Job Description
Job Description
Description :
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 reviewsCandidates 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 managementFast learner and interested in potential growth opportunities as the product roles expandExcellent verbal and written communication skills a mustPharmacy technician experience preferredPBM experience preferredA 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 environmentAbility to get things done with resources you don’t controlWillingness to admit you don’t know and ask for helpExhibit constant curiosity and a drive to problem solveExhibit desire to learn and grow on a continuous basis