LUX Infusion

Responsibilities: — Set standard metrics and goals for Referral Management team members for referral processing, documentation management, Benefit Verification (BV), and Prior Authorization (PA) processing. — Develop and support LUX Infusion’s culture within the Referral Management departments. — Establish training protocols for new employees and evaluate performance against metrics and goals, implementing corrective actions or training plans as needed. — Create communication processes for Referral Management team members to engage internal and external stakeholders to gather missing or inaccurate information. — Collaborate closely with internal department leadership to ensure optimal continuity of patient referral activities. — Provide administrative and leadership support for accreditation-related processes or data collection involving Intake or Referral departments. — Work with referral and pharmacy operations management peers to support successful end-to-end referral processes. — Review department alignment with SLAs regularly, identify trends, and take necessary actions. — Support staffing and resource adjustments to meet referral volumes and organizational growth goals. — Maintain effective communication with intake and Patient Services specialist teams regarding leadership updates impacting people, processes, and technology. — Serve as a point of escalation for issue management related to Intake & Referral Specialists. — Assign duties and manage employee performance, including productivity reviews, job descriptions, performance evaluations, disciplinary actions, and personnel paperwork. — Prioritize and manage multiple tasks and projects concurrently. — Be flexible with scheduling and able to work overtime; occasional overnight travel by car or plane may be required. Requirements: — 5-7 years managing patient referral and prescription activities in infusion or specialty therapies. — 3-5 years experience in infusion or specialty therapy reimbursement or payer processes. — 3-5 years supporting prescriber, healthcare setting, patient, and field communications related to referral or prescription services. — 1-3 years successful management or leadership of department employees. — Strong customer service skills for internal and external customers, meeting quality standards and evaluating satisfaction. — High School Diploma or equivalent required; Bachelor's Degree preferred. — Advanced computer and internet skills, including Microsoft Office (Excel, Word, Access Database). — Knowledge and understanding of financial information and reporting. — Willingness to travel up to 5% for business purposes. — Preferred: 1-3 years people management experience overseeing pharmacy intake or referral process teams. — Strong knowledge of infusion therapies, patient qualification steps, and ability to lead teams through these processes. — General knowledge of payer contracts for infused therapies and operational requirements. — Strong knowledge of specialty prescription and referral documentation workflows and provider communication needs. — Strong working knowledge of medical and pharmacy terminology. — General knowledge of intake requirements for insurance payors including Medicare, Medicaid, Medicare D, Commercial, and pharmacy plans. — Ability to communicate effectively, inspire and motivate staff at all levels. — Strategic and proactive thinking. — Ability to maintain accurate records and prepare reports and correspondence. — Organizational and coordination skills. — Ability to set priorities and assign work. — Ability to identify opportunities for process improvement and implement changes. — Excellent verbal, written, and group presentation skills. — CPR knowledge. Benefits: — Purpose-driven leadership work with real patient impact. — Patient-first, clinician-led culture. — Collaborative and supportive teammates valuing high standards and empathy. — Opportunity to grow with an organization building meaningful infusion care. Additional Information: — Salary range: $100,000 to $110,000 USD per year. — Physical demands include occasional standing, walking, sitting, use of hands, reaching, climbing stairs, balancing, stooping, kneeling, crouching, crawling, talking, and hearing. — May occasionally lift/move up to 25 pounds. — Specific vision abilities required. — Employees must participate annually in legal and ethical compliance training and adhere to company policies. — LUX Infusion is an Equal Opportunity Employer. — Reasonable accommodations available for individuals with disabilities. To apply: https://weworkremotely.com/remote-jobs/lux-infusion-director-of-referral-services