Clinical Coordinator Team Lead

SlateRx•Las Vegas, NV

2d•Remote

About The Position

The Clinical Coordinator Team Lead is an advanced-level resource within SlateRx’s Clinical Operations department. The role provides day-to-day workflow support, helps ensure operational efficiency, and serves as a key contact for escalations and procedural clarification. It supports leadership and coordinators in executing coverage determination and appeals processes while maintaining compliance, accuracy, and timeliness. The Team Lead also processes cases and monitors team queues and performance metrics. This is not a supervisory role and does not include timecard approval, performance reviews, or mentoring and coaching activities.

Requirements

Knowledge of pharmacy benefit management, CDAG operational processes, and applicable regulatory requirements.
Proficiency in data entry, documentation, and system navigation.
Ability to interpret complex case data and support resolution.
Ability to adapt to a dynamic, fast-paced, and demanding environment.
Strong organizational, analytical, and communication skills.
Ability to work independently and manage multiple priorities.
High school diploma or GED.
Current and valid Pharmacy Technician Certification, Licensure, or Registration, or at least four years of appropriate industry experience, preferably in pharmacy benefit management, healthcare, or insurance.

Nice To Haves

Bachelor’s degree.
Industry experience in pharmacy benefit management, healthcare, or insurance.

Responsibilities

Serve as the first point of contact for escalations and complex cases, collaborating with the Supervisor to resolve issues.
Review cases for accuracy, completeness, and compliance, providing quality assurance support.
Research claim reject messages and system-related issues to support accurate processing.
Assist with maintaining and updating workflow documentation and standard operating procedures.
Communicate procedural changes, system issues, and workflow modifications.
Respond to inquiries from prescribers, members, pharmacies, and internal departments, and provide guidance to frontline staff.
Identify workflow or process gaps and escalate them to Clinical Operations leadership.
Recommend process improvements to increase efficiency and quality.
Perform miscellaneous duties or project work assigned by leadership.
Participate in daily case processing and monitor team queues and performance metrics.