Clinical Operations Coordinator I - PA Systems **MedOne Pharmacy Benefit Solutions** 1 Positions ID: 3139958 Posted On 03/21/2025 **Job Overview** **Company & Position Overview** MedOne is a national, full-service transparent pharmacy benefit administrator headquartered in Dubuque, Iowa and licensed as a third-party administrator (TPA) by the State of Iowa. We are an innovative and fast-paced company looking for employees interested in working for a business where they can make a difference. MedOne is committed to building solutions with the most current technologies available in the marketplace. We operate in a fast-growing industry that supports significant business growth and as a result, wonderful growth opportunities for our employees. The Clinical Operations Coordinator I - PA Systems works under the direct supervision the Senior Clinical Operations Manager along with a team of licensed pharmacists. Clinical Operations Coordinator I - PA Systems will assist daily operations of MedOne Clinical Programs and Services. MedOne Pharmacy Benefit Solutions will assign each workforce member a level of access based on the individual’s need for electronic patient’s protected health information (ePHI) to perform their job functions. The ideal candidate will be a self-starter, who is detail-oriented and accurate in their day-to-day work. This candidate should be culture-focused, bringing enthusiasm to the office and offering up new ideas and programs. This candidate should also have experience with a variety of office software (email tools, spreadsheets and databases). **Essential Job Functions** + Support operations of MedOne Clinical Services + Update Clinical Authorization Criteria and Clinical Review Request Forms under the direction of a Clinical Pharmacist + Collaborates directly with Clinical Pharmacists to learn and construct time efficient explanations for Prior Authorization determinations + Configures clinical criteria requirements and workflows in the Prior Authorization platform for clinical team to utilize + Interfaces with Prior Authorization, ePA, and Claims Adjudication vendors and any other technology support vendors to troubleshoot issues arising in platforms relating to system enhancements and optimization. + Attends clinical sub-committee meetings, as a non-voting member, to review and complete tasks assigned during meeting relating to system enhancements. + Utilizes root cause analysis to determine and improve clinical review processes in order to drive positive outcomes and efficiency within the clinical department + Works cross functionally with member advocates and account managers to ensure accurate client information is presented to physicians, clients, and members + Supports Data Entry Specialist team as required + Supports operations of MedOne Pharmacy Services as needed (applicable to in-office personnel) + Assist the Director of Clinical Review, in addition to other MedOne team members with general business operations related to clinical functions + Portray the company in a positive image + Abide by all rules, regulations, and policies of the employer + Other duties as assigned **Work Hours** + Full time (greater than 30 hours per week), non-exempt **Required Experience & Skills** + Must be registered with the state/Iowa Board of Pharmacy as a Pharmacy Technician/Trainee within 30 days of accepting employment (applicable to in-office personnel). + Working knowledge of medical terminology, HIPAA regulations, ICD-10, NCPDP standards (highly advantageous) + Must be detail-oriented and precise with data management + Must have excellent interpersonal, written, and verbal skills + Strong customer service and teamwork skills + Must have a strong understanding of Microsoft Office (Word, Excel, PowerPoint) + Must be able to type at a minimum of 30 words per minute + Must be able to work independently, meets deadlines, establish priorities, and be flexible + Must be able to stand/sit for long periods of time within limited space + Must be able to lift up to 25 pounds + Working knowledge of date entry services (DES) core functions, with preferred DES experience of 1-2 years. Primary Contact 1659977850123 Jolene Kohlenberg HR Manager, 5632584482 Phone Phone Phone Fax jkohlenberg@medone-rx.com Email True True True **Job Details** Categories Pharmacy Location Dubuque, IA Job Type Employee Full/Part Full Time Company ID 1152 Job REQ # 3139958 \# Positions 1 Start Date 20250321 End Date 20250506 Featured Job TH Ad TH Comments **Similar Jobs** Inpatient Pharmacy Tech Trainee PRN MercyOne Outpatient Pharmacy Tech Trainee FT MercyOne Pharmacist FT Rotating MercyOne Pharmacy Tech Trainee FT ON THE JOB TRAINING MercyOne Inpatient Pharmacist PT MercyOne Clinical Account Manager MedOne Pharmacy Benefit Solutions Pharmacy Technician-Certified UnityPoint Health Finley Hospital Anticoagulation Registered Nurse (part-time) Grand River Medical Group **Share this Job** MedOne Pharmacy Benefit Solutions **About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price. MedOne's corporate office is located in Dubuque, IA. **Why Join the MedOne Movement?** To help people conveniently access the most appropriate prescription treatment at the most affordable price. **Our Core Values:** 1. Prioritize your well-being 2. Act as a MedOne team 3. Care for Members with Compassion 4. Strive to exceed client expectations 5. Do the right things for the right reasons 6. Bring your best 7. Challenge the status quo **Benefits:** + Competitive Salary + Medical, Dental, Vision, Disability and Life Insurance for full-time employees + Matching 401K Plan + Paid Time Off + Paid Holidays and Birthdays + Gym Reimbursement + Tuition Reimbursement + Career Growth Opportunities MedOne is an equal opportunity employer. Job Offers are contingent on passing a background check and drug screen.