2 дня назад
Pharmacy Technician - Care Team
22 - 22$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Pharmacy Technician - Care Team (Pharmacy Benefits): Supporting members, providers, and pharmacies across phone, chat, and email while resolving claims, formulary, medication cost, and prior authorization inquiries with an accent on pharmacy benefits and root cause problem solving. Focus on processing prescription claims, enrolling members in clinical programs, documenting resolutions, and using AI-enabled tools to deliver accurate support.
Location: Dallas office in Irving, Texas; onsite five days a week
Salary: $21.50–$22.00 per hour
Company
is a healthcare technology company that makes pharmacy benefits easier to navigate through a modern mobile app, clinician support, pharmacists, and health guides.
What you will do
- Support 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 adjudication.
- Help network pharmacies process prescription claims and review claims against benefit 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 for continuity of care, quality assurance, compliance, and operational reporting.
- Own issues through final resolution, coordinate with internal teams, and use AI-enabled tools and knowledge systems to improve response efficiency.
Requirements
- Active/current National Pharmacy Technician Certification through 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 analyze issues, identify root causes, multitask across phone, chat, and email queues, and manage an independent workload.
- Associate’s or bachelor’s degree preferred, or equivalent relevant work experience.
- Ability to work onsite in the Dallas/Irving office five days per week.
Culture & Benefits
- Work in a collaborative, respectful, and inclusive environment.
- Contribute to a mission focused on improving healthcare experiences, outcomes, and pharmacy affordability.
- Work across multiple lines of business and support changing priorities, seasonal demand, and service levels.
- Join a company founded in 2017 with headquarters in New York City and offices in Denver and Dallas.
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