Lumicera

Overview Due to growth, we are adding an Analyst, Contract Operations to our team .   This role is ideal for a data-driven professional with experience in pharmacy benefit management (PBM), managed care, pharmaceutical contracting, or healthcare analytics. A successful candidate will possess strong analytical skills, a solid understanding of pharmacy claims and manufacturer contracting, and the ability to translate complex data into actionable business insights.   The PBM Contract & Rebate Analyst supports the administration and optimization of Lumicera's pharmaceutical manufacturer discount and contracting programs. They are responsible for operational aspects of Lumicera’s discount programs including, but not limited to contract compliance through direct pharmaceutical manufacturers, third party entities, contract optimization, contract reconciliation and reporting, sales and request for proposal (RFP) support, internal and external audit support, and client...

Overview Lumicera Health Services is seeking a Reimbursement Specialist I to join our team!   Under direction from the Assoc. Manager, Specialty Pharmacy Services, Reimbursement Team Lead, and pharmacists in the Specialty Pharmacy, the Reimbursement Specialist I is primarily responsible for following standard operating procedures to obtain and process manufacturer copay assistance program reimbursement. The Reimbursement Specialist I shall have knowledge of billing procedures and work to reduce discrepancies, inaccuracy, and outstanding balances. The Reimbursement Specialist I may also assist in contacting patients with an outstanding balance to communicate billing options.   Is this you? Find out more below! Responsibilities How do I make an impact on my team?   Responsible for ongoing monitoring of claims activity for accuracy and successful submission Responsible for ensuring that patient billing information is set up appropriately in the pharmacy software...

Overview Due to growth, we are adding a Director, Provider Relations to our team .   The Director, Provider Relations is responsible for developing and executing the strategic vision for provider engagement, provider operations, account management, and provider support functions across the Lumicera Direct business. As a key member of the commercial leadership team, this position is accountable for the growth, retention, satisfaction, operational performance, and long-term strategic development of Lumicera Direct provider partnerships. The Director leads through subordinate managers responsible for account management, inside sales, provider support operations, and provider engagement functions, while partnering closely with the Director, Provider Sales and VP, Sales to shape market strategy, establish organizational priorities, drive provider adoption and retention initiatives, and develop scalable processes that support sustainable growth.   Is this you? Find out...

Overview Lumicera Health Services is seeking a Clinical Liaison  to join our team!   The Clinical Liaison will focus on integrating patient care and clinical coordination while leading the development, implementation and ongoing monitoring of programs and initiatives between to clinics and Lumicera Health Services.   Is this you? Find out more below! Responsibilities How do I make an impact on my team?   Work with both clinical and administrative departments to create a collaborative and professional relationship on behalf of Lumicera Health Services and SSM Specialty Pharmacy Serves as the liaison between the medical staff, outpatient pharmacies, insurance providers and patients to improve communication and continuity of care Communicate current and relevant prescription, insurance, and financial needs as they relate to appropriate pharmacists, providers, clinical support staff and patients Coordinate and support educational activities as requested...

Overview Due to growth, we are adding a Director, Provider Relations to our team .   The Director, Provider Relations is responsible for developing and executing the strategic vision for provider engagement, provider operations, account management, and provider support functions across the Lumicera Direct business. As a key member of the commercial leadership team, this position is accountable for the growth, retention, satisfaction, operational performance, and long-term strategic development of Lumicera Direct provider partnerships. The Director leads through subordinate managers responsible for account management, inside sales, provider support operations, and provider engagement functions, while partnering closely with the Director, Provider Sales and VP, Sales to shape market strategy, establish organizational priorities, drive provider adoption and retention initiatives, and develop scalable processes that support sustainable growth.   Is this you? Find out...

Overview Join 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, safe, and efficient fulfillment operations including inventory management, cold chain management, prescription dispensing and final verification, shipping, and service delivery. The Director is responsible for development of an effective cross-functional department through organization design, process improvements, and cross training. Additionally, the Director must ensure appropriate staffing and training is provided to support operational redundancy and business continuity while...

Overview Lumicera Health Services is seeking a Sr. Project Manager, EPMO to join our team!   The Sr. Project Manager, EPMO is responsible for collaborating across the organization to plan, develop and execute large, simultaneous complex projects in response to priorities set by portfolio governance oversight bodies including the Senior Leadership Team (SLT) and the Enterprise Portfolio Management Office (EPMO). The Sr. Project Manager, EPMO proactively identifies risks to the overall plan as it relates to scope, timeline, and budget and facilitates the project change request process providing comprehensive analysis as a result of thorough fact finding and solution evaluation. This position begins project work prior to initiation, working with leadership to develop business case and cost benefits analysis, facilitating approval through Navitus EPMO governance oversight. The Sr. Project Manager, EPMO leverages industry best practices, business acumen, and experience to ensure...

Overview Lumicera Health Services is seeking a Payer Contracting Executive  to join our team!   The Payer Contracting Executive serves as a dedicated negotiator focused on expanding payer access across commercial, Medicare Part D, and Medicaid opportunities. The primary responsibility of this position is to lead payer negotiations end to end, including rate and term negotiation, network participation, performance guarantee structures, and renewal strategy, to grow covered lives and protect margin for the specialty pharmacy. The Payer Contracting Executive will develop and execute a payer access roadmap, identify and pursue networks in which Lumicera and its partner pharmacies are not currently participating, and secure agreements that maximize access to patients and members.   The Payer Contracting Executive will support Lumicera and all strategic partners for whom Lumicera provides shared services to help meet strategic goals and mitigate financial losses. This...

Overview Lumicera 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 evaluations performed by the analysts and collaborate to create improvement plans for agents. The Supervisor, Pharmacy Quality will be responsible for creating project plans for improvements and seeing them through to resolution including reports that support the improvement and outcome-based evaluations after improvements occur.   Is this you? Find out more below! Responsibilities How do I make an impact on my team?   Recommend quality metrics for the specialty...

Overview Lumicera Health Services is seeking a Supervisor, Training and Development to join our team!   The ideal candidate will bring 2-3 years of supervisory or leadership experience, a strong understanding of adult learning principles, experience coaching and developing employees, and the ability to partner effectively across teams to support business and learning objectives.     The Supervisor, Training and Development creates, administers, and delivers training programs and resources for the organization. The Supervisor, Training and Development continuously assesses the new hire and ongoing training needs for the organization. They work to create interactive training, facilitate training topics, and evaluate effectiveness of the program and retention of material through continuous enhancement of the training program. This role develops and facilitates training through multiple channels and demonstrates culture and competencies for trainees so they in turn...

Overview Lumicera Health Services is seeking a Sr. Manager, Strategic Growth & Proposal to join our team!   The Sr. Manager, Strategic Growth & Proposal Performance will manage the strategic growth and management of proposals for Lumicera. This includes managing proposal processes, optimizing performance across RFP responses, and partnering with Sales and cross-functional teams to enhance win rates and competitive positioning. The Sr. Manager will participate in the analysis and discernment of Request for Proposal (RFP) opportunities to help Lumicera optimize resource allocation in response to requests for proposal. This role will also support the ongoing development and enhancement of manufacturer relationships and pricing strategies, including identifying opportunities to expand access, improve discounting, and strengthen overall value delivery.   Is this you? Find out more below! Responsibilities How do I make an impact on my team?   Participate...

Overview Are you a nurse passionate about patient education and helping individuals confidently navigate complex specialty therapies? Join Lumicera Health Services in a telephonic nurse education role where you’ll help patients understand their specialty therapies, overcome treatment barriers, and feel supported throughout their care journey.     Due to growth, we are adding a RN, Clinical Operations to our team .   The working hours for this position are  2 x 10-hour shifts per week, Mondays and one other weekday, dependent on staffing needs (typically 8:30 AM to 7:00 PM CST)   The RN, Clinical Operations is responsible for delivering patient-centered telephonic education, clinical assessment, and support to patients and caregivers in accordance with established clinical protocols, nursing scope of practice, and applicable regulatory guidelines and accreditation guidelines. This role supports safe and effective therapy use, adherence, persistence, and patient...

Overview Due to growth we are adding an Intake Specialist to our team!   Under direction from the Assoc. Manager, Patient Support Services and pharmacists in the Specialty Pharmacy, the Intake Specialist I is primarily responsible for enrolling new Specialty Pharmacy patients and ensuring that all pertinent patient information is contained within the record. Patient information shall include demographics, allergies, medication history, comorbidities, and payer information. The Intake Specialist I’s main objective is to place phone calls to new and existing patients, answer phone calls and contact the doctors and patients via fax or phone or other communication means. The Intake Specialist I is also responsible for accurately translating prescription information and all other information obtained to dispense the medication into the pharmacy dispensing software. The Intake Specialist I may also be responsible for obtaining information and assisting providers and insurance...

Overview Are you a nurse passionate about patient education and helping individuals confidently navigate complex specialty therapies? Join Lumicera Health Services in a telephonic nurse education role where you’ll help patients understand their specialty therapies, overcome treatment barriers, and feel supported throughout their care journey   Due to growth, we are adding a RN, Clinical Operations to our team .   The working hours for this position are 5 x 4-hour shifts per week, Monday-Friday (typically 11:00 AM to 3:00 PM CT or 3:00 PM to 7 pm)     The RN, Clinical Operations is responsible for delivering patient-centered telephonic education, clinical assessment, and support to patients and caregivers in accordance with established clinical protocols, nursing scope of practice, and applicable regulatory guidelines and accreditation guidelines. This role supports safe and effective therapy use, adherence, persistence, and patient outcomes by identifying...

Overview Lumicera Health Services is seeking a Supervisor, Training and Development to join our team!   The ideal candidate will bring 2-3 years of supervisory or leadership experience, a strong understanding of adult learning principles, experience coaching and developing employees, and the ability to partner effectively across teams to support business and learning objectives.     The Supervisor, Training and Development creates, administers, and delivers training programs and resources for the organization. The Supervisor, Training and Development continuously assesses the new hire and ongoing training needs for the organization. They work to create interactive training, facilitate training topics, and evaluate effectiveness of the program and retention of material through continuous enhancement of the training program. This role develops and facilitates training through multiple channels and demonstrates culture and competencies for trainees so they in turn...

Overview Lumicera 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 recommendations. Additional tasks for this role include interpreting physicians' prescriptions, contacting prescribers for prescription clarification, and expediting the processing of orders. The individual in this position will be expected to meet department production metrics and service levels, support quality standards, resolve patient issues, and vary work priorities and activities to accommodate business needs. The Pharmacist, Clinical Consultation works...

Overview Lumicera 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 recommendations. Additional tasks for this role include interpreting physicians' prescriptions, contacting prescribers for prescription clarification, and expediting the processing of orders. The individual in this position will be expected to meet department production metrics and service levels, support quality standards, resolve patient issues, and vary work priorities and activities to accommodate business needs. The Pharmacist, Clinical Consultation works...

Overview Lumicera Health Services is seeking a Sr. Manager, Strategic Growth & Proposal to join our team!   The Sr. Manager, Strategic Growth & Proposal Performance will manage the strategic growth and management of proposals for Lumicera. This includes managing proposal processes, optimizing performance across RFP responses, and partnering with Sales and cross-functional teams to enhance win rates and competitive positioning. The Sr. Manager will participate in the analysis and discernment of Request for Proposal (RFP) opportunities to help Lumicera optimize resource allocation in response to requests for proposal. This role will also support the ongoing development and enhancement of manufacturer relationships and pricing strategies, including identifying opportunities to expand access, improve discounting, and strengthen overall value delivery.   Is this you? Find out more below! Responsibilities How do I make an impact on my team?   Participate...

Overview Lumicera Health Services is seeking a Clinical Liaison  to join our team!   The Clinical Liaison will focus on integrating patient care and clinical coordination while leading the development, implementation and ongoing monitoring of programs and initiatives between to clinics and Lumicera Health Services.   Is this you? Find out more below! Responsibilities How do I make an impact on my team?   Work with both clinical and administrative departments to create a collaborative and professional relationship on behalf of Lumicera Health Services and SSM Specialty Pharmacy Serves as the liaison between the medical staff, outpatient pharmacies, insurance providers and patients to improve communication and continuity of care Communicate current and relevant prescription, insurance, and financial needs as they relate to appropriate pharmacists, providers, clinical support staff and patients Coordinate and support educational activities as requested...

Overview Due to growth we are adding an Intake Specialist to our team!   Under direction from the Assoc. Manager, Patient Support Services and pharmacists in the Specialty Pharmacy, the Intake Specialist I is primarily responsible for enrolling new Specialty Pharmacy patients and ensuring that all pertinent patient information is contained within the record. Patient information shall include demographics, allergies, medication history, comorbidities, and payer information. The Intake Specialist I’s main objective is to place phone calls to new and existing patients, answer phone calls and contact the doctors and patients via fax or phone or other communication means. The Intake Specialist I is also responsible for accurately translating prescription information and all other information obtained to dispense the medication into the pharmacy dispensing software. The Intake Specialist I may also be responsible for obtaining information and assisting providers and insurance...