Clinical Operations Specialist

Description

 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.

Why You’ll Love Working Here

• 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 You’ll Do

• 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.

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  

Preferred Qualifications

• 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  

At CSpring, we unlock potential—through people and through data. If you're ready to help improve clinical operations and system accuracy in a mission-driven environment, we’d love to work with you. Apply today to shape the future of pharmacy benefit management.