Clinical Associate Supervisor Jobs

Maxor Clinical Operation is looking for a Clinical Associate Supervisor for this growing team. The Clinical Associate Supervisor is responsible for the day-to-day operations of the clinical associates department, including scheduling, work flow, and training.  Under general supervision, provides assistance to members, pharmacists, physicians, clients, and professional staff regarding prescription services and prior authorization activities in accordance with established policies and procedures, laws, and regulations. Reviews prescription prior authorizations and enters plan design setup and changes in accordance with all applicable laws, regulations, standards, policies, and procedures. Work Schedule: Monday through Friday, 8:00am to 5:00pm CST. May be required to work rotating shifts, including holidays, weekends, nights, and on-call.

Our Company

We're Maxor and we're building a different kind of pharmacy company. We're transforming the pharmacy industry to create healthier lives through purposeful engagement across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, 340B, Rebate and Formulary Management, and Pharmacies. We put people first and are committed to providing outstanding service across all aspects of our business. We believe there's a better way to deliver pharmacy and healthcare services to people across the country, and we'd love for you to help us do it.

Our Locations

The Maxor workforce brings robust experience, diverse perspectives and passion from over 1,000 employees working all over the US in pharmacies, hospitals, home offices, or corporate offices.

• Work with clinical and account team members, Advocate Support Center, and in developing and carrying out various clinical initiatives.
• Assist Account Managers as needed in the generation of Annual or Quarterly Plan Benefit Review Summary and Recommendation Reports.
• Ensure staff is informed of product upgrades or enhancements in a timely manner.
• Assist the Manager, Formulary Operations in the development of clinical, utilization management, ad hoc and production reports and programs.
• Participate in the development and implementation of the Performance Improvement Program.
• Assist Account Managers as needed to address client requests or issues.
• Facilitate meetings by coordinating arrangements and preparing agenda including coordination of video/conference calls.
• Conduct initial and annual performance evaluations.
• Assist Manager, Clinical Operations in overseeing clinical associates and administrative procedures.
• Generate and review standard monthly reports, quarterly physician report cards, and monthly prior authorization reports.
• Must be able to cope with the mental and emotional stress of the position.
• Perform other job-related duties as assigned.
• Hire and train competent staff.
• Promptly report any allegations of impropriety to the Compliance Department.
• Contact providers to gather clinical information and to discuss individual member cases.
• Contact and confer with pharmacists and physicians regarding questions or irregularities on prescriptions.
• Complete required training and ensure the departmental staff training is completed as required.
• Comply with Maxor’s Ethical Business Conduct policy and Maxor’s Compliance Program.
• Assist with calendaring and scheduling meetings for the clinical department.
• Assist in the development, preparation, and management of formularies, preferred drug lists, prior authorization criteria and step therapy protocols.
• Promote teamwork; discipline staff when warranted.
• Work cooperatively with other staff members to enhance the team concept.
• Assist Manager, Clinical Operations in the coordination of proprietary clinical software and interface with IT staff.
• Review prior authorization requests using predetermined criteria and other medication resources.
• On a biweekly basis, verify departmental timesheets for departmental employees ensuring the timesheets are accurate based on the work-schedule and necessary corrections are done prior to timely Payroll submission.
• Attend and participate in other programs, committees, meetings, and functions as required.
• Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.
• Ensure procedures are in place for Clinical Associates.
• Develop and mentor departmental staff by providing career coaching; motivate departmental staff, individually and as a group; understand and support diversity; and establish an effective team.
• Review non-formulary drug requests using predetermined criteria.
• Maintain current knowledge of plan specifications and requirements.

Education:                              High School Diploma, G.E.D., or equivalent abilities and skills required. Certified Pharmacy Technician required. Must be licensed in, and in good standing.

Experience:                            At least one-year clinical pharmacy experience.  One to two years’ experience in the managed care and pharmacy benefit management (PBM) industries. Previous leadership experience preferred.

Knowledge, Skills and Abilities:

• General knowledge of budgeting, cost estimating, and fiscal management principles and procedures.
• Ability to handle multiple tasks.
• Ability to adapt to change.
• Ability to communicate effectively, both verbally and in writing.
• Attention to detail.
• Ability to clearly communicate medical information to professional practitioners and/or the general public.
• Ability to develop and maintain recordkeeping systems and procedures.
• Good computer skills in general with the ability to learn new software programs and applications
• Skill in examining and re-engineering operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
• Skill in the use of personal computers and related software applications.
• Strong focus on work quality.
• Ability to organize, prioritize, and schedule work assignments.

WHY MAXOR?

Did you know that patients see their pharmacist an average of 12 times a year? Pharmacy is at the heart of healthcare. Come join Maxor and make a direct impact on patients’ lives. Improve your own wellbeing with our robust benefits and flexible work environment. At Maxor, you have a career with limitless possibilities and the charge to make a difference. A company of 1,000 diverse people and almost 100 years of pharmacy experience, we offer the stability of a Fortune 500 company with the energy and innovation of a startup. We provide services and technology that fuel the entire pharmacy ecosystem, but we are more than pharmacy services. We enable pharmacy care.

WE OFFER: A diverse, progressive culture that supports a work from home model, a “dress for your day” attire when working onsite, and a collaborative, team oriented environment. Our industry leading compensation and health benefits include:

• Nationwide Blue Cross Blue Shield PPO with employee friendly plan design, including $850 individual annual medical deductible, $25 office visit copays, Low biweekly premiums
• And MORE!
• Comprehensive mental health and wellbeing resources
• Employer-matched 401k Plan
• Industry leading PTO plan
• Company paid basic life/AD&D, Short-term and Long-term disability insurance
• Rx, dental, vision, short-term disability, and FSA

Maxor is an EOE, including disability/vets

Please apply online at:  https://careers-maxor.icims.com/