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AI Summary
Support the TruCard Product and Pharmacy team by resolving member concerns and managing prior authorizations and appeals. Assist the clinical team with case reviews and outbound calls to members and providers.
Description
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.
- 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 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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