disruptions or penalties
• Respond to accumulator-related questions from clients and internal teams
• Reconcile and audit accumulator feeds to uphold data accuracy
• Monitor reporting and escalate issues with claim or eligibility discrepancies
• Collaborate across departments: IT, Eligibility, Client Services, and more
• Support system testing and implementation for benefit enhancements
• Create documentation for workflows, training, and team handoffs
• Recommend process improvements or automation enhancements
• Educate others internally on accumulators and resolutions
• Pitch in during peak periods or occasional weekend work
🎯 Must-Have Traits
• Associate’s degree or equivalent experience
• Excel and Word proficiency (basic to intermediate)
• Detail-driven, organized, and task-oriented
• Fast learner, especially with internal systems
• Comfortable working cross-functionally and independently
• Strong communicator—clear, calm, and collaborative
• Bonus: Background in healthcare data or PBM ops
💻 Remote Requirements
• Must reside in the U.S.
• Navitus does not hire in: AK, HI, ME, MS, NH, NM, ND, RI, SC, SD, WV, or WY
• Reliable internet connection and distraction-free home office setup
💡 Why It’s a Win for Remote Job Seekers
• Behind-the-scenes work that directly supports affordable healthcare
• Path to grow within operations, pharmacy, or data teams
• Strong benefits, training, and company-wide support
• Make an impact in a company committed to people-first values
✍️ Call to Action
If you’re ready to dig into the details, support a meaningful mission, and be part of a collaborative ops team, apply now to become a Coordinator, Accumulator at Navitus.
by Terrance Ellis | Jul 14, 2025 | Uncategorized
(Remote – U.S. Based*)
🧾 About the Role
Navitus is hiring a Coordinator to join the Claims Adjudication Operations (CAO) Implementation team. This role centers on managing workflow data, generating reports, and supporting quality improvements across pharmacy benefit operations. If you’re organized, analytical, and thrive in structured, team-oriented settings, this one’s in your lane.
✅ Position Highlights
• Pay: $19.60–$23.06/hour
• Employment: Full-time
• Schedule: Monday–Friday, 8:00 AM – 5:00 PM CT
• Location: Remote (U.S. only, with state exceptions*)
• PTO: 20 days + 9 paid holidays
• Paid Leave: 4 weeks parental leave
• Retirement: 401(k) with 5% company match
• Extras: Referral bonus, adoption assistance, education support
📋 What You’ll Own
• Manage work requests from Kanban boards and input into internal systems
• Verify, reconcile, and validate incoming operational data
• Create reports and dashboards to track team metrics
• Record request times and assist with team capacity forecasting
• Identify trends and contribute to process improvement initiatives
• Maintain and update documentation, training resources, and SOPs
• Support after-hours or weekend needs as required
• Collaborate cross-functionally to support CAO goals
🎯 Must-Have Traits
• Associate’s degree or equivalent experience
• Experience with Kanban tools and workflow tracking
• Strong Excel/data entry skills; familiarity with dashboards
• Analytical thinker with high attention to detail
• Strong follow-through and time management
• Team player, comfortable collaborating across functions
• Bonus: Familiarity with compliance or DEI practices
💻 Remote Requirements
• Must reside in the U.S.
• Navitus does not hire in: AK, HI, ME, MS, NH, NM, ND, RI, SC, SD, WV, or WY
• Stable internet connection and distraction-free workspace
💡 Why It’s a Win for Remote Job Seekers
• Direct impact on service quality and pharmacy care outcomes
• Structured role with clear metrics and meaningful contributions
• Excellent benefits, career growth, and learning support
• Mission-driven culture with a people-first focus
✍️ Call to Action
If systems, data, and purpose drive you and you want to help make pharmacy benefits more efficient and equitable, apply now to join Navitus as a Coordinator, Operations Data.
by Terrance Ellis | Jul 14, 2025 | Uncategorized
(Remote – U.S. Based*)
🧾 About the Role
Navitus is hiring a Manual Claims Coordinator to help process complex pharmacy and Direct Member Reimbursement (DMR) claims. This is a hybrid role that touches customer support, pharmacy operations, and benefit accuracy. You’ll be key to making sure claims are handled quickly and correctly—while supporting audits, compliance, and team-wide success.
✅ Position Highlights
• Pay: $18.67–$21.96 per hour
• Employment: Full-time
• Schedule: Monday–Friday, 8:00 AM – 5:00 PM
• Location: Remote (U.S.-based, with state restrictions*)
• PTO: 20 days + 9 paid holidays
• Paid Leave: 4 weeks parental leave
• Retirement: 401(k) with 5% company match (immediate vesting)
• Perks: Education & adoption assistance, FSA, comprehensive health/dental/vision
📋 What You’ll Own
• Process all manual pharmacy and DMR claims, ensuring accuracy
• Interpret plan designs and rules for multiple clients
• Manage physical and digital intake of claim materials
• Prepare and send member and pharmacy communications
• Support large batch uploads and claim verification
• Participate in internal and external audits
• Assist with client implementations and updates
• Document and maintain training materials and workflow guides
• Suggest process improvements and help troubleshoot issues
• Occasionally support after-hours work as needed
🎯 Must-Have Traits
• Associate’s degree or equivalent experience
• Experience in claims, pharmacy, or customer service is a plus
• Strong Microsoft Word and Excel skills
• Excellent attention to detail and documentation habits
• Effective communicator and multitasker
• Willing to learn internal systems and benefit plan structures
• Comfortable working cross-functionally and independently
💻 Remote Requirements
• Must reside in the U.S.
• Navitus does not hire in: AK, HI, ME, MS, NH, NM, ND, RI, SC, SD, WV, or WY
• Stable internet and a distraction-free work environment
💡 Why It’s a Win for Remote Job Seekers
• Meaningful, accuracy-driven work
• Break into the pharmacy benefits management (PBM) space
• Strong training, supportive team, and solid career runway
• Comprehensive benefits package
✍️ Call to Action
If you’re organized, detail-minded, and ready to support timely pharmacy reimbursements, apply now to join Navitus as a Manual Claims Coordinator.
by Terrance Ellis | Jul 14, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
Sharecare is looking for empathetic, resourceful Family Health Advocates to support individuals and families in navigating healthcare with clarity and compassion. Through remote voice and chat channels, you’ll guide members through everything from insurance benefits to provider searches and care coordination. If you’re driven to help others and comfortable in a fast-paced environment, this is a meaningful way to make an impact.
✅ Position Highlights
• Employment: Full-time
• Location: Remote (U.S. only)
• Start Date: Monday, August 11, 2025
• Paid Training: Monday–Friday, 8:00 AM–4:00 PM CST
• Assigned Shift: May fall between 7:00 AM–7:00 PM CST after training
• Industry: Digital healthcare and member advocacy
📋 What You’ll Own
• Answer member questions via phone and chat about eligibility, benefits, ID cards, and claims
• Help members navigate open enrollment, provider searches, and pharmacy/durable medical equipment needs
• Support resolution of complex issues with insurers, providers, or third parties
• Proactively close care gaps and prep members for procedures
• Connect members to additional care teams as needed
• Promote available health resources and benefits to improve engagement
• Accurately document all member interactions
🎯 Must-Have Traits
• High school diploma or GED (required)
• Associate’s degree or equivalent healthcare experience (preferred)
• Strong written and verbal communication skills across platforms
• Comfortable working across multiple systems simultaneously
• Past experience in any of the following roles is a bonus:
– Health Advocate or Navigator
– Medical Secretary or Assistant
– Pharmacy or Phlebotomy Technician
– Home Health or Patient Care Aide
– Medical Coder, PT/OT Aide, EKG Tech, etc.
• Proven ability to resolve sensitive issues calmly and effectively
💻 Remote Requirements
• Must be U.S.-based
• Reliable high-speed internet
• Quiet and private home office
• Availability for full-time work and training
💡 Why It’s a Win for Remote Job Seekers
• Do meaningful work from home
• Help real people navigate real health challenges
• Grow within a respected, mission-driven health tech company
• Strong onboarding and support structure
• Long-term career potential in a growing industry
✍️ Call to Action
If you want to make healthcare easier, kinder, and more accessible for families across the country, apply now to become a Family Health Advocate at Sharecare.
by Terrance Ellis | Jul 14, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
American Specialty Health is hiring a Credentials Examiner I to support their Practitioner Contract Administration team. This fully remote, detail-focused position involves reviewing credentialing paperwork and verifying practitioner data to meet internal and regulatory standards. Ideal for someone organized and self-motivated.
✅ Position Highlights
• Pay: $16/hour
• Employment: Full-time
• Schedule: Monday–Friday, standard business hours
• Location: Remote (U.S. only)
• Equipment provided
• Internet required: 50 Mbps download / 50 Mbps upload
📋 What You’ll Own
• Process and verify provider credentialing and recredentialing applications
• Contact practitioners to collect missing or incomplete info
• Maintain accurate records in Promis, PCT, and SharePoint
• Close 150–200 credentialing files monthly
• Respond to provider questions within 48 hours
• Process termination or resignation requests in a timely manner
• Ensure credentialing procedures comply with internal and industry guidelines
• Maintain a 99%+ accuracy rate
• Complete all assigned compliance training on schedule
• Follow remote attendance and productivity policies
🎯 Must-Have Traits
• High school diploma or equivalent
• Typing speed: 45–50 WPM
• Proficient in Microsoft Office (Excel especially)
• Sharp attention to detail and accuracy
• Strong communication and documentation skills
• Able to self-manage in a high-volume, deadline-driven setting
• Ethical, reliable, and able to work with confidential data
💻 Remote Requirements
• Must reside in the U.S.
• Stable high-speed internet (50/50 Mbps minimum)
• Quiet and dedicated workspace
• Able to attend video calls and remote onboarding
💡 Why It’s a Win for Remote Job Seekers
• Entry-level healthcare admin role with career growth
• Training and support provided
• Performance-focused culture with clear metrics
• Work-from-home with provided equipment
• Ideal for those with admin or data-entry backgrounds
✍️ Call to Action
If you’re tech-savvy, reliable, and ready to build a career in healthcare credentialing, apply now to join American Specialty Health as a Credentials Examiner I.
Recent Comments