Certified Pharmacy Technician

This is a fully remote position, open to applicants in Ohio.

📋 Description

• Assist members, providers, and pharmacies by addressing pharmacy-related inquiries, questions regarding benefits, prior authorization requests, and issues related to claims.

• Investigate and resolve pharmacy claims, eligibility, coverage, and medication-related issues while adhering to service level expectations.

• Evaluate, document, and process pharmacy transactions and requests in line with client, regulatory, and operational guidelines.

• Leverage various systems and resources to thoroughly investigate issues, deliver resolutions, and keep comprehensive documentation.

• Partner with internal teams, healthcare professionals, and external stakeholders to enhance service quality and ensure member satisfaction.

⛳️ Requirements

• Current Certified Pharmacy Technician (CPhT) certification is mandatory.

• Active registration as a Pharmacy Technician with a State Board of Pharmacy, if applicable.

• Previous experience in supporting pharmacy operations, handling prior authorizations, pharmacy claims, PBM services, managed care programs, specialty pharmacy, or healthcare customer service is preferred.

• Excellent customer service, communication, and problem-solving abilities with the capacity to thrive in a fast-paced, high-volume environment.

• Proficient in utilizing pharmacy systems, various computer applications, and documentation tools while ensuring accuracy and attention to detail.

🏝️ Benefits

• Comprehensive health benefits

• 401(k) with company match

• Flexible paid time off

• Paid holidays

• Wellness programs

• Educational assistance