Pharma Operations Associate Level III

Remote, USA Full-time
SamaCare OverviewSamaCare helps to eliminate the administrative barriers that limit patient access to life-changing therapies. Insurance-related administrative hassles for prescription drugs result in worse outcomes for patients, delayed therapy, and over $100B of administrative waste for the US healthcare system. Medical providers are forced to manage these workflows on stone-age technology (fax, calls, and snail mail).SamaCare has built a software platform to help practices streamline those administrative workflows and a two-sided business model that has scaled to hit medical offices serving nearly 2 million patients (and growing rapidly). As a Venture Capital (VC)-funded company, we're building a team to help us scale, so that every patient gets access to the right treatment at the right time.Role OverviewThe Pharma Operations Associate III plays a critical role in supporting the prior authorization process on behalf of clients by engaging directly with insurance companies, users of our platform, and internal teams. This individual is responsible for ensuring efficient and accurate handling of inbound support requests, while driving key performance metrics such as resolution rates, approval rates, and turnaround times. The role requires strong organizational skills, urgency in execution, and clear communication to maintain high levels of customer satisfaction.Customer Operations Associate III Responsibilities:Address and manage client tickets in a timely, organized, and efficient manner.Perform continuous follow-up throughout the prior authorization (PA) lifecycle, coordinating with insurers to resolve anomalies and ensure prompt determinations.Monitor and track PA status updates, ensuring accurate and timely case documentation.Serve as a liaison between clients and customers to collect necessary documentation or information for PA progression.Share relevant updates from insurance companies with clients to maintain transparency and support case progression.Handle inbound live support chats and daily helpdesk tickets from clients, providing professional and prompt support.Prioritize and escalate urgent issues as needed to ensure prompt resolution.Work collaboratively within a team to meet and exceed targets for prior authorization resolution rates, approval rates, and turnaround times per drug.Contribute to continuous process improvement by identifying inefficiencies and sharing feedback with leadership.Maintain high levels of client satisfaction through clear communication, responsiveness, and issue resolution.Customer Operations Associate III Requirements:1-2+ years of experience in customer-facing roles, with a proven commitment to delivering exceptional service.Background in healthcare, health insurance, billing, or prior authorizations required.Ability to maintain a strong sense of urgency and adapt quickly to changing priorities.Strong strategic thinking and sound decision-making capabilities.Excellent communication skills, both written and verbal, with solid computer and technical application proficiency.Proactive attitude with a willingness to take on additional responsibilities and support process improvement efforts.Associate degree or relevant experience preferred.Experience working in a startup environment is a plus.Job Type: Full-time/ HourlyPay: $21.00 - $22.00 per hour (depending on experience and geographic location) Apply tot his job
Apply Now

Similar Jobs

Associate Medical Director - Post Acute Care

Remote, USA Full-time

Associate Medical Director

Remote, USA Full-time

Memorial Sloan-Kettering Cancer Center Project Associate, PCCTC Clinical Operations – Remote in New York, New York

Remote, USA Full-time

Business Operations Manager - Clinical Performance Excellence in Virtual Women's Health

Remote, USA Full-time

VP, Clinical Operations

Remote, USA Full-time

Director, Clinical Operations, Multiple Locations

Remote, USA Full-time

Senior Manager, Digital Enterprise Capabilities (DEC) Clinical Systems Operations (Remote)

Remote, USA Full-time

Director, Clinical Operations -Care At Home Solutions

Remote, USA Full-time

Offering Operations, Senior Manager (Remote)

Remote, USA Full-time

Clinical Project Manager

Remote, USA Full-time

Mechanical CAD Redraw – Electromechanical Consumer Device (SolidWorks)

Remote, USA Full-time

**Experienced Senior Learning Specialist – Driving Excellence in Customer Service Training at blithequark**

Remote, USA Full-time

Experienced Remote Data Entry Specialist – Entry Level Work from Home Opportunity with arenaflex at $30/Hour

Remote, USA Full-time

Experienced Remote Chat Moderator – Safeguard Online Communities, Work from Home, and Earn a Competitive Hourly Rate of $25-$35/hr with arenaflex

Remote, USA Full-time

**Experienced Customer Service Representative – Work from Home Opportunity in San Antonio, TX**

Remote, USA Full-time

LCSW (Remote)

Remote, USA Full-time

Experienced Full Stack Lead Data Engineer – Web & Cloud Application Development at Blithequark

Remote, USA Full-time

Intern, Data Analyst-Remote

Remote, USA Full-time

**Experienced Full Stack Data Analyst – IT Financial Management Application Development**

Remote, USA Full-time

Analyst, Portfolio Operations

Remote, USA Full-time
Back to Home