Remote Claims Assistant Jobs in Nevada (NOW HIRING)

It's fun to work in a company where people truly BELIEVE in what they're doing!

We're committed to bringing passion and customer focus to the business.

Role And Responsibilities

• Lead execution of client strategy in collaboration with clinical, client services, and operations teams.
• Build and maintain strong client stakeholder relationships at all levels via timely and effective communication including phone calls, emails, and face-to-face meetings.
• Collaborate with internal departments to develop and effectively deliver quarterly, annual, and other client reporting packages that drive and support client strategy through analytical interpretation of data.
• Identify and present appropriate benefit design and up-sell opportunities that contribute to an excellent client experience.
• Leverage knowledge of PBM and Pharmacy industries to provide a consultative approach to client needs.
• Drive and own client renewals through collaborative development of ongoing, effective client strategy fostered by strong relationships with key client stakeholders.
• Own contracting processes to include negotiations and ongoing compliance to contract/agreement terms.
• Participate in the resolution of escalated client issues as needed in cooperation with the Client Experience Team.
• Participate in Request for Proposal (RFP) processes to support sales initiatives by assisting with questions and responses as assigned.
• Assist with onboarding and implementing new business to provide a cohesive incoming client experience.
• Identify market and organization needs and support business development efforts by sharing information with internal key stakeholders to improve client experience and drive organization success and efficiency.
• Assists in identifying business line issues and defining stop-gap solutions and long-term solutions.
• Perform other duties as assigned.

Qualifications And Education Requirements

• Requires a BA/BS in Business, HealthCare Administration or related field, or any combination of education and experience, which would provide an equivalent background
• Minimum of 3 years' experience as an account manager or account executive, managing own book of clients that are moderate to complex in nature
• Strong Account Management, Project Management, Sales and Negotiation skills
  Excellent communication, both written and oral, and interpersonal skills
• Strong presentation skills to all levels of employees
• Ability to build and maintain relationships with clients and internal partners
• Ability to be a trusted partner and advisor and be able to influence internal and external partners
• Knowledge of pharmacy benefit management (PBM) industry
  Understanding of healthcare and insurance industry
  Proven track record of meeting and exceeding sales targets
• Proficient in Microsoft Office
• Ability to travel frequently including overnight stays.

Preferences

• Hands on and demonstrated experience in Pharmacy Benefit Management (PBM) industry
• Solid understanding of PBM Operations including claims submission and processing, and familiarity with medications and their uses.
• Knowledge of HIPAA regulations

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

This is a largely sedentary role; however, some standing, walking, bending, and reaching may be required. Regularly operates in an office or home office setting which involves utilizing a computer, mouse, keyboard, and occasionally operates other standard office equipment, such as printer, copier, phone. Travel may be required by either car or airplane, or a combination of multiple modes of transportation.

What We Do
LucyRx is an independent, next-generation pharmacy benefits manager (PBM) transforming how healthcare works. We're fixing what's broken in the PBM industry by putting people first and challenging outdated norms. For too long, traditional PBMs have prioritized profit over patients, and we believe that's just plain wrong.

LucyRx offers bold, innovative solutions powered by LucyIQ, our proprietary AI platform, to deliver actionable insights that lower costs, improve care, and simplify prescription management.

While we're new to the PBM space, LucyRx is built on decades of leadership experience and a commitment to meaningful change. We're a nimble, remote-first team with a bold mission to redefine pharmacy benefits-and we're just getting started.

What It's Like to Work at LucyRx
At LucyRx, we're a fast-moving team dedicated to making healthcare simpler, fairer, and more effective. Joining us means being part of a dynamic, mission-driven group that works collaboratively to challenge outdated industry practices and redefine what's possible in pharmacy benefits.

We value accountability, innovation, and a relentless focus on making an impact. Here, you'll find a supportive culture that encourages you to bring your whole self to work, share bold ideas, and grow alongside smart, driven colleagues who are passionate about fixing the PBM industry. If you're ready to roll up your sleeves and make a real difference, we'd love to have you on our team.

While this position is remote, based in Las Vegas, we are open to considering highly qualified candidates in other locations for the right fit. You should expect to travel for team meetings, client meetings or other collaboration needs.