Clinical Programs Administration Specialist
New
J
Judi HealthHealth Technology
Remote, US Salary RangeContractMiddle
Salary65,000 - 70,000 USD per year
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Job Details
- Languages
- Spanish (preferred)
- Experience
- 1+ years
- Required Skills
- SalesforceJiraTableauMicrosoft ExcelCustomer serviceConfluencePowerPoint
Requirements
- Active, unrestricted pharmacy technician license.
- 1+ years of applicable experience in a clinical pharmacy setting, PBM, health plan, or related health care setting.
- 1+ year of customer service experience with strong written and verbal communication skills.
- Proficient in Microsoft Office Suite (Excel and PowerPoint).
- Experience with Confluence, Jira, Tableau, or Salesforce (preferred).
- Experience working with pharmacy claims (preferred).
- Cost containment experience (preferred).
- Highly detail-oriented and analytical.
- Designated secure workspace with a closed door.
- Internet connectivity: DSL, cable modem, or fiber with a wired connection (Wi-Fi not allowed).
- Minimum internet speed of one gigabyte (940bps).
Responsibilities
- Triage clinical program calls, schedule consultations, and conduct outreach to members, prescribers, and pharmacies.
- Support the administration and execution of clinical programs, including cost-containment initiatives and other clinical services.
- Provide compassionate, professional support to members and providers while promoting a positive customer experience.
- Document outreach, case activities, interventions, and follow-up actions in applicable systems.
- Monitor outreach queues, pending activities, and escalations to support timely completion of clinical programs.
- Collaborate with internal and external stakeholders to ensure effective communication and continuity of care.
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