Sr. Coordinator, Clinical Client Services jobs in United States
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Navitus Health Solutions ยท 1 day ago

Sr. Coordinator, Clinical Client Services

Navitus Health Solutions is committed to making medications more affordable through innovative pharmacy benefit management. The Sr. Coordinator, Clinical Client Services will interface with clients and clinical teams to support account executives and ensure efficient operations, including issue resolution and client request management.

Health CareInformation Technology

Responsibilities

Populate data for Consultative reviews, create consultative review and BOB Excel templates
Create custom objects in 3D for Clinical includes consultative review, BOB data, high-cost medications i.e. Harvoni, Praluent Repatha, Kaleydeco, Acthar HP, Synagis
Coordinate assembly and processing of prior authorizations (MPAs) for new client implementations and formulary changes done by Navitus or Health plan clients
Prepare new and revise existing training documents relevant to department
Conduct Clinical Coordinator training (Navigate 3-D, Navi-Claim, etc.) and serve as resource and mentor to new team members
Assist in development of new procedures within the clinical department. Draft policies that accompany these workflows
Support/back up the CAE responsibilities
Travel to Client sites
Other duties as assigned

Qualification

Clinical Client ServicesPBM knowledgeAdvanced ExcelVerbal communicationWritten communicationOrganizational skillsMulti-taskingMicrosoft OfficeCPhT certificationProblem-solving

Required

High school diploma or equivalent required
Ability and desire to work with external client contacts and partners to manage day to day clinical activities for TPA's
Excellent verbal and written communication as well as strong organizational and multi-tasking skills and problem-solving capabilities
PC skills: Microsoft Office, Email, Internet, and other applications as required
Valid State Driver's License and current Automobile Insurance Policy
Participate in, adhere to, and support compliance program objectives
The ability to consistently interact cooperatively and respectfully with other employees

Preferred

Associate's or bachelor's degree
2 years of successful experience as a Clinical Client Services Coordinator-II
Knowledge of PBM or health care industry
Preferred advanced Excel knowledge
CPhT

Benefits

Top of the industry benefits for Health, Dental, and Vision insurance
20 days paid time off
4 weeks paid parental leave
9 paid holidays
401K company match of up to 5% - No vesting requirement
Adoption Assistance Program
Flexible Spending Account

Company

Navitus Health Solutions

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Navitus Health Solutions LLC is a full service, URAC-accredited pharmacy benefit management company.