Job Title: Clinical Operations Consultant
Location: Remote
Job Duration: 6 months with possible extension
Shift Time: Mon-Fri, 8:30 – 5:00 central time
Pay Rate: $ 25/hr. – $26/hr. on w2
Position Summary:

• The Clinical Services Consultant fulfills the company purpose of helping people on their path to better health by driving quality execution of administrative support for Prior Authorization.
• The Clinical Services Consultant will be a Prior Authorization system Subject Matter Expert providing support for the Prior Authorization/Appeals Operational and Administrative teams.
• This position works closely with and fosters communications with internal and external departments including clinical development, product owners, CAS liaisons, Account Teams and Prior Authorization Operations to ensure a solid understanding of the programs being processed and implemented.

Required Qualifications:

• 3+ years of Pharmacy Benefit Management (PBM) prior authorization experience

Preferred Qualifications

• Experience with PA system setup
• Experience with MS Excel, Word, and PowerPoint
• Experience with CAS and/or MedHOK systems
• Experience with Prior Auth and Appeals activities
• Experience with previous project management.

Education:

• Bachelor’s Degree in any related field
• Verifiable High School Diploma, GED, or equivalent.

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