Pharmacy Technician, Navigation
Job ID 20302
Location: Fully remote
ASAP START!
Pay: $23 per hour
Type: Contract
Shifts:
1. 2 - 10:30 EST
2. 9-5:30pm EST
Training: Training shift: M-F, 9:00 AM to 5:00 PM EST
Quantity: 2
Job description:
WHAT YOU'LL DO:
Serve as direct member and provider contact for pharmacy benefit information, prior authorization requests, and navigation support. Inquiries may be received by telephone, chat, fax, email, or written correspondence
Fields questions from members, human resources departments, pharmacies, and providers related to mail order, benefit design, formulary coverage and cost of medication, prior authorization criteria, claims adjudication and ensures individuals questions and issues are resolved
Supports Clinical Pharmacists in patient and provider outreaches, including scheduling of appointments between members and pharmacists, enrollment of members into Rightway clinical programs, medication adherence support, and other administrative tasks
Assists in ensuring all operating and productivity standards are met, which may include conducting quality reviews of calls, chats, and documentation notes to identify opportunities for improvement
Required:
Must have an active National LIC- CPHT
Must have a call center background.
Associates or Bachelors degree preferred
1-2 years experience in a pharmacy technician role within a PBM, pharmacy department of a health plan, or similar managed care setting. Or 1-2 years experience working in a mail order or specialty pharmacy
Active Certified Pharmacy Technician (CPhT)
Detail-oriented, adaptable, critical thinker, empathetic, ability to dig deep in understanding an issue to get to true root cause and resolution, desire to improve a patients healthcare experience and provide concierge level service
Background check required.
Apply Now
Location: Fully remote
ASAP START!
Pay: $23 per hour
Type: Contract
Shifts:
1. 2 - 10:30 EST
2. 9-5:30pm EST
Training: Training shift: M-F, 9:00 AM to 5:00 PM EST
Quantity: 2
Job description:
WHAT YOU'LL DO:
Serve as direct member and provider contact for pharmacy benefit information, prior authorization requests, and navigation support. Inquiries may be received by telephone, chat, fax, email, or written correspondence
Fields questions from members, human resources departments, pharmacies, and providers related to mail order, benefit design, formulary coverage and cost of medication, prior authorization criteria, claims adjudication and ensures individuals questions and issues are resolved
Supports Clinical Pharmacists in patient and provider outreaches, including scheduling of appointments between members and pharmacists, enrollment of members into Rightway clinical programs, medication adherence support, and other administrative tasks
Assists in ensuring all operating and productivity standards are met, which may include conducting quality reviews of calls, chats, and documentation notes to identify opportunities for improvement
Required:
Must have an active National LIC- CPHT
Must have a call center background.
Associates or Bachelors degree preferred
1-2 years experience in a pharmacy technician role within a PBM, pharmacy department of a health plan, or similar managed care setting. Or 1-2 years experience working in a mail order or specialty pharmacy
Active Certified Pharmacy Technician (CPhT)
Detail-oriented, adaptable, critical thinker, empathetic, ability to dig deep in understanding an issue to get to true root cause and resolution, desire to improve a patients healthcare experience and provide concierge level service
Background check required.
Apply Now