Implementation Specialist

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

High school diploma or GED required; Associate or bachelor's degree preferred., 1-5 years of related implementation experience., Proficiency in MS Office applications including Word, Excel, PowerPoint, Project, and Outlook., Strong written and verbal communication skills with excellent relationship-building abilities..

Key responsibilities:

  • Coordinate regular implementation calls with clients, brokers, and internal teams.
  • Follow a strict implementation plan to ensure accuracy and efficiency during onboarding.
  • Review and analyze plan documentation and claim data for accurate implementation.
  • Generate educational materials for members and communicate implementation status to all relevant parties.

VerusRx logo
VerusRx Insurance Scaleup https://www.verus-rx.com/
201 - 500 Employees
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Job description

ORGANIZATIONAL INFORMATION

We are a small, but rapidly growing PBM. Our culture is important to us, so teamwork and open/honest communication are critical to maintain a balanced work/life schedule. Most importantly, we encourage you to have fun, maintain humor in your workday, and set that example for your team. At Verus, we believe deeply in diversity and all of the fascinating characteristics that make us each unique. We are focused on equality, inclusion, and keeping up with a modern and progressive approach.


The Implementation Specialist will be responsible for the onboarding of all new VerusRx clients. This includes, but is not limited to, coordinating reoccurring implementation calls with all appropriate parties, providing regular status updates to all pertinent individuals, generating member onboarding materials, and reviewing plan documentation and claim data to ensure an accurate implementation experience. This individual must have excellent planning, organizational, and critical thinking skills to successfully complete a new client implementation in an efficient fashion.


Essential Duties and Responsibilities

The essential functions include, but are not limited to the following:

  • Organize regular, reoccurring implementation calls between client, broker, Third Party Administrator, etc. and VerusRx
  • Follow a strict implementation plan to guarantee no missed steps or errors during the onboarding process
  • Must be able to review and translate plan language (including SBCs or SPDs) and analyze claim data
  • Provide clients with industry expertise and recommendations to accomplish all implementation-related goals (e.g., lowered plan costs, or ways to minimize member disruption)
  • Generate member-facing educational materials and coordinate mailings or email blasts
  • Communicate with all internal departments on status of each implementation, including timing of eligibility files, details of invoice break-out, specifics of benefit coding, and more
  • Remain current with pharmacy and Prescription Benefit Management (PBM) trends, including FDA recalls, and clinical programs

 

Minimum Qualifications (Knowledge, Skills, and Abilities)
  • High school diploma or GED required.  Associate or bachelor’s Degree preferred
  • 1-5 years of related implementation experience
  • Knowledge of systems: MS Office; Word, Excel, PowerPoint, Project and Outlook
  • Knowledge of PBM industry is preferred
  • Strong relationship-building abilities
  • Excellent written and verbal communication skills
  • Quick decision-making and critical thinking skills
  • A well-organized and self-directed individual who demonstrates competency in project management

TO ALL RECRUITMENT AGENCIES: The Company and its affiliates do not accept unsolicited agency resumes. Please do not forward resumes for any of our job postings, to our careers sites, or to any employees of the Company or its affiliates. We are not responsible for any fees related to unsolicited resumes.

Required profile

Experience

Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Organizational Skills
  • Critical Thinking
  • Microsoft Excel
  • Microsoft PowerPoint
  • Project Design
  • Microsoft Office
  • Microsoft Outlook
  • Decision Making
  • Relationship Building
  • Communication

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