FairosRx Clinical Associate (On-Site or Remote) - Pharmacy Technician Certification Required

Duties & Responsibilities

• Collect, verify, and document clinical information from providers, pharmacies, and members.
• Aid pharmacists with utilization management, coverage determinations, and appeals processing.
• Maintain work queues and meet productivity, quality, and turnaround time expectations.
• Process pharmacy claims and resolve claim adjudication issues.
• Research member eligibility, benefit coverage, and medication history.
• Communicate with prescribers, pharmacies, and members regarding authorization status, coverage requirements, and alternative therapies.
• Provide customer service and respond to inquiries related to pharmacy benefits and medication coverage.
• Maintain accurate case documentation in pharmacy management systems.
• Support formulary management initiatives, including step therapy and quantity limit programs.
• Ensure compliance with HIPAA, client requirements, and regulatory standards.
• Maintain confidentiality of protected health information.
• Assist with other duties and special projects as assigned.

Required Skills and Abilities

• Excellent communication and interpersonal skills, written and verbal, with the ability to adapt appropriately for different audiences.
• Able to multi-task effectively and transition between tasks frequently and maintain focus when presented with interruptions.
• Proficient computer skills, including Microsoft Office Suite.
• PBM experience preferred.
• Team-first mindset with a high level of motivation and drive.
• A track record of fostering collaboration, resolving conflicts and managing projects preferred.
• High school diploma or equivalent.
• Active certified pharmacy technician (CPhT).

Qualifications

• Full-time, Monday to Friday 8 am – 5 pm CST.

Benefits

• 401(k) with matching
• Dental insurance
• Health insurance
• Vision insurance
• Health savings account
• Paid time off