Clinical Operations Specialist

CSpring • Indianapolis, IN

96d

About The Position

At CSpring, we believe operational precision supports the systems that keep communities healthy. We're seeking a detail-oriented Clinical Operations Specialist to support our team in the design, programming, and maintenance of Prior Authorization systems, with a focus on RxAuth. This full-time role is ideal for someone with a strong technical aptitude, clinical understanding, and a passion for improving the accuracy and efficiency of pharmacy benefits systems. If you're someone who enjoys structured work, rigorous testing, and collaborating with internal teams to optimize healthcare operations-this could be a perfect fit.

Requirements

• High school diploma or equivalent
• 2+ years of relevant experience in a healthcare or pharmacy-related environment
• Proficiency with Microsoft Excel and Outlook
• Strong technical aptitude
• Strong organizational skills with attention to detail and process documentation

Nice To Haves

• Associate's degree or higher in a related field
• Certified Pharmacy Technician (CPhT) or equivalent clinical certification/license
• Prior experience with PBM or health insurance operations
• Familiarity with RxAuth and other prior authorization systems
• Hands-on experience with system configuration, QA testing, or application setup

Responsibilities

• Program, test, and maintain clinical protocols and prompt schedules in RxAuth.
• Build and manage requirement schedules, PA (Prior Authorization) details, and GPI (Generic Product Identifier) lists per client specifications.
• Perform QA reviews and ensure clinical accuracy across all RxAuth programming and client configurations.
• Track and document all programming processes for standardization and repeatability.
• Support system-wide enhancements and suggest improvements to RxAuth and related PA applications.
• Conduct system testing to validate prompt behavior and protocol logic before deployment.
• Attend client or internal meetings to share progress updates, escalate concerns, and align on priorities.
• Stay current on RxAuth and other benefit design configurations across active and future clients.
• Execute special projects and research assignments as directed by management.

Benefits

• Mission-Driven Impact - Your work will help ensure patients receive timely and accurate prescription approvals.
• Operational Excellence - Be part of a team that values consistency, detail, and process improvements.
• People-First Culture - We support your development, work-life balance, and career goals.
• Collaborative Support - Join a team where your insights and suggestions directly shape better outcomes.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Accommodation
• Education Level: High school or GED
• Number of Employees: 51-100 employees