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Healthcare / Healthcare
Maxor National Pharmacy Services, LLC Hiring for Clinical Associate at Remote Full Time
Full Job Description
Overview:
Our Company
Our Locations
Education: High School Diploma, G.E.D., or equivalent abilities and skills required. Certified Pharmacy Technician required.
Experience: Previous case management and pharmacy experience preferred.
Knowledge, Skills, and Abilities:
WHY MAXOR?
WE OFFER: A diverse, progressive culture that supports a work from home model, a “dress for your day” attire when working onsite, and a collaborative, team oriented environment. Our industry leading compensation and health benefits include:
Continued growth at Maxor has created an opportunity for a Clinical Associate to join our growing company. The Clinical Associate under general supervision, provides assistance to members, pharmacists, or physicians regarding prescription services and prior authorization activities in accordance with established policies and procedures, laws and regulations. Monday through Friday, 8:00am to 5:00pm. May be required to work rotating shifts, including holidays, weekends, nights, and on-call.
Our Company
We’re Maxor and we’re building a different kind of pharmacy company. We’re transforming the pharmacy industry to create healthier lives through purposeful engagement across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, 340B, Rebate and Formulary Management, and Pharmacies. We put people first and are committed to providing outstanding service across all aspects of our business. We believe there’s a better way to deliver pharmacy and healthcare services to people across the country, and we’d love for you to help us do it.
Our Locations
The Maxor workforce brings robust experience, diverse perspectives and passion from over 1,000 employees working all over the US in pharmacies, hospitals, home offices, or corporate offices.
Responsibilities:
- Contact providers to gather clinical information and to discuss individual members’ cases.
- Contact and confer with pharmacists and physicians regarding questions or irregularities on prescriptions.
- Review prior authorization requests and make determinations using predetermined criteria.
- Work directly with Member Advocates as a resource for formulary and plan-related questions.
- Maintain current knowledge of plan specifications and requirements.
- Maintain current knowledge of drug therapies and drug reactions and interactions by reading professional literature, attending seminars and through professional affiliations.
- Work with clinical managers, Advocate Support Center, staff, and clients in developing and carrying out various clinical initiatives.
- Attend and participate in other programs, committees, meetings, and functions as required.
- Maintains regular attendance in accordance with established policies.
- Perform other job-related duties as assigned.
- Promptly any allegations of impropriety to the Compliance Department.
- Comply with Maxor’s Ethical Business Conduct policy and Maxor’s Compliance Program.
- Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.
- Complete required training, as assigned, within the established timeframes.
- Must be able to cope with the mental and emotional stress of the position.
Qualifications:
Education: High School Diploma, G.E.D., or equivalent abilities and skills required. Certified Pharmacy Technician required.
Experience: Previous case management and pharmacy experience preferred.
Knowledge, Skills, and Abilities:
- Knowledge of Microsoft Windows, including word processing and spreadsheet applications
- Good computer skills in general with the ability to learn new software programs and applications
- Strong organizational skills
- Ability to effectively communicate with internal and external clients
- Ability to multi-task
- Excellent analytical skills
WHY MAXOR?
Did you know that patients see their pharmacist an average of 12 times a year? Pharmacy is at the heart of healthcare. Come join Maxor and make a direct impact on patients’ lives. Improve your own wellbeing with our robust benefits and flexible work environment. At Maxor, you have a career with limitless possibilities and the charge to make a difference. A company of 1,000 diverse people and almost 100 years of pharmacy experience, we offer the stability of a Fortune 500 company with the energy and innovation of a startup. We provide services and technology that fuel the entire pharmacy ecosystem, but we are more than pharmacy services. We enable pharmacy care.
WE OFFER: A diverse, progressive culture that supports a work from home model, a “dress for your day” attire when working onsite, and a collaborative, team oriented environment. Our industry leading compensation and health benefits include:
- Comprehensive mental health and wellbeing resources
- Nationwide Blue Cross Blue Shield PPO with employee friendly plan design, including $850 individual annual medical deductible, $25 office visit copays, Low biweekly premiums
- Company paid basic life/AD&D, Short-term and Long-term disability insurance
- Rx, dental, vision, short-term disability, and FSA
- Employer-matched 401k Plan
- Industry leading PTO plan
- And MORE!
Maxor is an EOE, including disability/vets
Please apply online at: https://careers-maxor.icims.com/