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Clinical Assistant

14 hours, 27 minutes ago
United States
Contract
Mid Level
Operations Specialist
Operations
HIPAA
Apply Now
Vida Health

Vida Health

Vida Health provides a comprehensive health platform that offers personalized coaching and expert guidance for individuals seeking to manage physical and mental health conditions, including weight loss and chronic disease prevention.

Health Care Providers & Services
501-1000
Founded 2013
$188M raised
View All Jobs 2

Description

  • Prepare, review, and submit clinical prior authorization requests for anti-obesity medications to PBMs and health plans.
  • Manage complex formulary exceptions, overrides, and prescribing-related escalations.
  • Research, troubleshoot, and resolve coverage inquiries from providers, member services, quality assurance, and client success teams.
  • Support medical providers by reviewing, responding to, and triaging chat messages.
  • Serve as a liaison on PBM formulary details and help train peers on complex prior authorization guidelines.
  • Monitor queues, prioritize daily workload, and meet ticket-handling, message-review, and service-level KPIs.
  • Partner with multidisciplinary care teams on prescribing plans and medication access status.
  • Document work accurately, use Zendesk and internal workflows, and follow QA, compliance, clinical protocol, HIPAA, and scope-of-practice guidelines.

Requirements

  • 3+ years of prior authorization or PBM navigation experience in a medical clinic, specialty pharmacy, health plan, or telehealth environment.
  • Deep knowledge of prior authorization criteria, PBM formulary exceptions, prescribing protocols, and clinical documentation for cardiometabolic or specialty medications.
  • Experience leading workflow improvements, resolving complex issues independently, and mentoring colleagues.
  • Proficiency with EHR systems, prior authorization platforms such as CoverMyMeds, Google Suite, Slack, and telehealth technology.
  • Strong written, verbal, organizational, analytical, time-management, and cross-functional communication skills.
  • Ability to work Monday through Friday between 8:00 AM and 8:00 PM in the candidate's local time zone.
  • Certified Medical Assistant (CMA) or related healthcare certification (preferred).
  • Experience in virtual care, digital health, or a high-growth startup environment (preferred).
  • Compassionate, patient-centered approach with strong attention to detail and ability to prioritize in a fast-paced environment.
  • Authorization to work in the U.S. without visa sponsorship and ability to work from a U.S. state where Vida is registered.

Benefits

  • Three-month seasonal position with potential extension based on performance and business needs.
  • Remote work within eligible U.S. states.
  • Reasonable accommodations for qualified individuals with disabilities and disabled veterans.

Interested in this position?

Apply directly on the company website

Apply Now

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