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Clinical Operations Specialist
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- Clinic Ops staff must operate effectively for clients/members by assisting in support for overrides and clinical reviews promptly to ensure members are receiving white glove service.
- If you're a highly motivated Clinical Operations Specialist with a robust grasp of pharmacy adjudication processes and clinical review procedures and are eager to make a meaningful impact in the healthcare industry, we encourage you to apply.
- What You'll Do:As a Clinical Operations Specialist, your role will encompass a wide range of responsibilities:Serve as an account support to internal EmpiRx Health teams for adjudication, clinical review, and claims support-related matters.
- Manage claims override and prior authorization support, delivering exceptional white-glove service to clients and members.
- Act as a subject matter expert on the adjudication platform, demonstrating a keen understanding of claims support.
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