Job Description

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

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

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