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Description
This role is full-time, in office 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 reviewsÂ
- 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 Â
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