Clover Health - Pharmacy Programs Specialist

• Within 90 days: You have seamlessly integrated into the Pharmacy team and completed all the necessary training modules, familiarize yourself with the organization's platforms, and established a strong knowledge of Clover Health Part D benefit. You are capable of validating claim adjudication to ensure appropriate access to care and provide telephone support to plan members, prescribers, and pharmacies. • Within 6 months: You will be fully engaged in oversight of accurate Part D benefits that are in compliance with CMS requirements. You have demonstrated the ability to collaborate effectively with interdisciplinary teams, providing member experience support and contributing to resolving member medication related escalations. • Long-term: You will be measured based on pharmacy operational metrics, the integration of innovative technologies to enhance pharmacy services and improve patient outcomes, the enhancement of operational efficiency, and contributions to achieving the organization’s strategic objectives and key results. • Long-term: • You should get in touch if: • You have a National Certification (CPhT) Pharmacy Technician License (preferred). • You have at least three (3) years of experience working in pharmacy, managed care organization, medical office or in a hospital setting. • You are fluent in English and Spanish, both orally and in writing. • You have an understanding of managed care. • You have PC skills in Windows-based applications. • You have excellent written and oral communication skills. • You are able to work Eastern Time (ET) hours; candidates in this time zone, preferred.