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Pharma Operations Associate III

Remote: 
Full Remote
Contract: 
Full time
Work from: 
Anywhere

Offer summary

Qualifications:

1–2+ years of experience in customer-facing roles, preferably in healthcare or health insurance., Strong organizational skills and ability to adapt quickly to changing priorities., Excellent communication skills, both written and verbal, with proficiency in technical applications., Associate degree or relevant experience preferred, with a proactive attitude towards process improvement..

Key responsibilities:

  • Manage and address inbound client tickets efficiently and in a timely manner.
  • Contact insurance companies to facilitate the prior authorization process for clients.
  • Serve as a liaison between clients and customers to gather necessary documentation for prior authorizations.
  • Monitor and track prior authorization status updates while maintaining high levels of client satisfaction.

SamaCare logo
SamaCare Internet Startup https://www.samacare.com/
51 - 200 Employees
See all jobs

Job description

Pharma Operations Associate III

SamaCare Overview

SamaCare 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 Overview

The 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.


Pharma Operations Associate III Responsibilities:
  • Address and manage inbound client tickets in a timely, organized, and efficient manner.
  • Prioritize and escalate urgent issues as needed to ensure prompt resolution.
  • Contact insurance companies on behalf of clients to facilitate the prior authorization (PA) process.
  • 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.
  • Work collaboratively within a team to meet and exceed targets for prior authorization resolution rates, approval rates, and turnaround times per drug.
  • Monitor and track PA status updates, ensuring accurate and timely case documentation.
  • Handle inbound live chats and daily helpdesk tickets from clients, providing professional and prompt support.
  • 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.

    • Pharma 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.
  • Proficient in analyzing complex data to identify trends, insights, and opportunities.
  • 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.
    •

    Required profile

    Experience

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

    Hard Skills

    AnalyticsPrior AuthorizationHealth Care IndustryBillingInsurance PoliciesProcess Improvement

    Other Skills

    • Customer Service
    • Problem Solving
    • Communication
    • Organizational Skills
    • Teamwork
    • Adaptability
    Are you interested?

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