Description
Job Description Summary
The Clinical Pharmacist completes assigned operational tasks using standard appropriate tools (Siebel, BA, Clinical Rules Platform, Criteria, Coverage Benefits, etc.) and provides support to client requests under the direction of the Managers and other team members. Responsibilities include (but not limited to) support of service transactions associated with business needs including but not limited to business partner support and internal team support, handling daily request tracking, researching operational issues and running reports for internal and external clients upon request; provide documentation related to completion of assigned tasks. The Clinical Pharmacist will provide support to the team and escalate issues, risks, concerns as needed.
ABOUT THE DEPARTMENT
The mission of Client Benefit Services is to meet market needs for speed, flexibility and reliability, while driving and influencing best operational practices to position the company to be competitive and effective in the marketplace.
Job Functions
Accurately analyze & configure benefit intent
Work with internal partners to ensure all implications of requested clinical
benefit requirements are vetted, understood and communicated as
necessary
Accountable for timely and accurate translation of client intent into the appropriate clinical systems.
Track and communicate status of service requests as necessary
Meet with business partners to discuss and clarify clinical benefit requirements
Analyze new requirement against existing setup
Clarifying implications of intent
Provide assistance to team members with POST GO LIVE issue resolution.
Translate requirements as necessary into internal requests/submissions for vendor.
Manages and tracks all requests to ensure timelines are met including the
proactive management of client specific performance guarantees.
Responsible for communicating completed benefit notifications to client with documentation of accurate set up.
Complete random review of work completed by coding teams
Develop an understanding of associated clinical applications
Will act as resource in the build and maintenance of the Client Benefits
RPh, PharmD preferred
Current RPh Licensure in good standing as required by the state in which work is performed
Microsoft office with a strong understanding of Excel and Access
Written and verbal communication (listening, feedback; translating complex
ideas/processes), collaboration, analytical thinking/critical thinking,
results-oriented and organizational skills.
TOP 3 SKILLS - 1) Time Management Skills, 2) Quick Learner and 3) Works well with others
