Clinical Support Coordinator - BioPlus Specialty Pharmacy

Anticipated End Date: 2026-08-21 Position Title: Clinical Support Coordinator - BioPlus Specialty Pharmacy Job Description: Clinical Support Coordinator - BioPlus Specialty Pharmacy Hybrid : This role requires associates to be in-office  1-2  days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. Schedule: Monday-Friday, 8:30am-5:00pm Locations: LA-HARVEY, 2731 MANHATTAN BLVD, STE A18-A24 & B4-B17 FL-LAKE MARY, 3200 LAKE EMMA RD, STE 1000 BioPlus Specialty Pharmacy is a proud member of the Elevance Health family of companies. BioPlus offer consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey. The Clinical Support Coordinator - BioPlus Specialty Pharmacy is responsible for participating in program management activities, supporting, and facilitating the distribution of reports and communication documents, and assisting with process improvement initiatives designed to improve customer service. How you will make an impact: Ensures timely, compliant, and accurate completion of program deliverables. Prepares and maintains reports for review by departmental management related to assigned program activities. Collaborates with departments and completes day-to-day activities related to program assignment, including data entry and correction of errors. Completes the coordination, authorization, fulfillment, monitoring, and tracking of health care services. Partners with functional area experts and/or program managers to develop concise, complete, accurate, and clear specifications of program deliverables.

Requires a HS diploma or equivalent and minimum of 3 years experience in a general office/administrative environment; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences : Managed healthcare experience. Experience working in a high call volume environment. Experience adjudicating and resolving rejected pharmacy claims for bridge drug programs in a high-volume, daily workflow. Experience interpreting common pharmacy claim rejection codes and identifying root-cause issues to drive first-pass resolution. Experience verifying eligibility requirements and applying program rules to ensure compliant claim processing. Experience applying basic pharmacy claims adjudication processes to convert rejected live claims into paid claims. Experience supporting timely patient access to medications by prioritizing urgent claims and minimizing delays in therapy start. Job Level: Non-Management Non-Exempt Workshift: Job Family: BSP > Program/Project Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture