Clinical Operations Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Clinical Operations

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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TrueScripts Management Services

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2014

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

TrueScripts Management Services is dedicated to providing exceptional prescription benefit management services. With a focus on delivering maximum savings and amazing care, TrueScripts works closely with members, clients, brokers, and prescribers to offer personalized and customized solutions. The company prides itself on transparency and efficiency, featuring a 24-48 hour turnaround time for prior authorization requests and a commitment to customer service, ensuring that real people are available to assist over 99% of the time.

📋 Description

• Provide day-to-day operational and administrative support for TrueScripts clinical programs • Coordinate timelines, tasks, documentation, and follow-up associated with clinical program development and implementation • Maintain program documentation, workflows, process guides, supporting materials, formulary files, spreadsheets, and tracking tools • Track program-related action items, deadlines, deliverables, outstanding decisions, formulary changes, effective dates, and implementation requirements • Prepare materials, reports, presentations, communications, meeting agendas, notes, and action-item trackers • Coordinate approved clinical program and formulary changes with internal teams • Assist with testing, implementation, ongoing maintenance, and documentation of clinical program changes • Gather, organize, validate, and report information for clinical program reporting and analysis • Maintain recurring reports, trackers, dashboards, operational tools, accurate documentation, and version control • Identify missing, inconsistent, outdated, or discrepant information and coordinate follow-up • Serve as an operational point of contact for assigned clinical program processes • Coordinate with Operations, Client Services, Account Management, Implementation, Compliance, Pharmacy Network, and other departments • Escalate clinical questions, exceptions, and decisions to appropriate pharmacists or clinical leaders • Evaluate processes and identify opportunities for efficiency, standardization, scalability, and reduced manual work • Develop workflows, checklists, templates, procedures, and current-state/future-state process documentation • Manage multiple projects and responsibilities while meeting deadlines • Assist with special projects and initiatives assigned by Clinical or Operations leadership • Perform other duties and responsibilities as assigned

🎯 Requirements

• High school diploma or equivalent; associate or bachelor’s degree preferred • 2+ years of experience in healthcare, pharmacy, PBM, insurance, benefits, operations, or a related environment preferred • Strong organizational and administrative skills • Exceptional attention to detail and accuracy • Ability to manage multiple priorities and deadlines • Strong written and verbal communication skills • Proficiency with Microsoft Office, including Excel, Word, and Outlook • Ability to work collaboratively across multiple departments • Demonstrated ability to identify issues, follow through on commitments, and proactively communicate status • Experience working in a pharmacy, PBM, healthcare, or clinical environment preferred • Familiarity with formulary management or pharmacy benefit operations preferred • Experience supporting clinical programs or healthcare initiatives preferred • Experience working with spreadsheets, reporting tools, workflow systems, or project-management tools preferred • Familiarity with pharmacy terminology and clinical program concepts preferred • Experience documenting processes and developing standard operating procedures preferred • SQL experience is a plus • Highly organized with strong follow-through • Detail-oriented with a commitment to accuracy • Comfortable working independently while knowing when to escalate • Strong problem-solving and critical-thinking skills • Ability to manage confidential and sensitive information appropriately • Ability to communicate effectively with both clinical and non-clinical audiences • Comfortable learning complex healthcare and pharmacy processes • Ability to recognize when an issue requires clinical expertise and appropriately escalate it • Adaptable and comfortable working in a growing, changing organization • Strong sense of ownership and accountability • Demonstrated commitment to TrueScripts’ values of Integrity, Service, and Innovation

🏖️ Benefits

• Fully remote work arrangement