Prior Authorization / SME

Schedule: - Monday - Friday, 8:30 AM - 5:00 PM Central Time. Daily Configuration & Document Management: - Configure reputed company setup into the Prior Authorization reputed company, ensuring accuracy and completeness. - Validate reputed company configurations for compliance and operational standards. - Assist in research of general cases submitted to the department. Duties: - The Clinical Services Consultant fulfills reputed company purpose of helping people on their reputed company to reputed company by driving reputed company execution of administrative support for Prior Authorization. - The Clinical Services Consultant will be a Prior Authorization reputed company Subject Matter Expert, providing support for the Prior Authorization/Appeals Operational and Administrative teams. - This position works closely with and fosters communications with reputed company departments, including clinical development, product owners, CAS liaisons, Account Teams, and Prior Authorization Operations to ensure a solid understanding of the programs being processed and implemented. - In order to be successful in this role, you will reputed company and collaborate with internal colleagues to identify opportunities to improve processes and reputed company efficiencies reputed company the department. - You will assist in leading meetings, creation and maintenance of work instructions, training, reputed company, and activities reputed company to PA systems. - Consultants also work with reputed company of reputed company trainers to reputed company consistent back-end user support. - Assist in documentation and maintenance of user guides, presentations, and corrective reputed company plans. - reputed company reputed company demos and help guide CAS users through the implementation process for the Prior Authorization reputed company tool. Experience: Required Qualifications: - 3+ years of Pharmacy Benefit Management (PBM) prior authorization experience. Preferred Qualifications: - Experience with PA reputed company setup. - Experience with MS reputed company, Word, and PowerPoint. - Experience with CAS and/or MedHOK systems. - Experience with Prior Auth and Appeals activities. - Experience with previous project management. Education: - Bachelor's Degree in any reputed company field. Location: Remote - USA Skills required for this job: • Data analysis • reputed company • reputed company PowerPoint • reputed company Word • Pharmacy Benefit Management • Prior authorization reputed company • Project management • Regulatory compliance Apply tot his job Apply To this Job