Clinical Assistant

Vida Health

3d•Remote

About The Position

Vida is a virtual, personalized obesity care provider that combines evidence-based treatment, healthcare providers, and technology to help patients manage obesity and related conditions. The Clinical Assistant manages Vida’s end-to-end prescribing and prior authorization operations, navigating PBM criteria, handling complex member escalations, and helping members gain timely access to prescribed therapies. The role calls for autonomy, initiative, peer mentoring, and identifying ways to improve prior authorization workflows. This is a three-month seasonal position, with possible extensions based on performance and business needs. The schedule supports operational needs Monday through Friday between 8:00 AM and 8:00 PM in the employee’s local time zone. Vida requires employees to reside in and work from the U.S., and the position is not eligible for work visa sponsorship.

Requirements

At least 3 years of experience focused on prior authorizations or PBM navigation in a medical clinic, specialty pharmacy, health plan, or telehealth environment.
Demonstrated initiative, experience leading projects or workflow improvements, and ability to mentor or guide colleagues without formal direct-report management.
Deep knowledge of prior authorization submission criteria, PBM formulary exception workflows, prescribing protocols, and clinical documentation for cardiometabolic or specialty drugs.
Excellent written and verbal communication skills, including the ability to resolve cross-departmental escalations diplomatically.
Proficiency with electronic health record tools, prior authorization platforms such as CoverMyMeds, and cloud collaboration tools such as Google Suite and Slack.
Strong organizational, time-management, and analytical skills, with the ability to work independently in a fast-paced environment.
Availability to work operational hours Monday through Friday between 8:00 AM and 8:00 PM in the candidate’s local time zone.
Must reside in and be able to work from the U.S.; international work is not permitted.
Must be authorized to work in the U.S.; Vida cannot sponsor work visas.

Nice To Haves

Certified Medical Assistant (CMA) or related healthcare certification.
Previous experience in virtual care, digital health, or a high-growth startup setting.
Proficiency using telehealth technology.
Ability to multitask and prioritize in a fast-paced environment.
Compassionate, patient-centered approach to care.
Strong organizational skills and attention to detail.

Responsibilities

Prepare, review, and submit accurate clinical prior authorization requests to PBMs and health plans for anti-obesity medications.
Manage complex exception processes and formulary overrides independently.
Research, troubleshoot, and resolve complex coverage inquiries escalated by Medical Providers, Member Services, Quality Assurance, and Client Success teams.
Serve as a liaison between the Clinical Assistant team and PBM formulary details, and assist with training team members on complex prior authorization guidelines as needed.
Review and respond to medical provider chat messages and triage messages to appropriate parties.
Meet KPIs for ticket handling and message reviews, supporting timely issue resolution and clear communication.
Research and address prescribing-related escalations from Vida Member Support, Vida Quality Assurance, Medical Providers, and Client Success.
Manage daily workload priorities, monitor queues, and maintain timely turnarounds in accordance with team SLAs.
Partner with multidisciplinary care teams to align on member prescribing plans and medication access status.
Protect confidential information and comply with HIPAA requirements for Protected Health Information.
Use Zendesk ticketing workflows, internal tools, and communication templates efficiently.
Accurately document hours worked using designated ADP pay codes.
Follow Vida’s QA, compliance, and clinical protocol guidelines and remain within the scope of practice established by Vida.
Perform other assigned clinical support and operational duties.