Senior Certified Pharmacy Technician

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

📋 Description

• Deliver exceptional support to members, prescribers, and pharmacy providers through various communication channels including phone, fax, email, and web-based platforms.

• Investigate and resolve intricate pharmacy benefit inquiries, which encompass pharmacy claims, claim rejections, formulary questions, benefit interpretation, and medication access challenges.

• Facilitate and manage prior authorization processes efficiently.

• Ensure that pharmacy-related requests are processed accurately and in accordance with established guidelines.

• Act as a subject matter expert for team members.

• Provide assistance with escalated issues and share insights on pharmacy and PBM knowledge.

• Support training and onboarding initiatives.

• Participate in quality and process enhancement projects.

• Achieve established service, productivity, compliance, and customer experience benchmarks.

⛳️ Requirements

• Valid and active Certified Pharmacy Technician (CPhT) credential.

• At least 2 years of experience in a call center, ideally within a healthcare or PBM setting.

• Minimum of 2 years of experience in PBM, including familiarity with formulary management, pharmacy claims adjudication, and benefit interpretation.

• Strong understanding of pharmacy claims processing and resolution of claim rejections.

• Experience in supporting or coordinating prior authorization decisions.

• Excellent verbal and written communication abilities.

• Proficient in computer usage.

• Keen attention to detail.

• Capability to operate across multiple systems in a dynamic, high-volume environment.

• Reliable high-speed internet connection.

• A private, quiet workspace that is appropriate for managing confidential information.

• Adherence to company technology, information security, and HIPAA standards.

• Successful completion of the mandatory virtual onboarding and training.

• Comfort with prolonged computer and headset use in a call center setting.

• Availability to work designated shifts, which may include evenings, overnight hours, weekends, or holidays.

• Successful completion of a skills and competency evaluation.

• Residency in a state approved for remote work based on company policy.

🏝️ Benefits

• Flexible work arrangements.

• Opportunities for learning and career advancement.

• Equipment provided by the company.

• Generous and flexible vacation policy.

• 401(k) employer matching.

• Comprehensive health benefits.

• Educational support.

• Leadership and technical development academies.