← All roles

Clinical Assistant

Vida Health· Clinical Operations
Apply on company site
RemoteFull Time- Non-Exempt HourlyPosted 5d ago

About the role

Clinical Operations – All Teams role focused on end-to-end prescribing and prior authorization (PA) operations for anti-obesity medications, ensuring timely access and navigating PBM criteria in a remote, full-time seasonal capacity.

Responsibilities

  • Prepare, review, and submit accurate, clinical prior authorization requests to PBMs and health plans for anti-obesity medications.
  • Autonomously manage complex exception processes and formulary overrides.
  • Act as a key escalation point to research, troubleshoot, and resolve complex coverage inquiries from multiple teams.
  • Serve as a liaison between Clinical Assistant team and PBM formulary details; assist with training team members on complex PA guidelines.
  • Assist Vida Medical Providers by reviewing and responding to medical provider chat messages.
  • Triage messages to appropriate parties as needed.
  • Drive timely issue resolution and maintain high standards of communication by adhering to KPIs for ticket handling and message reviews.
  • Research and address prescribing-related escalations from Vida Member Support, Quality Assurance, Medical Providers, and Client Success.
  • Demonstrate self-leadership by managing daily workload priorities, monitoring queues, and meeting team SLAs.
  • Partner across multi-disciplinary care teams to align on member prescribing plans and medication access status.
  • Maintain HIPAA confidentiality and adhere to PHI guidelines.
  • Leverage Zendesk, internal tools, and templates effectively.
  • Accurately document all hours worked using designated ADP pay codes.
  • Perform according to Vida’s QA, compliance, and clinical protocol guidelines.
  • Limit scope of practice to Vida clinical and organizational guidelines.
  • Perform other clinical support and operational duties as assigned.

Qualifications

  • 3+ years of experience focused on prior authorizations or PBM navigation within a medical clinic, specialty pharmacy, health plan, or telehealth environment.
  • Proven initiative in leading projects or workflow improvements and mentoring colleagues without formal management.
  • Deep knowledge of PA submission criteria, PBM formulary exception workflows, prescribing protocols, and clinical documentation for cardiometabolic/specialty drugs.
  • Excellent written and verbal communication skills with the ability to resolve cross-departmental escalations diplomatically.
  • Proficiency in EHR tools, PA platforms (e.g., CoverMyMeds), and cloud tools (Google Suite, Slack).
  • Strong organization, time-management, and analytical skills; ability to operate independently in a fast-paced environment.
  • Ability to work within standard business hours Monday through Friday 8:00 AM – 8:00 PM in local time.

Skills

Required:Prior authorization (PA) submissionPBM navigationCommunication and escalation managementEHR and PA platforms
Last updated Oct 21, 2026. Interested? Apply on the company site.

About Vida Health

A medical weight loss program that delivers real results

A medical weight loss program that delivers real results Better health outcomes. Lower costs. Personalized care. For enterprise Vida Health offers a proven, turnkey solution that helps employers and health plans manage obesity and related conditions, leading to lower total cost of care. With personalized treatment plans, anti-obesity medications, including GLP-1s, and behavioral health support, […]

weight lossobesitypersonalized carebehavioral healthenterprise health
Company profileWebsite

More open roles at Vida Health