Qureos Mentor

MedOne Benefit Solutions

<div>Description:

Position Overview: The Clinical Account Coordinator works collaboratively with and through MedOne personnel to effectively maintain clinical account processes, triage and resolve administrative and operational inquiries, and contribute positively to Clinical Account Management team and company goals.
About MedOne: MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price. 
What You'll Do:<ul><li>
Independently researches, analyzes, and resolves routine clinical account&ndash;related administrative issues and inquiries, collaborating with Clinical Account Managers and internal partners as appropriate.</li><li>
Assists Clinical Account Managers with day-to-day administrative duties, including monitoring and managing Clinical Team Help Desk requests and CAM-tagged issues.</li><li>
Triages incoming communications requiring Clinical Account Management input, including assisting with management of shared CAM group email inboxes and other intake channels.</li><li>
Categorizes and prioritizes requests based on urgency, clinical relevance, and required level of CAM involvement.</li><li>
Collaborates on projects involving gathering, organizing, and tracking clinical account data, documentation, and workflows.</li><li>
Interprets and communicates clinical operational processes and administrative workflows to assist with issue resolution and process improvement.</li><li>
Assists with administrative components of specialty review authorization processes, including specialty pharmacy assignment.</li><li>
Supports intake, review, submission, and tracking of specialty review authorization administrative applications.</li><li>
Coordinates with Pharmacy, Clinical, Operations, and Account Management teams to facilitate timely processing of requests.</li><li>
Works with Clinical Account Managers on new client, vendor, and clinical program onboarding tasks.</li><li>
Creates and maintains internal materials including templates, job aids, and training documentation.</li><li>
Contributes to CRM maintenance, reporting support, and workflow enhancement projects.</li><li>
Maintains confidentiality and compliance with HIPAA and organizational policies.</li><li>
Must possess a valid driver&rsquo;s license, insurance, and reliable personal vehicle.</li></ul>
What You Will Bring to MedOne:<ul><li>
Associate degree in business, communications, or related area or equivalent work experience in a related field</li><li>
Strong time management and prioritization skills in an environment that can present frequent interruption</li><li>
Demonstrated desire to learn new information and share knowledge amongst the team and cross-functionally</li><li>
Strong organizational skills to compile, track, and complete tasks independently and cross-functionally</li><li>
Proactively communicate task and issue status with clarity and concision</li><li>
Basic knowledge of Microsoft Excel, Word, Outlook, and PowerPoint</li><li>
Ability to exercise discretion with sensitive clinical information.</li></ul>
Why Join MedOne? At MedOne, we believe that a healthy team is a happy team. We offer a collaborative work environment, competitive benefits, and opportunities for growth&mdash;all while helping to make a difference in people&rsquo;s lives. Our top core value is to prioritize your well-being. To support you in living this value, we offer:<ul><li>
Competitive salary and bonuses that reward your performance.</li><li>
Comprehensive health, dental, and vision insurance + additional benefits</li><li>
401(k) with company match to secure your future.</li><li>
Generous paid time off and holidays.</li><li>
Opportunities for professional growth and development.</li><li>
A vibrant and collaborative work culture.</li></ul>
Location: Offices in either Dubuque, IA, or Kansas City, MO, or the position can be remote within the United States.
Employment Type: Full Time, Salary/Exempt Position
Hours: Hours may vary within our normal business hours.
Reports to: Director of Clinical Account Management
Travel: Position will require travel up to 15% including overnight stays and air travel
How to Apply: If you're enthusiastic about helping others and eager to join a dynamic team, we&rsquo;d love to hear from you. Apply now and take the first step toward a rewarding career at MedOne! You can submit your application through our careers page.
MedOne is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Job Offers are contingent on passing a background check and drug screen.
Requirements:</div>

Clinical Account Coordinator

<div>Position Overview:
The Team Lead (TL) is responsible for providing information to and resolving issues for our members, their physicians, and their pharmacies. The TL position supports the Member Advocates while also being the primary back up to the Member Advocate Manager.
About MedOne:
MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price.
What You Will Do at MedOne:<ul><li>
Oversee a team of representatives to include mentorship and coaching, addressing conflicts and providing constructive resolutions</li><li>
Provide feedback and side-by-side coaching as necessary</li><li>
Report team members&rsquo; progress and identify training initiatives which supports performance standards, employee growth, and member satisfaction</li><li>
Assist in program and process development, implementation, and communications</li><li>
Monitor concurrent and retrospective calls to identify training needs; discuss findings with team members and provide direction and training</li><li>
Review outcomes of member surveys; create and execute training initiatives addressing improvement areas</li><li>
Create, develop, and maintain policy and procedure documentation</li><li>
Handle and de-escalate member inquires in a calm and educational manner</li><li>
Resolve difficult customer inquiries and coach staff regarding de-escalation techniques, time management and customer service skills</li><li>
Assist management with quarterly and annual team goals</li><li>
Conduct annual Performance evaluations, and one-on-ones with direct reports</li><li>
Monitor team breaks &amp; scheduling</li><li>
Align with, and support MedOne&rsquo;s Core Values</li></ul>
What you will bring to MedOne:<ul><li>
 Minimum of a two-year college degree or working experience in related field</li><li>
Strong knowledge of Microsoft Office products, including Word, Excel and Teams</li><li>
Must possess a current Pharmacy Technician Certification</li><li>
Excellent customer service skills</li><li>
Motivated to understand pharmacy benefit management, including pharmaceutical drugs and drug therapies and share this knowledge to broaden skillset of team</li><li>
Strong listening, verbal, and written communication skills which convey understanding and clarity</li><li>
Highly skilled in working through difficult conversations with members, external parties, and direct reports while maintaining composure, showing empathy, and displaying active listening skills</li><li>
Demonstrated ability to effectively and efficiently resolve member inquiries and issues</li><li>
Work effectively in a team environment</li><li>
Must be timely, dependable and must notify supervisor of schedule changes</li><li>
Must demonstrate professionalism while maintaining discretion with sensitive interdepartmental information</li></ul>
Why Join MedOne?<ul><li>
Competitive salary and bonuses that reward your performance.</li><li>
Comprehensive health, dental, and vision insurance.</li><li>
401(k) with company match to secure your future.</li><li>
Generous paid time off and holidays.</li><li>
Opportunities for professional growth and development.</li><li>
A vibrant and collaborative work culture.</li></ul>
Location: We have offices in either Dubuque, IA, or Kansas City, MO, or the position can be remote within the United States.
Employment Type: Full-Time, Hourly
Hours: Hours may vary within our normal business hours.
Reports to: Member Advocate Manager
How to Apply: If you're enthusiastic about helping others and eager to join a dynamic team, especially if you have a CPhT certification, we&rsquo;d love to hear from you. Apply now and take the first step toward a rewarding career at MedOne! You can submit your application through our careers page.
MedOne is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Job Offers are contingent on passing a background check and drug screen.</div>

Member Advocate Team Lead

Join MedOne Benefit Solutions and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

MedOne Benefit Solutions

About Company

Clinical Account Coordinator

Member Advocate Team Lead