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.
In Short
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
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)
Benefits
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