4 дня назад
Pharmacy Technician, Care Team (Healthcare)
21 - 22$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Pharmacy Technician, Care Team (Healthcare): Supporting members, providers, and pharmacies with pharmacy benefits, prior authorization, claims, and clinical program enrollment across phone, chat, and email with an accent on accurate service, root cause problem solving, and continuity of care. Focus on resolving complex pharmacy inquiries, reviewing prescription claims, coordinating patient outreach, and using AI-enabled tools to document and manage cases.
Location: Remote; compensation varies by geographic location, experience, and qualifications.
Salary: $21.50–$22.00 per hour
Company
is a healthcare technology company that combines a modern mobile app with access to clinicians, pharmacists, and health guides to simplify pharmacy benefits and improve care outcomes.
What you will do
- Serve as the primary contact for members, providers, and pharmacies through phone, chat, email, and written correspondence.
- Resolve questions about mail order, benefit design, formulary coverage, medication costs, prior authorization, and claims.
- Assist network pharmacies with prescription claim processing and review claims against benefit guidelines and contract standards.
- Support clinical pharmacists with patient and provider outreach, appointment scheduling, clinical program enrollment, and medication adherence follow-up.
- Document interactions and resolutions in internal systems for continuity of care, quality assurance, compliance, and reporting.
- Use AI-enabled tools and internal knowledge systems to resolve inquiries and maintain a consistent member experience.
Requirements
- Active/current National Pharmacy Technician Certification from PTCB or NHA.
- 1–3 years of pharmacy technician experience in a health plan, retail pharmacy, TPA, PBM contact center, mail order pharmacy, or specialty pharmacy.
- Working knowledge of pharmacy claims adjudication, benefit design, and PBM terminology.
- Ability to manage concurrent phone, chat, and email queues while prioritizing workload independently.
- Detail-oriented, adaptable, analytical, empathetic, and able to identify root causes.
- Associate’s or bachelor’s degree preferred, or equivalent relevant experience.
Culture & Benefits
- Remote work environment supporting phone, chat, email, and digital member interactions.
- Values empathy, cooperation, respect, diversity, curiosity, and ownership.
- Work supports a mission to make pharmacy benefits fair, transparent, and easier to navigate.
- is an equal opportunity employer.
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