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KPH Healthcare Services is hiring: Clinical Communication Specialist in Village

KPH Healthcare Services
East Syracuse, NY Full Time
POSTED ON 1/22/2025
AVAILABLE BEFORE 4/16/2025

Overview

Scope of Responsibilities : Assist with the day-to-day operations of the Clinical Pharmacist and clinical department of ProAct. Works under direct supervision and follows standard procedures to accomplish assigned tasks.

Job Summary : Responsibility for overseeing communication involved throughout the prior authorization process and assisting with tasks and goals that meet the clinical needs of ProAct clients and members.

Responsibilities

  • Perform communication duties involved throughout the prior authorization process to maintain efficiency and timeliness.
  • Preparation and execution of member mailings for various cost containment / clinical programs.
  • Preparation and execution of provider communication for various cost containment / clinical programs.
  • Assist in the completion of prior authorization reviews as needed.
  • Provide Help Desk support, where appropriate, for questions regarding prior authorizations.
  • Responsible for completing all mandatory and regulatory training programs.
  • Assist with the day-to-day operations of the ProAct Help Desk.
  • Perform other duties as assigned.

Qualifications

Educational Requirements :

  • Minimum : High School Diploma (or currently enrolled) or GED.
  • Preferred : AS Degree or Higher.
  • Experience :

  • Preferred hospital or retail pharmacy experience.
  • Compensation :

    17.50-20.50 per hour. The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience, and education.

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    Salary : $18 - $21

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