Job Title: Clinical Operations Consultant Location: Remote Job Duration: 6 months with possible extension Shift Time: Mon-Fri, 8:30 - 5:00 central time Pay Rate: $25/hr. - $26/hr. on w2
Position Summary:
The Clinical Services Consultant fulfills the company purpose of helping people on their path to better health by driving quality execution of administrative support for Prior Authorization.
The Clinical Services Consultant will be a Prior Authorization system Subject Matter Expert providing support for the Prior Authorization/Appeals Operational and Administrative teams.
This position works closely with and fosters communications with internal and external departments including clinical development, product owners, CAS liaisons, Account Teams and Prior Authorization Operations to ensure a solid understanding of the programs being processed and implemented.
Required Qualifications:
3+ years of Pharmacy Benefit Management (PBM) prior authorization experience
Preferred Qualifications
Experience with PA system setup
Experience with MS Excel, Word, and PowerPoint
Experience with CAS and/or MedHOK systems
Experience with Prior Auth and Appeals activities
Experience with previous project management.
Education:
Bachelor's Degree in any related field
Verifiable High School Diploma, GED, or equivalent.
#sczr2
Numbers & Facts
Location
Woonsocket, RI (Remote)
Salary
$25–$26 Per Hour
Skills
Administrative Skillsunmatched
Clinical Medicineunmatched
Compensation and Benefitsunmatched
Consultingunmatched
Customer Relationsunmatched
Drug Developmentunmatched
Medical Productsunmatched
Microsoft Excelunmatched
Microsoft PowerPointunmatched
Microsoft Wordunmatched
Pharmacyunmatched
Project/Program Managementunmatched
Systems Administration/Managementunmatched
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