Clinical Associate

Benecard Services, LLC; Mechanicsburg (Cumberland County); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Vacation & personal time

Medical insurance

Hearing discount

Disability insurance

Life insurance

FSAs

401(k)

Employee referral

Employee recognition

Tuition reimbursement

Professional development

Job summary

Benecard Services, LLC is seeking a Clinical Operations Associate to support operational tasks for clinical requests from Commercial members. Working hours are Tue-Sat 8:30am-5:00pm in the PA or FL office.

The role involves reviewing requests, conducting outreach to pharmacies, prescribers, and members, documenting information, and processing overrides with notices. Candidates should have pharmacy technician or customer service experience and strong English communication.

Qualifications

• Pharmacy technician experience preferred.
• Customer service/phone experience preferred.
• Prior experience in pharmaceutical, healthcare, or managed care required.
• Ability to multi-task and use various systems efficiently.
• Must have high school diploma.
• Must possess exceptional professional verbal and written communication skills in English.
• Must be dependable, outgoing, and personable.
• Must exhibit aptitude in PC-based software (Excel & Word) and adapt to new applications.

Responsibilities

• Review clinical requests from pharmacies, prescribers, members, or other entities to determine the appropriate required action.
• Perform outreach to pharmacies, members, or prescribers telephonically for purposes of gathering or providing information.
• Accept incoming calls from prescribers to gather and document information
• Review information from other departments and take appropriate actions.
• Enter overrides and generate notice of decision letters.
• Other duties as assigned.

Skills

Pharmacy tech exp

Customer service

Multitasking

Professional English

Dependable & personable

Software adaptability

Education

High school diploma

Tools

Excel

Word

Job description

Under the direction of the Clinical Operations management, Clinical Operations Associate is responsible for working all operational tasks related to a clinical request for a Commercial member.

Working hours: Tuesday - Saturday 8:30am - 5:00pm in the PA or FL office

Duties and Responsibilities:

• Review clinical requests from pharmacies, prescribers, members, or other entities to determine the appropriate required action.
• Perform outreach to pharmacies, members, or prescribers telephonically for purposes of gathering or providing information.
• Accept incoming calls from prescribers to gather and document information
• Review information from other departments and take appropriate actions.
• Enter overrides and generate notice of decision letters.
• Other duties as assigned.

Qualifications:

• Pharmacy technician experience preferred.
• Customer service/phone experience preferred.
• Prior experience in the pharmaceutical, healthcare, or managed care industry required.
• Ability to multi-task and use various systems efficiently.
• Must have high school diploma
• Must possess exceptional professional verbal and written communication skills in the English language
• Must be dependable, outgoing, and personable
• Must exhibit aptitude in PC based software which facilitate written communication via mail or electronically (Excel & Word) as well as be able to adapt to new applications as required

Featured Benefits

• Vacation and Sick/Personal Time
• Medical Insurance
• Hearing Program Discount
• Short- & Long-Term Disability Insurance
• Life Insurance
• Flexible Spending Account
• 401(k)
• Employee Referral Program
• Employee Recognition
• Tuition Reimbursement
• Professional Development Training

About Benecard Services our affiliated companies:

Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990. Benecard is a full service, in-house prescription benefit administrator that includes mail and specialty drug dispensing. We are a premiere nationwide Prescription Benefit Administrator headquartered in Lawrenceville, New Jersey.

BeneCard PBF provides self-funded prescription benefit program administration with a personalized approach through focused, clinical expertise. Our business model operates on a customized claim processing system offering unlimited capability and flexibility to respond to client needs in an evolving marketplace. Advanced clinical programs and advanced technology provide the framework to maximize the use of all data elements available. This allows BeneCard PBF to filter the information, focus on clinical opportunities and facilitate interaction between the physician, the pharmacist and the patient to effectively promote complete health care. Headquartered in Bonita Springs, Florida.

National Vision Administrators

For over 40 years, National Vision Administrators (NVA) has been meeting the vision benefit needs of public employer groups, Health & Welfare Funds, Associations and Coalitions. Providing millions of people throughout the United States with vision care programs that help them be smarter buyers of eye care and eyewear, NVA is particularly well suited to address today's health benefit challenges as it relates to eye care. We offer cost-effective, customized vision benefit programs that are clinically integrated. We are proud of the fact that we have retained over 99% of our clients and believe it is the greatest testimony to the high-quality benefits and service satisfaction we provide to both our clients and their members. Headquartered in Clifton, New Jersey.