KPH Healthcare Services is hiring : Clinical Communication Specialist in Village

Overview

Scope of Responsibilities : Assist with the day-to-day operations of the Clinical Pharmacist and clinical department of ProAct. Works under direct supervision and follows standard procedures to accomplish assigned tasks.

Job Summary : Responsibility for overseeing communication involved throughout the prior authorization process and assisting with tasks and goals that meet the clinical needs of ProAct clients and members.

Responsibilities

• Perform communication duties involved throughout the prior authorization process to maintain efficiency and timeliness
• Preparation and execution of member mailings for various cost containment / clinical programs
• Preparation and execution of provider communication for various cost containment / clinical programs
• Assist in the completion of prior authorization reviews as needed
• Provide Help Desk support, where appropriate, for questions regarding prior authorizations
• Responsible for completing all mandatory and regulatory training programs
• Assist with the day-to-day operations of the ProAct Help Desk
• Perform other duties as assigned

Qualifications

Educational Requirements :

Experience :

Compensation :

$17.50-20.50 per hour.

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.

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