Clinical Services Representative- REMOTE

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting Title

Clinical Services Representative- REMOTE

Job Description

The Clinical Services Representative is responsible for interacting with members, pharmacies or prescribers by providing support and assistance with clinical program inquiries and other administrative functions.

Responsibilities

• Perform phone, mail and fax functions for the Clinical Program Development department including: Receiving incoming requests for information, conduct outreach, and may facilitate the completion of tasks in partnership with others in the department
• Investigate, resolve and document inquiries including Protected Health Information (PHI) disclosures in a timely manner; establish appropriate reporting and tracking procedures for all inquiries and requests
• Escalate inquiries or issues to appropriate team member as necessary
• Adhere to and reinforce company and department Standard Operating Procedures (SOP) and training guidelines specific to the multi-channel application and HIPAA compliance
• Other duties as assigned

Minimum Qualifications

• High School Diploma from an accredited school or equivalent GED is required

• Must be eligible to work in the United States without need for work visa or residency sponsorship

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Excellent verbal and written communication and interpersonal skills with focus on professional demeanor and empathy
• Strong PC Skills with ability to navigate multiple software systems simultaneously
• Strong attention to accuracy, detail, and quality
• Self-motivated, action oriented individual who is able to act independently to meet deadlines
• Enhanced organizational skills and the ability to multitask in a sometimes high-pressure environment
• Excellent problem solving skills and the ability to work collaboratively with others

Preferred Qualifications

• Associate or Bachelor's degree
• National Pharmacy Technician Certification through PTCB or ExCPT (CPhT) with pharmacy benefit management experience
• Contact Center experience
• Fluency in another language (Spanish)

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.  

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.