Clinical Assistant

Vida Health

. Prepare, review, and submit accurate clinical prior authorization requests to PBMs and health plans for anti-obesity medications .

Posted 10/15/2026full-timeRemote • United StatesMid-LevelSenior💰 $26 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in prior authorization processes, PBM navigation, and clinical documentation for cardiometabolic and specialty drugs. Proficient in managing complex workflows, training team members, and ensuring compliance with HIPAA and clinical protocols.

Highest-signal resume keywords

Prior Authorization ManagementPBM NavigationClinical DocumentationElectronic Health Record (EHR) ProficiencyCertified Medical Assistant (CMA)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior Authorization Submission CriteriaPBM Formulary Exception WorkflowsClinical Protocol GuidelinesAnalytical SkillsTime Management

Soft Skills

Excellent Communication SkillsInitiative and LeadershipCompassionate Care ApproachAttention to DetailAbility to Multitask

Tools & Technologies

ZendeskCoverMyMedsGoogle SuiteSlackTelehealth Technology

Certifications & Qualifications

Certified Medical Assistant (CMA)

Industry Keywords

Clinical Prior AuthorizationHealth PlansSpecialty PharmacyTelehealth EnvironmentCardiometabolic Drugs

Tech Stack

Tools & technologies

Cloud

About the role

Key responsibilities & impact

Prepare, review, and submit accurate clinical prior authorization requests to PBMs and health plans for anti-obesity medications
Autonomously manage complex exception processes and formulary overrides
Research, troubleshoot, and resolve complex coverage inquiries and prescribing-related escalations
Serve as a liaison between the Clinical Assistant team and PBM formulary details
Assist with training team members on complex prior authorization guidelines
Review and respond to medical provider chat messages
Triage messages to appropriate parties
Drive timely issue resolution while meeting ticket-handling and message-review KPIs
Manage daily workload priorities, monitor queues, and maintain team SLAs
Partner with multidisciplinary care teams on member prescribing plans and medication access status
Maintain confidentiality and adhere to HIPAA guidelines regarding PHI
Use Zendesk ticketing workflows, internal tools, and communication templates
Accurately document hours worked using designated ADP pay codes
Follow QA, compliance, and clinical protocol guidelines
Perform other assigned clinical support and operational duties

Requirements

What you’ll need

3+ years of experience focused on prior authorizations or PBM navigation within a medical clinic, specialty pharmacy, health plan, or telehealth environment
Proven track record of taking initiative, leading projects or workflow improvements, and mentoring or guiding colleagues without requiring formal direct report management
Deep knowledge of prior authorization submission criteria, PBM formulary exception workflows, navigating prescribing protocols, and clinical documentation for cardiometabolic/specialty drugs
Excellent written and verbal communication skills with a proven ability to resolve cross-departmental escalations diplomatically
Proficiency in electronic health record (EHR) tools, prior authorization platforms (e.g., CoverMyMeds), and cloud collaboration tools (Google Suite, Slack)
Strong organization, time-management, and analytical skills with the ability to operate independently in a fast-paced environment
Able 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)
Previous experience in a virtual care, digital health, or high-growth startup setting (preferred)
Proficiency in using telehealth technology (preferred)
Ability to multitask and prioritize in a fast-paced environment (preferred)
Compassionate and patient-centered approach to care (preferred)
Strong organizational skills and attention to detail (preferred)

Benefits

Comp & perks

Possibility of extension beyond the 3-month seasonal position based on performance and business needs
Equal Employment Opportunity and Affirmative Action employer
Reasonable accommodations for qualified individuals with disabilities and disabled veterans