Pharmacy Tech I

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

📋 Description

• Interpret and enter fundamental prescriptions

• Manage prior authorization processes

• Address adjudication issues

• Verify member details and input data for pharmacists

• Provide education to members on pharmacy-related rules, prescription resources, and support programs

• Handle prior authorization requests from healthcare providers

• Ensure adherence to Medicare regulations

• Communicate prior authorization decisions to relevant parties

• Resolve grievances and appeal matters

• Address inquiries from physicians, sales teams, and members regarding formulary and prescription benefits

• Produce reports on rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports

• Maintain documentation of prior authorizations, rebates, and monthly reports

⛳️ Requirements

• High school diploma or equivalent qualification

• At least 1 year of experience in a pharmacy setting

• Current state pharmacy technician certification or national certification relevant to applicable state(s)

• Excellent oral, written, and interpersonal communication skills in URAC accredited areas

• Strong problem-solving abilities in URAC accredited areas

• Facilitation skills in URAC accredited areas

• Analytical capabilities in URAC accredited areas

• Availability to work second shift

• For remote positions, residence within commuting distance to an office may be necessary

• Ability to comply with applicable state and federal regulations, including Medicare standards

• Certain roles that involve patient/member interaction require COVID-19 and Influenza vaccinations unless a valid exemption is provided

🏝️ Benefits

• Comprehensive benefits package

• Incentive and recognition programs

• Equity stock purchase options

• 401(k) contributions and matching

• Merit-based salary increases

• Paid holidays

• Paid Time Off

• Performance-based incentive bonus programs

• Medical, dental, and vision insurance

• Short- and long-term disability coverage

• Stock purchase plan

• Life insurance

• Wellness initiatives

• Financial education resources

• Virtual full-time work arrangement, except for mandatory in-person training sessions

• Flexible work-life integration

• Support/requirement for COVID-19 and Influenza vaccinations for specific patient/member-facing roles