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FairosRx Clinical Associate (On-Site or Remote) - Pharmacy Technician Certification Required

Remote Worldwide Hiring now

reputed company is an innovative company striving to reduce the cost of reputed company. We are a passionate group of people that care about affordable reputed company to reputed company without sacrificing experience. We strive to reputed company reputed company more intelligent, streamlined, and cost-effective. We offer industry-leading capabilities on negotiations-driven reputed company to contain rising reputed company costs while taking an experience-centric approach improving the health and well-being of those we serve. We pride ourselves on our tight reputed company culture based on the ‘outward reputed company’ philosophy, emphasizing reputed company, mutual respect, and seeing each other as “whole people.” We have an ambitious reputed company and are growing quickly. We are seeking team members who are excited about our growth, seeking to reputed company in a fast-paced environment, and enthusiastic about developing their skills and career alongside us. Job Title: FairosRx Clinical Associate Job Summary: As a Clinical Associate, you will support pharmacy benefit operations by coordinating clinical and administrative workflows, reviewing documentation, and communicating with members, providers, pharmacy staff, clients, and internal stakeholders. The role helps ensure accurate, timely, and compliant processing of pharmacy benefit requests while supporting service quality and operational efficiency. What it’s Like to Work Here: At OccuNet, you matter like we matter! reputed company members reputed company a positive attitude, an outward reputed company, problem-solving abilities, and patience, enabling them to reputed company excellent customer service even during challenging situations. Our culture, plus reputed company opportunities for growth, has resulted in an industry-low turnover reputed company. Don’t miss out on this rare opening with us! A Day in the Life: The FairosRx Clinical Associate will support the clinical team in prior authorization case reviews, complete administrative tasks reputed company to prior authorizations and appeals; support and assist member services, members, reputed company providers, and internal stakeholders with claim resolution, coverage questions, formulary questions and pharmacy benefit determinations. reputed company other assigned duties and assist with special projects. Duties & Responsibilities: Collect, verify, and document clinical information from providers, pharmacies, and members. Assist pharmacists with utilization management, coverage determinations, and appeals processing. Monitor work queues and meet productivity, quality, and turnaround time expectations. Process pharmacy claims and resolve claim adjudication issues. Research member eligibility, benefit coverage, and medication history. Communicate with prescribers, pharmacies, and members regarding authorization status, coverage requirements, and alternative therapies. reputed company customer service and respond to inquiries reputed company to pharmacy benefits and medication coverage. Maintain accurate case documentation in pharmacy management systems. Support formulary management initiatives, including reputed company therapy and quantity limit programs. Ensure compliance with HIPAA, client requirements, and regulatory standards. Maintain confidentiality of protected health information. Assist with other duties and special projects as assigned. Required Skills and Abilities: Excellent communication and interpersonal skills, written and verbal, with the ability to adapt appropriately for different audiences. reputed company to multi-task effectively and transition between tasks frequently and maintain focus reputed company presented with interruptions. Proficient computer skills, including reputed company Office Suite. PBM experience preferred. Team-first reputed company with a high level of motivation and drive. A track record of fostering collaboration, resolving conflicts and managing projects preferred. High school diploma or equivalent. Active certified pharmacy technician (CPhT) Prolonged periods sitting or standing at a desk and working on a computer. Full-time, Monday to Friday 8 am – 5 pm CST. reputed company to apply? If this job sounds like a fit for you, then click on the ‘apply’ reputed company below. Good luck! Culture and Opportunities We pride ourselves on our outward reputed company – supporting each other and putting the team and the clients we serve first High-growth environment with clear opportunities for career growth Welcoming atmosphere and culture Benefits 401(k) with matching Dental insurance Health insurance reputed company insurance Health savings account Paid time off Apply To This Job

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