Clinical Operations Associate

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.

Must report on site 5 days a week in either Bonita Springs Florida or Mechanicsburg Pennsylvania; Monday - Friday 8:30am - 5:00pm

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

• Competitive salary
• 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

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.

Website:

BeneCard PBF

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.

Website:

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.

Website:

We are an Equal Opportunity employer.