Clinical Assistant
Posted 2hrs ago
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Job Description
Clinical Assistant delivering operational and client-facing support in hospice pharmacy benefit management. Working at the intersection of clinical support, pharmacy operations, and technology.
Responsibilities:
- Review and identify high-cost or therapeutically inappropriate medications prior to claim submission
- Conduct outreach to hospice partners regarding medication alternatives and formulary considerations
- Support efforts to reduce claim rejections, delays, and unnecessary medication-related costs
- Maintain accurate medication profiles, eligibility information, and supporting documentation
- Assist with medication claims research, prior authorization requirements, and claims resolution
- Provide responsive, high-quality support to hospice staff regarding pharmacy benefit services
- Train and support hospice staff utilizing multiple e-prescribing platforms
- Manage multiple work queues, requests, and support activities while maintaining service-level expectations
- Ensure medication records, user profiles, and system data remain accurate, complete, and up to date
- Act as a liaison between hospice staff, clinical pharmacists, operations teams, and technical support personnel
Requirements:
- Current Certified Pharmacy Technician (CPhT) certification or active Registered Pharmacy Technician license
- Familiarity with medication claims processing, pharmacy benefit management, and prior authorization workflows
- Experience researching medication discrepancies, eligibility issues, and claims-related inquiries
- Demonstrated ability to provide professional, responsive support to healthcare clients and stakeholders
- Ability to learn and navigate multiple software applications, pharmacy systems, and e-prescribing platforms
- Strong verbal and written communication skills
- Proven ability to manage multiple priorities, maintain detailed documentation, and work efficiently in a fast-paced environment
Benefits:
- dental, vision, and multiple group medical plans to choose from
- 401(k) retirement savings plan
- group life insurance
- accidental death and dismemberment (AD&D) insurance
- flexible spending account (FSA) and health savings account (HSA)
- commuter benefits
- employer-paid short-term (STD) and long-term disability (LTD) insurance
- additional supplemental insurance plans
- flexible vacation time
- accrued paid sick time
- 10 paid holidays
- 2 floating holidays for full time non-exempt employees
- eight weeks of paid parental leave for eligible employees
- additional paid weeks for the birthing parent
- 4 weeks paid caregiver leave
- a Lifestyle Spending Account allowance each month
