Clinical Operations Specialist
Company: VirtualVocations
Location: Salinas
Posted on: January 21, 2025
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Job Description:
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
Keywords: VirtualVocations, San Jose , Clinical Operations Specialist, Healthcare , Salinas, California
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