Pharmacy Technician – Care Team, Bilingual

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

📋 Description

• Act as the main contact for members, providers, and pharmacies through phone, chat, email, and written communication.

• Address inquiries regarding mail order, benefit design, formulary coverage, medication pricing, prior authorization requirements, and claims processing.

• Facilitate interactions via phone, chat, email, and other digital platforms while upholding quality and service standards.

• Assist network pharmacies with prescription claim processing and evaluate claims in accordance with benefit guidelines and contractual standards.

• Provide support to clinical pharmacists with patient and provider outreach, appointment scheduling, enrollment in clinical programs, and follow-up on medication adherence.

• Record interactions and resolutions in internal systems to ensure continuity of care, quality assurance, compliance, and operational reporting.

• Manage issues from initial contact through to final resolution, collaborating with internal teams as necessary.

• Utilize AI-powered tools and internal knowledge bases to address inquiries and document interactions.

• Promote a collaborative, respectful, and diverse team atmosphere while taking on assigned responsibilities and projects.

⛳️ Requirements

• Bilingual in English and Spanish.

• Active and current National Pharmacy Technician Certification (PTCB or NHA).

• 1 to 3 years of experience as a pharmacy technician in a health plan, retail pharmacy, TPA, or PBM contact center role.

• Experience in mail order or specialty pharmacy is highly desirable.

• Familiarity with pharmacy claims processing, benefit design, and PBM terminology.

• Detail-oriented, flexible, and analytical.

• Capability to identify and address root causes.

• Empathetic and intellectually curious.

• Proficient in multitasking and prioritizing tasks across phone, chat, and email platforms.

• Ability to manage multiple lines of business and changing priorities.

• Associate's or bachelor's degree preferred, or equivalent relevant work experience.

🏝️ Benefits

• Flexible remote work arrangement.

• Equal opportunity and inclusive workplace.

• Diverse and respectful team culture.