Clinical Programs Administration Specialist

6 days, 5 hours ago
Full-time
Junior
Project and Program Management
Capital Rx

Capital Rx

Capital Rx provides comprehensive health benefit management and transparent pharmacy benefit management solutions, integrating various healthcare services to support millions of plan members across diverse sectors.

Health Care Providers & Services
251-1K
Founded 2017

Description

  • Triage incoming clinical program calls, schedule consultations, and conduct outreach to prescribers, pharmacies, and members.
  • Lead administrative and operational support for pharmacogenomics, MTM, lower-cost alternatives, opioid safety, cost containment, and other clinical initiatives.
  • Manage drug lists through weekly, quarterly, periodic, and ad hoc reviews and updates.
  • Support reporting requirements, monitor claims, and coordinate communication among internal and external stakeholders.
  • Identify, document, and communicate issues to appropriate stakeholders while supporting quality care and health and safety standards.
  • Collaborate with business and clinical partners to implement clinical program initiatives.
  • Provide compassionate, professional customer service and support customer satisfaction in a fast-paced startup environment.
  • Follow standard operating procedures, HIPAA guidelines, company policies, and Code of Conduct requirements.

Requirements

  • Active, unrestricted pharmacy technician license.
  • 2+ years of applicable experience in a clinical pharmacy setting, PBM, health plan, or related healthcare environment.
  • 1+ year of customer service experience with strong listening, relationship-building, written, and verbal communication skills.
  • Ability to manage multiple complex projects with minimal direction.
  • Medication Therapy Management (MTM) experience preferred.
  • Proficiency with Microsoft Office, particularly Excel and PowerPoint.
  • Experience with Confluence, Jira, Tableau, or Salesforce preferred.
  • Highly detail-oriented and analytical.
  • Bilingual Spanish skills preferred.

Benefits

  • Remote position available in the United States.
  • Base salary range of $65,000–$70,000 USD.
  • Equal employment opportunities and nondiscrimination protections.

Interested in this position?

Apply directly on the company website

Apply Now

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