Clinical Operations Specialist

Adaptability & Communication

Additional Responsibilities

• Perform additional duties as assigned by the Clinical Operations Manager or department leadership.
• Support special projects or workflow initiatives as directed.

Education Requirements

• High school diploma required.
• Bachelor’s degree preferred.

Licensure/Certifications

Required Qualifications & Experience

• Minimum 5 years of pharmacy experience, including at least 2 years in claims adjudication and 2 years in prior authorization processes.
• 2 years of experience in a PBM, health plan, or related healthcare environment preferred.

Skills and Competencies

• Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
• Exceptional attention to detail and organizational skills.
• Strong customer service orientation and interpersonal skills.
• Demonstrated ability to meet tight deadlines and manage multiple tasks efficiently.
• Strong critical thinking and problem-solving capabilities.
• Must be able to work on-site five days per week.
• Shift Details : Monday – Friday | 8:30-5pm EST
• Work Environment: Fully On-Site in Montvale NJ, (5 Days per Week)

Benefits And Perks

• Subject to program eligibility, this position qualifies for a robust suite of benefits including: Paid Time Off, a 401(k) program, Health Insurance including Dental & Vision coverage, Student Loan Reimbursement, Health Savings Account, and an Employee Assistance Program.
• The expected salary range for this New Jersey position is between $ 50,890 - $63,612 . Total earnings may also include various incentive options. Actual pay will be adjusted based on experience, education, geographic location, and other job-related factors as permitted by law. Subject to program eligibility, this position qualifies for a robust suite of benefits including: Paid Time Off, a 401(k) program, Health Insurance including Dental & Vision coverage, Tuition Reimbursement, Health Savings Account, and an Employee Assistance Program.)

EmpiRx Health is an Equal Opportunity Employer