The OccuNet Company

Provide empathetic support to members, pharmacies, and physicians regarding pharmacy benefits, medication coverage, and claim issues. Collaborate with cross-functional teams to resolve complex healthcare access challenges and document all interactions in a ticketing system.

The role involves coordinating care for members by scheduling appointments, researching providers, and resolving medical access complexities. It requires managing the end-to-end member experience and liaising between members, providers, and internal teams to ensure timely care.

Lead and manage all aspects of pharmacy benefit management (PBM) implementations, including client onboarding and TPA integrations. Coordinate project deliverables and timelines with internal and external stakeholders to ensure successful deployment and customer satisfaction.

The Clinical Associate supports pharmacy benefit operations by coordinating clinical workflows and reviewing prior authorization cases. They communicate with members, providers, and pharmacies to resolve claims and ensure compliant processing of benefit requests.