PBM Clinical Operations Supervisor

TriNet Group; Las Vegas (NV); On-site; USD 65,000 - 90,000; Full time

Job summary

SlateRx is seeking a Clinical Coordinator Supervisor to oversee the coverage determination and appeals clinical coordinator team, ensuring efficient, accurate, and timely reviews. You will supervise day-to-day operations, hire and coach staff, and resolve complex issues while maintaining high-quality service for plan sponsors and members.

Ideal candidates bring pharmacy benefit management knowledge, strong analytical and leadership skills, and the ability to mentor staff in a fast-paced

Qualifications

• Knowledge of pharmacy benefit management, CDAG operational processes, and regulatory requirements.
• Strong analytical skills with experience in data-driven decision-making.
• Excellent communication, coaching, and conflict-resolution skills.
• Computer and typing proficiency.
• Ability to adapt to a dynamic and fast-paced environment.
• A good educator who is trustworthy and willing to share information and serve as a mentor.
• Demonstrated ability to manage multiple priorities and deadlines.
• A well-organized and self-directed individual who is able to work with minimal supervision.

Responsibilities

• Lead, coach, and mentor team members to achieve personal and professional growth.
• Oversee day-to-day team operations, ensuring alignment with business objectives.
• Lead the Clinical Coordinator team, inclusive of hiring, coaching, and evaluating staff.
• Support and advise clinical coordinators with member, client, and software issues.
• Handle escalated clinical issues, including escalated calls.
• Monitor and update daily productivity reports.
• Develop Clinical Coordinator monthly schedules to ensure appropriate coverage.
• Report accomplishments, infractions, and overall productivity to upper management.
• Train and update staff on changing procedures and PA automation system.
• Conduct performance evaluations.
• Promote and foster a professional, positive, dynamic team environment.

Skills

Communication

Coaching

Conflict resolution

Analytical skills

Data-driven decisions

Computer skills

Typing proficiency

Organization

Mentoring

Multi-priority management

Education

High school diploma or GED

Bachelor's degree preferred

Pharmacy Technician Certification or equivalent experience

Job description

SlateRx is seeking a Clinical Coordinator Supervisor to oversee the coverage determination and appeals clinical coordinator team, ensuring efficient, accurate, and timely reviews. You will supervise day-to-day operations, hire and coach staff, and resolve complex issues while maintaining high-quality service for plan sponsors and members.

Ideal candidates bring pharmacy benefit management knowledge, strong analytical and leadership skills, and the ability to mentor staff in a fast-paced