Benefit consultant: PBM Prior Authorization - Veterans Sourcing Group
Please note: Actual location may vary., RI 02895
About the Job
Benefit consultant: PBM Prior Authorization
100% remote CST
Pay rate: $26.32/hr W2
Shift 1: Mon-Fri 7-3:30pm CST
Shift 2: nights and weekend shifts only
3+ years of Pharmacy Benefit Management (PBM) prior authorization experience
The Clinical Services Consultant fulfills the companies purpose of helping people on their path to better health by driving quality execution of administrative support for Prior Authorization. The candidate will promote a positive working environment and communicate clearly and effectively offering suggestions to continually improve when interacting with all levels of employees and leadership on process and protocols within CAS PA Admin. Other responsibilities include, being knowledgeable of PA Admin processes, completing daily production tasks, and handling special complex projects and assignments as designated by your direct supervisor/manager.
Successful members of our team can adapt to different personalities, create a positive culture, be approachable, listen to new ideas for innovation, and hold each other accountable to achieve our goals.
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.
100% remote CST
Pay rate: $26.32/hr W2
Shift 1: Mon-Fri 7-3:30pm CST
Shift 2: nights and weekend shifts only
3+ years of Pharmacy Benefit Management (PBM) prior authorization experience
The Clinical Services Consultant fulfills the companies purpose of helping people on their path to better health by driving quality execution of administrative support for Prior Authorization. The candidate will promote a positive working environment and communicate clearly and effectively offering suggestions to continually improve when interacting with all levels of employees and leadership on process and protocols within CAS PA Admin. Other responsibilities include, being knowledgeable of PA Admin processes, completing daily production tasks, and handling special complex projects and assignments as designated by your direct supervisor/manager.
Successful members of our team can adapt to different personalities, create a positive culture, be approachable, listen to new ideas for innovation, and hold each other accountable to achieve our goals.
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.
Source : Veterans Sourcing Group