Clinical Communication Specialist Job at KPH Healthcare Services in Village Gree

Overview Scope of Responsibilities : Assist with the day-to-day operations of the Clinical Pharmacist and clinical department of ProAct. Works under direct supervision and follows standard procedures to accomplish assigned tasks.

Job Summary : Responsibility for overseeing communication involved throughout the prior authorization process and assisting with tasks and goals that meet the clinical needs of ProAct clients and members.

Responsibilities Perform communication duties involved throughout the prior authorization process to maintain efficiency and timeliness

Preparation and execution of member mailings for various cost containment / clinical programs

Preparation and execution of provider communication for various cost containment / clinical programs

Assist in the completion of prior authorization reviews as needed

Provide Help Desk support, where appropriate, for questions regarding prior authorizations

Responsible for completing all mandatory and regulatory training programs

Assist with the day-to-day operations of the ProAct Help Desk

Perform other duties as assigned

Qualifications Educational Requirements :

Minimum : High School Diploma (or currently enrolled) or GED

Preferred : AS Degree or Higher

Experience :

Preferred hospital or retail pharmacy experience preferred

Compensation :

$17.50-20.50 per hour.

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.

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