Pharmacy Technician – Specialty

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

📋 Description

• Act as the primary contact for members and providers regarding specialty pharmacy benefit details, prior authorization inquiries, and navigation assistance through various communication methods such as telephone, chat, fax, email, or written correspondence.

• Assist members enrolled in specialty management programs prior to medication delivery by managing prior authorization, prescription fulfillment, patient assistance enrollment, and addressing billing inquiries.

• Conduct follow-ups post-medication delivery to guarantee member satisfaction, connect members with pharmacists for clinical inquiries, and facilitate future refills.

• Address and resolve inquiries from members, human resources departments, pharmacies, and providers concerning specialty distribution, benefit structures, formulary coverage, medication expenses, prior authorization criteria, claims processing, copay/patient assistance, and related matters.

• Provide support to Specialty Clinical Pharmacists with outreach to patients and providers, scheduling appointments, enrolling in copay or patient assistance programs, supporting medication adherence, and handling administrative duties.

• Contribute to meeting operational and productivity benchmarks, which include quality assessments of calls, chats, and documentation notes.

• Ensure compliance with regulatory and privacy standards.

• Offer assistance to other Clinical Operations teams, including utilization management and navigation.

⛳️ Requirements

• Preferred Associate’s or Bachelor’s degree.

• 1–2 years of experience in a pharmacy technician position within a Specialty pharmacy, PBM, pharmacy department of a health plan, or a similar managed care environment.

• Current Certified Pharmacy Technician (CPhT) certification.

• Detail-oriented, adaptable, critical thinker, and empathetic.

• Capability to deeply understand issues, identify root causes, and effectively resolve them.

• A strong desire to enhance a patient’s healthcare experience and deliver concierge-level service.

• Familiarity with pharmacy claims adjudication and benefit designs/terminology.

• Ability to manage multiple tasks and prioritize workload efficiently.

• Capacity to work independently.

• Bilingual in Spanish is preferred.

🏝️ Benefits

• A concierge-level service atmosphere focused on enhancing members’ healthcare experiences.

• An equal opportunity and inclusive workplace culture.

• Valuing diverse thoughts, beliefs, backgrounds, and educational experiences.