Description:
This role is full-time, remote. This individual will support the Customer Service, prior authorizations, and other needs of the TruCard Product and Pharmacy team.
-
Resolve and log all inbound member or client concerns
-
Complete administrative tasks related to prior authorizations and appeals
-
Support clinical team in prior authorization case reviews
-
Support clinical team with outbound member and provider calls
-
Perform additional projects and tasks as needed
Requirements:
Qualifications and skills:
-
Competitive candidates will have a minimum of 2 years experience in PBM operations, including medical necessity or prior authorization case reviews
-
Candidates without PBM experience will be considered if they have leadership experience, e.g. team lead or trainer, or experience with special projects, e.g. inventory management
-
Fast learner and interested in potential growth opportunities as the product roles expand
-
Excellent verbal and written communication skills a must
-
Pharmacy technician experience preferred
-
PBM experience preferred
-
A track record of fostering collaboration, resolving conflicts, and managing projects is preferred.
-
Excellent technical skills in Google Work products (Docs, Drive, Slides) and Microsoft (Word, PPT, Excel)
Company Standard Requirements:
-
Ability to work well with others in a collaborative environment
-
Ability to get things done with resources you don’t control
-
Willingness to admit you don’t know and ask for help
-
Exhibit constant curiosity and a drive to problem solve
-
Exhibit desire to learn and grow on a continuous basis