The company needs to build, test, and maintain its library of electronic prior authorization (ePA) forms and workflows using proprietary systems to support the ongoing growth of its product offerings.
Requirements
- Knowledge of prescription drug reimbursement including: insurance plan types, major medical benefits and prior authorizations.
- Basic prescription drug knowledge including: administration, route, dosage, form, and drug types.
- Professional level skills in computer use, including but not limited to Microsoft Office Suite, Adobe Acrobat, web-based applications, and keyboard skills.
- Ability to adapt and learn quickly, specifically in accordance with company and program policies and procedures.
- Strong attention to detail with the ability to complete tasks repetitively.
Responsibilities
- Conduct research on electronic sources, such as databases or repositories, for formulary status and prior authorization requirements for all drugs.
- Test system modifications to prepare for implementation while documenting software defects, and report findings to software developers and/or other involved departments.
- Participate in product design reviews to provide input on functional requirements, product designs, processes, or potential problems.
- Apply basic clinical knowledge to association of prior authorization forms.
- Create cohesive question sets using specific questions provided by the payer.
- Create cohesive question sets using specific information provided by clinical staff.
- Create workflows in proprietary systems.
Other
- This position requires extensive research, attention to detail, and a strong work ethic.
- Demonstrated strong written and verbal communication skills.
- Interpersonal skills to facilitate work with a wide range of individuals and groups from culturally diverse publics.
- Previous work experience in Specialty Pharmacy or Managed Care with working knowledge of specialty medications and prior authorizations.
- All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check.
