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TrueScripts Management Services
TrueScripts Management Services
51 – 200 Employees
ConsultingHealthcareHealthcare Insurance
TrueScripts Management Services provides prescription benefit management for members, clients, brokers, and prescribers. Operating across healthcare and healthcare insurance, the company develops customized solutions focused on cost savings, transparent processes, and responsive support. Its services include prior authorization coordination, with requests handled within 24–48 hours, and direct access to customer service representatives for most interactions.
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Clinical Operations Specialist - Remote

Support TrueScripts clinical programs and formulary management through documentation, reporting, implementation coordination, and cross-functional operations. This full-time remote role is based in the United States.

USUnited StatesRemoteFull-timeJuniorMiddleNo degree requiredEnglish RequiredClinical Operations
SQL

Description

  • Support the daily operational and administrative needs of TrueScripts clinical programs
  • Coordinate timelines, tasks, documentation, and follow-up for clinical program development and implementation
  • Maintain program records, workflows, process guides, supporting materials, formulary files, spreadsheets, and tracking systems
  • Monitor action items, deadlines, deliverables, pending decisions, formulary updates, effective dates, and implementation requirements
  • Prepare reports, presentations, communications, meeting agendas, notes, and action-item trackers
  • Coordinate approved clinical program and formulary updates with internal teams
  • Support the testing, implementation, maintenance, and documentation of clinical program changes
  • Collect, organize, validate, and report information for clinical program analysis and reporting
  • Maintain recurring reports, trackers, dashboards, operational tools, documentation accuracy, and version control
  • Identify incomplete, inconsistent, outdated, or conflicting information and coordinate its resolution
  • Act as the operational contact for assigned clinical program processes
  • Collaborate with Operations, Client Services, Account Management, Implementation, Compliance, Pharmacy Network, and other departments
  • Refer clinical questions, exceptions, and decisions to the appropriate pharmacists or clinical leaders
  • Review processes and recommend improvements in efficiency, standardization, scalability, and reduction of manual work
  • Create workflows, checklists, templates, procedures, and current-state and future-state process documentation
  • Manage concurrent projects and responsibilities while meeting established deadlines
  • Support special projects and initiatives assigned by Clinical or Operations leadership
  • Carry out additional duties and responsibilities as assigned

Requirements

  • High school diploma or equivalent required; an associate or bachelor’s degree is preferred
  • At least two years of experience in healthcare, pharmacy, PBM, insurance, benefits, operations, or a related setting preferred
  • Strong organizational and administrative capabilities
  • Exceptional attention to detail and accuracy
  • Ability to manage competing priorities and deadlines
  • Strong written and verbal communication skills
  • Proficiency with Microsoft Office applications, including Excel, Word, and Outlook
  • Ability to collaborate effectively across multiple departments
  • Ability to identify issues, honor commitments, and communicate status proactively
  • Experience in a pharmacy, PBM, healthcare, or clinical setting preferred
  • Knowledge of formulary management or pharmacy benefit operations preferred
  • Experience supporting clinical programs or healthcare initiatives preferred
  • Experience using spreadsheets, reporting tools, workflow systems, or project management tools preferred
  • Familiarity with pharmacy terminology and clinical program concepts preferred
  • Experience documenting processes and creating standard operating procedures preferred
  • SQL experience is a plus
  • Highly organized and reliable in following through
  • Detail-focused and committed to accurate work
  • Able to work independently and recognize when escalation is appropriate
  • Strong problem-solving and critical-thinking abilities
  • Ability to handle confidential and sensitive information appropriately
  • Ability to communicate clearly with clinical and non-clinical audiences
  • Willingness to learn complex healthcare and pharmacy processes
  • Ability to recognize when an issue requires clinical expertise and escalate it appropriately
  • Adaptable in a growing and changing organization
  • Strong ownership and accountability
  • Demonstrated commitment to TrueScripts’ values of Integrity, Service, and Innovation

Benefits

  • Fully remote work arrangement

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