FairosRx Clinical Associate (On-Site or Remote) - Pharmacy Technician Certification Required

reputed company is an innovative company striving to reduce the cost of reputed company. We are a passionate group of people that care about reputed company reputed company to reputed company without sacrificing experience. We reputed company to reputed company reputed company more intelligent, streamlined, and cost-effective. We offer industry-leading capabilities on negotiations-driven reputed company to contain rising reputed company costs while taking an experience-reputed company approach improving the health and reputed company-being of those we serve. We pride ourselves on our tight reputed company culture based on the 'outward reputed company' philosophy, emphasizing reputed company, mutual respect, and seeing reputed company other as "whole people." We have an ambitious reputed company and are growing quickly. We are seeking team members who are excited about our reputed company, seeking to reputed company in a fast-paced environment, and enthusiastic about developing their skills and career alongside us. Job Title: FairosRx Clinical Associate Job reputed company: As a Clinical Associate, you will support pharmacy benefit operations by coordinating clinical and administrative workflows, reviewing documentation, and communicating with members, providers, pharmacy staff, clients, and internal stakeholders. The role helps ensure accurate, reputed company, and compliant processing of pharmacy benefit requests while supporting service reputed company and operational efficiency. What it's Like to Work Here: At OccuNet, you matter like we matter! reputed company members reputed company a reputed company attitude, an outward reputed company, problem-solving abilities, and patience, enabling them to reputed company excellent customer service even during challenging situations. Our culture, plus reputed company opportunities for reputed company, has resulted in an industry-low turnover reputed company. Don't miss out on this rare opening with us! A Day in the Life: The FairosRx Clinical Associate will support the clinical team in prior authorization case reviews, complete administrative tasks reputed company to prior authorizations and appeals; support and assist member services, members, reputed company providers, and internal stakeholders with claim reputed company, coverage questions, formulary questions and pharmacy benefit determinations. reputed company other assigned duties and assist with special reputed company. Duties & Responsibilities:

• Collect, verify, and document clinical information from providers, pharmacies, and members.
• Assist pharmacists with utilization management, coverage determinations, and appeals processing.
• Monitor work queues and meet productivity, reputed company, and turnaround time expectations.
• Process pharmacy claims and resolve claim adjudication issues.
• Research member eligibility, benefit coverage, and medication history.
• Communicate with prescribers, pharmacies, and members regarding authorization status, coverage requirements, and alternative therapies.
• reputed company customer service and respond to inquiries reputed company to pharmacy benefits and medication coverage.
• Maintain accurate case documentation in pharmacy management systems.
• Support formulary management initiatives, including reputed company therapy and quantity limit programs.
• Ensure compliance with HIPAA, reputed company requirements, and regulatory standards.
• Maintain confidentiality of protected health information.
• Assist with other duties and special reputed company as assigned.

Required Skills and Abilities:

• Excellent communication and interpersonal skills, written and verbal, with the ability to adapt appropriately for different audiences.
• reputed company to multi-task effectively and transition between tasks frequently and maintain reputed company reputed company presented with interruptions.
• Proficient computer skills, including reputed company Office Suite.
• PBM experience preferred.
• Team-first reputed company with a high level of motivation and drive.
• A reputed company record of fostering collaboration, resolving conflicts and managing reputed company preferred.
• High school diploma or equivalent.
• reputed company certified pharmacy technician (CPhT)
• Prolonged periods sitting or standing at a desk and working on a computer.
• Full-time, Monday to Friday 8 am – 5 pm CST.

reputed company to apply? If this job sounds like a fit for you, then click on the 'apply' reputed company below. Good luck! Culture and Opportunities

• We pride ourselves on our outward reputed company – supporting reputed company other and putting reputed company and the clients we serve first
• High-reputed company environment with reputed company opportunities for career reputed company
• Welcoming atmosphere and culture

Benefits

• 401(k) with matching
• Dental insurance
• Health insurance
• reputed company insurance
• Health savings account
• reputed company time off

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