Clinical Review Technician

Position Overview:The Clinical Review Technician works under the supervision of the licensed pharmacist on duty during day-to-day operations and reports directly to the Clinical Review Technician Supervisor. The Clinical Review Technician will perform clinical functions in supporting the daily operations of MedOne Clinical Services. About MedOne:MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price. What You Will Do at MedOne:Support operations of MedOne Clinical ServicesConduct clinical assessments to evaluate the appropriateness of medication therapy as part of the clinical review/prior authorization processCommunicate clinical review decision to pharmacies and providersMaintain quality and productivity standards for all cases reviewed while meeting established turnaround time requirementsComplete Proactive Prescriber Outreach Program (PPOP) calls and requests as assignedProvide mentorship to the Data Entry Specialist team as requiredAssist Member Advocate and Account Management teams with patient or provider requests not requiring pharmacist interventionWorks to promote a team environment Support the operation and maintenance of existing MedOne Clinical ServiceAssists and supports members of MedOne Pharmacy Benefit SolutionsPortrays the company in a positive imageRequired to abide by all rules, regulations and policies of the employerOther duties as assigned What you will bring to MedOne:CPhT certification, or state equivalent at date of hireHigh school diploma or equivalent (Associate’s or Bachelor’s degree preferred)1–3 years of experience in healthcare, pharmacy, insurance, or prior authorization supportDetail-oriented with a high degree of accuracyStrong interpersonal, written, and verbal communication skillsAbility to work independently and manage time effectivelyExcellent customer service and teamwork skillsMust have a designated workplace (an office, spare bedroom, etc.) that is visibly secure from others during work hours (closed door) and is protected from noise that could disrupt conversations (for remote employees)Must have a strong understanding of Microsoft Office (Word, Excel, PowerPoint)Familiarity with data entry software or CRM systems (Microsoft Dynamics) is a plusMust be able to type at a minimum of 30 words per minuteMust be able to work independently, meets deadlines, establish priorities, and be flexibleMust be able to stand/sit for long periods of time within limited spaceMust be able to lift up to 25 poundsMust be able to work cooperatively with MedOne staff Why Join MedOne?Competitive salary and bonuses that reward your performanceComprehensive health, dental, and vision insurance401(k) with company match to secure your futureGenerous paid time off and holidaysOpportunities for professional growth and developmentA vibrant and collaborative work culture Location: We have offices in either Dubuque, IA, or Kansas City, MO, or the position can be remote within the United StatesEmployment Type: Full-Time, Hourly/Non-ExemptHours: Hours may vary within our normal business hours