Tabula Rasa Healthcare
Claims Management - Pharmacy Benefits Advocate (Finance)
Tabula Rasa HealthCare (TRHC) is a leader in providing patient-specific, data-driven technology and solutions that enable healthcare organizations to optimize performance to improve patient outcomes, reduce hospitalizations, lower healthcare costs, and manage risk. Medication risk management is TRHC's lead offering, and its cloud-based software applications, including EireneRx® and MedWise™, provide solutions for a range of payers, providers and other healthcare organizations.
TRHC empowers our employees to provide excellent service, utilize advanced technology, and proficiently deliver results. Our 32Fundamentals are what we are and who we are. Our culture cultivates teamwork, rewards excellence, focuses on quality for every aspect of our business, and promotes community involvement. As a part of our team, you will help us bring innovative service models to healthcare, improving patient outcomes.
Summary
Under the supervision of the Manager of Pharmacy Benefits, the Pharmacy Benefits Advocate is responsible for answering calls from our clients and providing timely and accurate responses in a professional and courteous manner. This position works with internal and external clients which include: members, clinicians, pharmacies, plan sponsors and other departments within the company.
This position also assists with various internal tasks that ensure a high level of overall client satisfaction. On the job training will be provided.
Pharmastar (a Tabula Rasa HealthCare Group company) is a Pharmacy Benefits Manager (PBM) for commercial plans, Medicare Part D Plans and PACE Plans.
Essential Functions:
Qualifications:
Knowledge, Skills, Abilities:
Supervisory Responsibility:None
Travel:None
Expected Hours of Work:
This is a full-time position with an expectation to work an average of 40 hours per week, and an ability to be available outside of normal business hours to meet customer expectations on an ad-hoc basis.
Employees will be assigned one of the following shifts: 8:30 a.m. to 5:00 p.m.; 9:00 a.m. to 5:30 p.m.; or 9:30 a.m. to 6:00 p.m. with an option of four 10-hour days with the latest shift.
Physical Demands & Requirements:
Work Environment:
The Company is proud to be an equal opportunity employer. All qualified applicants will receive consideration without regard to ancestry or national origin, race or color, religion or creed, age, disability, AIDS/HIV, gender, marital or family status, pregnancy, childbirth or related medical conditions, genetic information, military service, protected caregiver obligations, sexual orientation, protected financial status or other classification protected by applicable law.
Other details