This position plays a key role in member/client service and meeting regulatory standards from a compliance perspective.  This position coordinates all prior authorization and appeals request while also serving as the Alluma liaison with customer service and pharmacy partners.  Utilizes appropriate sources of information needed to make timely and accurate prior authorization and appeal determinations. Responds to verbal and/or written inquiries from internal or external customers while applying high levels of customer service principals. Identifies possible trends causing processing delays; collaborates with affected individuals to implement long-term solutions. Other job-related duties as assigned by leadership.

During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.

Authorization to work and remain in the United States, without necessity for Mayo Clinic sponsorships now, or in the future (for example, be a U.S. Citizen, national, or permanent resident, refugee, or asylee). Mayo Clinic does not participate in the F-1 STEM OPT extension program.

Qualifications:

• Bachelor’s Degree

OR

• Associate’s degree AND 2 years of experience

OR

• High School Diploma/GED AND 4 years of experience

Academic and/or professional roles must provide evidence of the following skills:

Customer Service Orientation: Ability to provide helpful, courteous support and build positive relationships with team members, vendors, and other stakeholders. 

Clear Communication: Strong verbal and written communication skills, with the ability to express ideas clearly and work effectively with others. 

Attention to Detail: Demonstrated accuracy and care in handling information, following procedures, and completing tasks. 

Problem Solving: Ability to recognize issues, think critically, and contribute to practical solutions. 

Critical Thinking: Shows sound judgment and thoughtful decision-making in fast-moving or uncertain situations. 

Organizational Skills: Ability to manage time, stay organized, and balance multiple priorities. 

Initiative & Follow-Through: Willingness to take responsibility for assigned tasks, ask questions, and see projects through to completion. 

Reliability & Accountability: Dependable and responsible when completing tasks independently or as part of a team, with a commitment to quality work. 

Professionalism & Work Ethic: Demonstrates a positive attitude, eagerness to learn, and commitment to doing one's best in academic or early professional experiences.