Clinical Associate

Overview

Continued growth at Maxor has created an opportunity for a Clinical Associate to join our growing company. The Clinical Associate under general supervision, provides assistance to members, pharmacists, or physicians regarding prescription services and prior authorization activities in accordance with established policies and procedures, laws and regulations. Monday through Friday, 8:00am to 5:00pm.  May be required to work rotating shifts, including holidays, weekends, nights, and on-call.

Position Location

This is a remote-based position within the Continental US.

Our Company

Maxor is an industry leading pharmacy care solutions company dedicated to improving patient outcomes and lowering the total cost of care through our clinically integrated pharmacy care solutions.  We help health systems and hospitals strengthen their role as community hubs. Our combined offerings give patients access to vital medicines, treatments, and health services while creating pharmacy value for the system. From filling prescriptions for employees in their own pharmacies to offering access to broader networks and limited distribution drugs, we provide the technology, relationships, and expertise to make it happen.

Our teams help optimize the pharmacy experience for patients, our customers, their employees, and members whether it’s through our customized pharmacy benefit offerings; providing access to prescription medications and therapies through our home delivery and specialty pharmacies; or delivering clinical and financial value with our end-to-end pharmacy management solutions.  With a legacy of exceptional service and deep clinical and pharmacy expertise, Maxor has been a trusted partner enabling pharmacy care since 1926.

Why Join Maxor?

At Maxor, we recognize that our employees are our most valuable assets. We actively seek and retain talented professionals who are mission-driven to improve healthcare outcomes for patients while ensuring their own well-being; finding fulfillment in meaningful work, competitive compensation, comprehensive benefits, diverse and inclusive teams, and limitless career possibilities.  

With a growing workforce of 1,300+ and almost a century of pharmacy experience, we offer the stability of a Fortune 500 company and the energy and innovation of a startup. Our expertise and technology support the entire pharmacy ecosystem, but our impact goes beyond pharmacy services. We enable pharmacy care.

Responsibilities

• Contact providers to gather clinical information and to discuss individual members’ cases.
• Contact and confer with pharmacists and physicians regarding questions or irregularities on prescriptions.
• Review prior authorization requests and make determinations using predetermined criteria.
• Work directly with Member Advocates as a resource for formulary and plan-related questions.
• Maintain current knowledge of plan specifications and requirements.
• Maintain current knowledge of drug therapies and drug reactions and interactions by reading professional literature, attending seminars and through professional affiliations.
• Work with clinical managers, Advocate Support Center, staff, and clients in developing and carrying out various clinical initiatives.
• Attend and participate in other programs, committees, meetings, and functions as required.
• Maintains regular attendance in accordance with established policies.
• Perform other job-related duties as assigned.
• Promptly report any allegations of impropriety to the Compliance Department.
• Comply with Maxor’s Ethical Business Conduct policy and Maxor’s Compliance Program.
• Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.
• Complete required training, as assigned, within the established timeframes.
• Must be able to cope with the mental and emotional stress of the position.

Qualifications

Education:                                         High School Diploma, G.E.D., or equivalent abilities and skills required.  Certified Pharmacy Technician required.

Experience:                                       Previous case management and pharmacy experience preferred.

Knowledge, Skills, and Abilities:

• Knowledge of Microsoft Windows, including word processing and spreadsheet applications
• Good computer skills in general with the ability to learn new software programs and applications
• Strong organizational skills
• Ability to effectively communicate with internal and external clients
• Ability to multi-task
• Excellent analytical skills

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:

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

Maxor is an EOE, including disability/vets

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