Pharma Operations Associate III - Remote

Overview

The Pharma Operations Associate III plays a critical role in supporting the prior authorization process on behalf of clients by engaging directly with insurance companies, users of our platform, and internal teams.

In Short

• Address and manage inbound client tickets in a timely, organized, and efficient manner.
• Prioritize and escalate urgent issues as needed to ensure prompt resolution.
• Contact insurance companies on behalf of clients to facilitate the prior authorization (PA) process.
• Serve as a liaison between clients and customers to collect necessary documentation or information for PA progression.
• Share relevant updates from insurance companies with clients to maintain transparency and support case progression.
• Work collaboratively within a team to meet and exceed targets for prior authorization resolution rates, approval rates, and turnaround times per drug.
• Monitor and track PA status updates, ensuring accurate and timely case documentation.
• Handle inbound live chats and daily helpdesk tickets from clients, providing professional and prompt support.
• Contribute to continuous process improvement by identifying inefficiencies and sharing feedback with leadership.
• Maintain high levels of client satisfaction through clear communication, responsiveness, and issue resolution.

Requirements

• 1–2+ years of experience in customer-facing roles, with a proven commitment to delivering exceptional service.
• Background in healthcare, health insurance, billing, or prior authorizations required.
• Ability to maintain a strong sense of urgency and adapt quickly to changing priorities.
• Strong strategic thinking and sound decision-making capabilities.
• Proficient in analyzing complex data to identify trends, insights, and opportunities.
• Excellent communication skills, both written and verbal, with solid computer and technical application proficiency.
• Proactive attitude with a willingness to take on additional responsibilities and support process improvement efforts.
• Associate degree or relevant experience preferred.
• Experience working in a startup environment is a plus.

Benefits

• Opportunity to work in a fast-paced startup environment.
• Contribute to meaningful work that impacts patient care.
• Collaborative team culture.
• Professional development opportunities.
• Flexible work arrangements.