Pharmacy Technician II – Clinical Pharmacy Care Center

This is a fully remote position, open to applicants in Florida, +6 more locations.

📋 Description

• Interpret and enter prescriptions that are moderately complex.

• Process prior authorization requests.

• Troubleshoot issues related to adjudication.

• Verify member information and input data for pharmacists.

• Educate members about pharmacy-based prescription rules, medication resources, and assistance programs.

• Handle prior authorization requests from physician offices and ensure adherence to Medicare requirements.

• Notify relevant parties of prior authorization decisions.

• Address grievances and appeals issues.

• Respond to inquiries from physicians, sales teams, and members regarding formulary and prescription benefits.

• Generate reports related to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports.

• Maintain records of prior authorizations, rebates, and monthly reports.

⛳️ Requirements

• Must possess an active professional license, if mandated by state law, State Pharmacy Technician Certification or National Certification in accordance with applicable state(s) requirements, to operate as a Pharmacy Technician within the designated scope in a state or territory of the United States.

• A high school diploma or equivalent is required, along with a minimum of 2 years of pharmacy experience; or a combination of education and experience that would provide an equivalent background.

• For the CPCC business area, a current Pharmacy Tech license and certification is mandatory.

• Experience in communicating with and supporting Medicare members is preferred.

• Call center experience with high call volumes is advantageous.

• Familiarity with discussing medication adherence is preferred.

• Proficiency in computer systems and multitasking is preferred.

• Experience in patient care is preferred.

• Strong oral, written, and interpersonal communication skills are essential.

• Problem-solving capabilities.

• Facilitation skills.

• Analytical skills.

• Candidates must live within a reasonable commuting distance from the posting location(s), unless accommodations are provided as required by law.

🏝️ Benefits

• Merit increases.

• Paid holidays.

• Paid Time Off.

• Incentive bonus programs.

• Medical benefits.

• Dental benefits.

• Vision benefits.

• Short-term disability benefits.

• Long-term disability benefits.

• 401(k) with match.

• Stock purchase plan.

• Life insurance.

• Wellness programs.

• Financial education resources.

• Virtual full-time work, except for required in-person training sessions.

• Flexible work-life integration.

• COVID-19 and Influenza vaccination support/requirements for certain roles.