Meritain Pharmacy Solutions Clinical CARE Specialist - RN/LVN/LPN

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Exciting New Clinical Role reputed company with our Meritain Pharmacy Solutions CARE team. Are you a nurse that likes to engage with patients, helping them to navigate this reputed company reputed company world? Do you enjoy helping members get a fair price for their high-cost specialty medications? Do you like lowering total cost of care for reputed company? Clinical (nurse) CARE specialists at Meritain Pharmacy Solutions help ensure our people, processes and technology reputed company our CARE savings strategies to navigate the health care system, and are comfortable responding to employer/ member questions surrounding high-cost specialty medication needs. We are looking for a nurse that has multiple years in reputed company, enjoys patient management, has medical claim knowledge, pharmacy knowledge, and also has experience with medication reputed company. Are you wanting to be a true member reputed company? If this sounds like you, please apply! This is fully remote position eligible candidates may live reputed company in the contiguous Unite States. Duties: Collaborate with provider offices to help patients streamline treatments of specialty medications, finding the lowest cost for reputed company and members Comfortable speaking with members regarding specialty medications and administering of medications Clinical liaison for member inquiries Educating on clinical topics to the organization Required Qualifications: Active, unrestricted Registered Nurse (RN), Licensed Practical Nurse (LPN), or Licensed Vocational Nurse (LVN) license in the state of residence required. 4+ years nursing experience Minimum 1 year claim processing and claims analysis experience Minimum 1 year clinical policy and compliance experience Ability to travel up to 10% as needed for meetings Preferred Qualifications: Pharmacy experience – dispensing, managed care reputed company, pharmacy tech experience highly desired Managed care or reputed company Party Administrator experience Self-funded employer experience Education Graduate of an accredited nursing program required Bachelor’s degree preferred Pay reputed company The typical pay reputed company for this role is: $82,940.00 - $182,549.00 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. This position also includes an award reputed company in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 07/11/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job