Alberta Blue Cross®
AnalystII-ClinicalDrugServices
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Analyst II - Clinical Drug Services at Alberta Blue Cross®. Skills: Special Authorization requests, drug coverage, medical terminology, drug names, analytical skills, problem solving skills, decision-making skills, time management, attention to detail, communication skills. delivering exceptional Special Authorization service to our customers, within established standards for turn-around. Assess and render decisions on Special Authorization requests according to the established guidelines for dr”
What You'll Achieve.
delivering exceptional Special Authorization service to our customers, within established standards for turn-around
Industry & Context.
excellent analytical, problem solving, and decision-making skills
work occasional weekdays until 5:00 pm, weekends, and statutory holidays on a rotation basis, criminal record check satisfactory to Alberta Blue Cross will be required as a condition of employment, following a conditional offer
What They're Looking For.
Must Have
Knowledge of medical terminology, familiarity with drug names, excellent analytical, problem solving, and decision-making skills, demonstrated ability to manage time effectively and work with minimum supervision in a team environment, high degree of accuracy and attention to detail, Computer proficiency, particularly with Microsoft Office (i. e. Word, Excel, and preferably Access), Excellent written and verbal communication skills, organizational skills, demonstrated ability to meet the challenges of heavy workloads and frequent change, team player, service-oriented and responsive to our customers, ability to establish and maintain effective working relationships with both internal and external customers, ability to work occasional weekdays until 5:00 pm, weekends, and statutory holidays on a rotation basis
Nice to Have
Pathophysiology
What You'll Do.
delivering exceptional Special Authorization service to our customers
within established standards for turn-around
Assess and render decisions on Special Authorization requests according to the established guidelines for drug(s) requested and accepted medical condition(s)
Determine appropriate system entry and correspondence information to be recorded
Enter information on Alberta Blue Cross® computer systems regarding Special Authorization requests in order to facilitate appropriate claims adjudication
Prepare correspondence advising prescribers and subscribers of decisions regarding Special Authorization requests
Handle electronic and telephone inquiries from both internal and external customers
How You'll Work.
Team & Collaboration
work with minimum supervision in a team environment; establish and maintain effective working relationships with both internal and external customers
Communication Scope
Excellent written and verbal communication skills
Full Job Description
Alberta Blue Cross® is an Alberta based organization dedicated to delivering exceptional customer experience and community leadership. We’re committed to providing the best health coverage to over 1.8 million members and take an active role in promoting wellness. We believe in what we do—and place trust in our employees to deliver our vision. Working at Alberta Blue Cross® means having a career where you’ll be recognized for your contributions. We value diversity, encourage our team members to maintain a healthy work-life balance and provide opportunities for career growth. **OVERVIEW:** We currently have multiple career opportunities for an Analyst II in our Clinical Drug Services department. This position is responsible for delivering exceptional Special Authorization service to our customers, within established standards for turn-around. Special authorization is a process whereby prescribers can request coverage for specific drugs for their patients. **WHAT YOU WILL DO:** * Assess and render decisions on Special Authorization requests according to the established guidelines for drug(s) requested and accepted medical condition(s). * Determine appropriate system entry and correspondence information to be recorded. * Enter information on Alberta Blue Cross® computer systems regarding Special Authorization requests in order to facilitate appropriate claims adjudication. * Prepare correspondence advising prescribers and subscribers of decisions regarding Special Authorization requests. * Handle electronic and telephone inquiries from both internal and external customers. * The ability to work occasional weekdays until 5:00 pm, weekends, and statutory holidays on a rotation basis is required. WHAT YOU WILL HAVE: * Post-secondary education in the health services or medical field (i.e. Pharmacy Technician diploma, Medical Office Administration certificate/diploma), or directly related experience. * Knowledge of medical terminology and familiarity with drug names is requi
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