Client Services Specialist II

1 month ago


San Antonio, United States US Tech Solutions Full time
Position Summary:
The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. authorizations.

Duties
1. Collaborates with the CRU Technician to process referrals, including answering clinical questions, collecting appropriate clinical/ medical data needed to perform clinical assessments, and reviews as per the healthplan/employer agreed criteria within the designated service level agreements. (20%)
2. Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes. (15%)
3. Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%)
4. Establishes and maintains communication, health plan and employer group staff. (5%)
5. Maintain professional and technical knowledge of drug and disease-states for the Specialty Pharmacy programs administered within the Case Review Unit. (5%)
6. Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required. (5%)

Experience
Preferred 0-3 years work experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position

Education
•High School Diploma or GED required
•Bachelor's degree in related field or equivalent work experience preferred

Skills:
Healthcare, calling, prior authorization

About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

  • San Antonio, Texas, United States POWERHOUSE INSTITUTE Full time

    IT Service Desk Specialist IIJoin Powerhouse Institute, Inc. as an IT Service Desk Specialist II and be part of our team that delivers solutions and solves problems in the federal government project environment.Key Responsibilities:Provide technical assistance, support, and advice to end users for hardware, software, and systems through phone, email, or...


  • San Antonio, United States L.K. Jordan & Associates Full time

    LK Jordan has an IMMEDIATE opening for a Client Services Specialist needed to assist in taking of initial applications for housing, rent collection and continued occupancy for public housing developments, and re-certification of other assisted housin Client Service, Specialist, Property Manager, Community Manager, Business Services, Staffing


  • San Antonio, Texas, United States ARCXIS Full time

    Job Title: Client Service SpecialistAt ARCXIS, we are seeking a highly organized and detail-oriented Client Service Specialist to join our team. As a Client Service Specialist, you will be responsible for coordinating daily field operations, communicating with clients and field personnel, and ensuring seamless execution of our services.Key...


  • San Antonio, Texas, United States ARCXIS Full time

    Job Title: Client Service SpecialistAt ARCXIS, we are seeking a highly organized and detail-oriented Client Service Specialist to join our team. As a Client Service Specialist, you will be responsible for providing exceptional customer service to our clients, ensuring that their needs are met and exceeded.Key Responsibilities:Analyze and monitor client...


  • San Antonio, Texas, United States POWERHOUSE INSTITUTE Full time

    Job Title: Configuration Management Specialist IIPowerhouse Institute, Inc. is seeking a highly skilled Configuration Management Specialist II to join our team. As a Configuration Management Specialist II, you will be responsible for the daily operations of configuration control management planning, including identification of configurable items, change and...


  • San Antonio, Texas, United States Texas Department of Aging & Disability Services Full time

    Job Title: Training and Development Specialist IIJoin the Texas Department of Aging & Disability Services as a Training and Development Specialist II and contribute to the growth and development of our team.Job Summary:We are seeking a highly motivated and experienced Training and Development Specialist II to join our team. The successful candidate will be...


  • San Antonio, Texas, United States Health & Human Services Comm Full time

    Job Title: Food Service Worker IIJob Summary: We are seeking a skilled Food Service Worker II to join our team at Health & Human Services Comm. As a key member of our food service team, you will be responsible for preparing, portioning, and serving food to our clients. If you have a passion for providing excellent customer service and working in a fast-paced...


  • San Jose, California, United States ATR International Full time

    Position Overview:ATR International is looking for a dedicated Customer Support Specialist II to join our team. This role is essential in providing exceptional assistance to our clients and franchisees through various communication channels including phone calls, emails, and written correspondence.Key Responsibilities:• Deliver outstanding support to...


  • San Antonio, Texas, United States ISHPI Information Technology Full time

    Job SummaryISHPI Information Technologies, Inc. is seeking a skilled IT Service Desk Specialist II to join our team. As a key member of our IT support team, you will provide technical assistance and support to end-users for hardware, software, and systems through phone, email, or chat.ResponsibilitiesAnswer questions, analyze problems, and provide technical...


  • San Antonio, United States ISHPI Information Technology Full time

    IT Service Desk Specialist IIJob Locations US-TX-San AntonioID 2024-1722Category Core IT Svc.Type Regular Full-TimeOverviewISHPI is a recognized industry leader in providing Cybersecurity support and consulting services to our Federal agency and Department of Defense partners. In this, we specialize in developing and performing Cybersecurity Engineering...


  • San Antonio, Texas, United States POWERHOUSE INSTITUTE Full time

    Job Title: Video Telecommunication Specialist IIPowerhouse Institute, Inc. is seeking a highly skilled Video Telecommunication Specialist II to join our team. As a key member of our team, you will be responsible for ensuring the smooth operation of our video telecommunication systems.Key Responsibilities:Perform video capturing and transfers video to a media...


  • San Francisco, California, United States Institute on Aging Full time

    Job Title: Client Service Manager IIInstitute on Aging is seeking a highly motivated and experienced Client Service Manager II to join our team. As a key member of our home care services team, you will be responsible for providing exceptional customer service to our clients, prospects, and their loved ones throughout the Bay Area.Key Responsibilities:Conduct...


  • San Antonio, Texas, United States Contact Government Services, LLC Full time

    Job Title: Senior User Support Specialist IIWe are seeking a highly skilled Senior User Support Specialist to join our team in supporting a wide-ranging technical support initiative for a large Federal agency.The ideal candidate will have a strong background in setting up and disabling accounts, training users on web conferencing tools, and troubleshooting...


  • San Antonio, Texas, United States Insight Global Full time

    Job Title: Accounts Payable Specialist IIJob Description:A client of Insight Global is seeking an experienced Accounts Payable Specialist II to manage and process accounts payable transactions. This individual will ensure accuracy and compliance with company policies and procedures. The role involves handling complex invoicing issues, maintaining vendor...


  • San Rafael, United States Umpqua Bank Full time

    Description About Us: Umpqua Bank is headquartered in the Pacific Northwest with 5,000+ employees and offers banking services to customers throughout the nation. It's an especially exciting time to join our team as, following the recent merger with Columbia Bank, we have grown to become a leading western-based regional bank with more than $50B in assets...


  • San Antonio, Texas, United States ISHPI Information Technology Full time

    Job Title: IT Service Desk Specialist IIAt ISHPI Information Technologies, Inc., we are seeking a highly skilled IT Service Desk Specialist II to join our team. As a key member of our IT support team, you will be responsible for providing technical assistance and support to our customers.Responsibilities:Provide technical assistance and support to customers...


  • San Antonio, Texas, United States ECS Full time

    ECS is seeking a skilled IT Service Desk Specialist to join our team in San Antonio, TX.Job Summary:The IT Service Desk Specialist will provide comprehensive support for incident and request management, ensuring all tickets are logged, categorized, prioritized, and resolved efficiently.Key Responsibilities:Provide high-quality customer service to users,...


  • San Francisco, California, United States Children's Council of San Francisco Full time

    Job Title: Family Services Specialist IIChildren's Council of San Francisco is seeking a highly skilled Family Services Specialist II to join our team. As a key member of our Compliance and Program Supports department, you will play a critical role in supporting low-income families in and around San Francisco by evaluating and maintaining their eligibility...


  • San Antonio, Texas, United States SENTRYSIX International Full time

    Job DescriptionJob SummaryWe are seeking a highly skilled Protective Security Specialist II to join our team at SENTRYSIX International. As a key member of our operational support and threat management team, you will be responsible for providing physical security, inspections, and entry access control at designated locations.ResponsibilitiesPerform internal...


  • San Antonio, Texas, United States University Health Full time

    Job Title: Clinical Pharmacy Specialist IIAt University Health, we are seeking a highly skilled Clinical Pharmacy Specialist II to join our team. As a key member of our interdisciplinary patient care team, you will be responsible for providing comprehensive clinical pharmacy services to optimize safe, efficacious, and cost-effective drug...