Coordinator, Benefits Determination Unit (BDU)

At Lucet, we’re transforming whole-person care. We deliver integrated behavioral and physical health solutions that connect individuals to the right care at the right time—improving outcomes and overall well-being. Serving over 15 million lives across the U.S. and Puerto Rico, our model combines clinical expertise, compassionate care, and innovative technology to support healthier, more fulfilling lives.

As part of the Lucet team, employees join a mission-driven organization committed to making a lasting impact. Whether through behavioral health navigation, in-home medical care, or 24/7 crisis support, our work is rooted in empathy, collaboration, and a shared passion for helping people thrive.

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  Clinical Review Scheduling and Coordination
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    Coordinate and manage the scheduling, tracking, and administrative support of peer-to-peer reviews, physician reviews, and Medical Director consultations while maintaining reviewer availability, credentials, and related records.
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  Administrative Support
  • →Provide operational and administrative support for benefit determination activities, including review coordination, documentation, tracking, communications, escalations, reporting, meeting support, case assignments, and process improvement initiatives to ensure timely and efficient workflow management.
• →Quality, Compliance, and Documentation
  • →Support compliance with regulatory, accreditation, contractual, and organizational requirements by maintaining accurate documentation, protecting confidential information, assisting with audits and reporting activities, and escalating identified workflow or compliance risks

• Required Qualifications
  • Bachelor’s level degree with two years of relevant experience in a health care, managed care and/or customer service setting, or high school diploma (or equivalent) and five years of relevant experience in a health care, managed care and/or customer service setting. (Equivalent combination of education and experience will be considered.)
  • Strong organizational, written and verbal communication skills
  • Professional demeanor and ability to work collaboratively with multiple levels of professionals and line staff internally and externally
  • Highly motivated, detail oriented with the ability to take initiative and work independently as well as with a team
  • Strong interactive/interpersonal skills
  • Advanced skills with MS Office Suite, including the ability to document while simultaneously while taking information over the phone
  • Ability to identify issues, follow established processes, escalate concerns appropriately, and support timely completion of assigned work.
  • Ability to be flexible, manage multiple priorities and meet deadlines
  • Ability to maintain confidentiality and handle sensitive health care information appropriately.
  • Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen.

Living our Values:

• • Serving everyone with compassion and leading with empathy.
  • Stepping up and creating value by taking charge and acting when there is an opportunity.
  • Adapting in a changing world by recognizing our responsibility to be agile and respond quickly.
  • Nurturing growth and belonging by respecting and celebrating everyone for who they are.

Competencies

• • Strong attention to detail and commitment to accuracy.
  • Ability to manage multiple tasks and competing priorities in a fast-paced environment.
  • Professional demeanor and ability to communicate effectively with internal and external stakeholders regardless of the nature or circumstances of the situation.
  • Sound judgment in identifying when to escalate issues, risks, or time-sensitive concerns.

Working Conditions:

• • High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting) required.
  • Frequent use of computer and phone systems
  • Must be able to constantly remain in a stationary, sitting position, communicate and exchange information with others, inspect information, perform repetitive motions with arms and fingers, interpret data, problem solve, make decisions, organize and plan, and maintain a positive and professional attitude in all situations.
  • Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary.
  • A quiet workspace with minimal background noise for calls.

We encourage applicants from a variety of backgrounds and experiences to apply, especially those who can demonstrate how their unique qualifications and skills align with the requirements of this role and support our mission to improve whole-person health.

This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain open an extended period of time with no set end date based on the level of interest.