Clinical Operations Specialist - Whittier California

Company: VirtualVocations
Location: Whittier, California
Posted On: 01/27/2025

A company is looking for a Clinical Operations Specialist (Remote).



Key Responsibilities

Provide account support for adjudication, clinical review, and claims-related matters
Ensure timely completion of processes and manage claims override and prior authorization support
Act as a subject matter expert on the adjudication platform and collaborate with internal teams


Required Qualifications

Minimum 5 years of pharmacy experience
Minimum 2 years of claim adjudication experience
Minimum 2 years of prior authorization experience
Strong customer service orientation
Ability to work in a fast-paced environment More...

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