Associate Director – Referral Services

LUX Infusion

. Oversee and manage the front-end referral process, including benefit verification and prior authorization processes .

Posted 9/23/2026full-timeRemote • Nevada • United StatesSenior💰 $100,000 - $110,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing patient referral processes and specialty therapy reimbursement, with a strong focus on performance metrics, team leadership, and compliance with healthcare regulations. Proficient in coordinating cross-functional communication and improving operational workflows in infusion therapy settings.

Highest-signal resume keywords

Patient Referral ManagementSpecialty Therapy ReimbursementTeam LeadershipPerformance Metrics DevelopmentProcess Improvement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Referral Documentation WorkflowsInfusion Therapy KnowledgePayer Contract KnowledgeFinancial ReportingMedical/Pharmacy TerminologyMicrosoft OfficeExcelAccess DatabaseData CollectionCompliance Training

Soft Skills

Organizational SkillsCommunication SkillsProblem-Solving SkillsTeam CoordinationPrioritization

Industry Keywords

Infusion TherapiesPatient Qualification StepsMedicareMedicaidCommercial PlansPharmacy PlansAccreditation ProcessesReferral OperationsHealthcare Setting CommunicationLegal and Ethical Compliance

About the role

Key responsibilities & impact

Oversee and manage the front-end referral process, including benefit verification and prior authorization processes
Support day-to-day referral management department activities across neurology, immunology, transplant, and specialty infusion areas
Set metrics and goals for referral management team members covering referral pull-through, documentation, benefit verification, and prior authorization processing
Develop and support the department’s workplace culture
Establish onboarding training protocols and evaluate performance against metrics and goals
Determine corrective action or training plans for performance improvement
Establish communication processes for gathering missing or inaccurate information from internal and external stakeholders
Collaborate with Intake Coordination, Nursing Services, Pharmacy Services, referral operations, and pharmacy operations leadership
Support accreditation-related processes and data collection
Review department alignment with service-level agreements, identify trends, and take corrective action
Support staffing and resource adjustments based on referral volumes and organizational growth
Communicate leadership updates affecting people, processes, and technology
Serve as an escalation point for issue management and resolution
Triage work and assign duties to staff
Manage productivity reviews, job descriptions, performance reviews, disciplinary processes, corrective action, and personnel paperwork
Travel occasionally overnight by car or plane

Requirements

What you’ll need

5-7 years of experience managing patient referral and prescription activities in infusion or specialty therapies
3-5 years of general infusion or specialty therapy reimbursement or payer experience
3-5 years supporting prescriber, healthcare setting, patient, and field-facing communications related to referral or prescription services
1-3 years of successful management/leadership of department employees
High School Diploma or equivalent
Advanced computer and internet skills, including Microsoft Office
Knowledge of financial information and reporting
Willingness to travel up to 5% for business purposes
Experience overseeing pharmacy intake or referral process activities preferred
Knowledge of infusion therapies and patient qualification steps preferred
Knowledge of payer contracts for infused therapies preferred
Strong knowledge of specialty prescription and referral documentation workflows
Working knowledge of medical/pharmacy terminology
Knowledge of intake requirements for Medicare, Medicaid, Medicare D, commercial, and pharmacy plans
Ability to maintain accurate records and prepare reports and correspondence
Ability to organize and coordinate others’ work
Ability to set priorities and assign work
Knowledge of process improvement
Computer skills, including Excel, Word, Access Database, and Microsoft business programs
CPR+ knowledge
Ability to participate in required annual legal and ethical compliance training
Ability to comply with LUX Infusion legal, ethical, and compliance policies

Benefits

Comp & perks

Purpose-driven leadership work with real patient impact
Patient-first, clinician-led culture
Collaborative, supportive teammates
Opportunity to grow with an organization building something meaningful
Reasonable accommodations during the application or interview process
Overtime eligibility/exemption noted for scheduling purposes