Pharmacy Operations Representative – Work From Home

HCSC Group; Albuquerque (NM); Remote; USD 41,000 - 73,000; Full time

Job summary

HCSC is seeking a licensed Pharmacy Technician to support pharmacists and pharmacy coordinators in reviewing medical necessity documentation under policy. This remote role offers weekday hours, with rotation, and the chance to contribute to care coordination in managed care.

You will collaborate with internal teams and external vendors on prior authorization issues, with compensation between 40,500 and 72,500 USD, depending on experience and location.

Qualifications

• Current Licensed/Certified Pharmacy Technician.
• Managed care customer service experience.
• Drug information skills.
• Verbal and written communication skills.
• Demonstrated proficiency in word processing, spreadsheets, and databases.
• Skills to handle multiple tasks and organizational skills.
• Bachelor’s degree in Business or a related health care field or four years work experience in a health care/insurance industry.

Responsibilities

• Assist pharmacists and pharmacy coordinators in reviewing clinical documentation for medical necessity based on medical policy.
• Work with internal departments and external vendors to evaluate and resolve medical prior authorization related issues.

Skills

Licensed Pharmacy Technician

Managed care customer service

Drug information skills

Verbal and written communication

Office software (word processing, spd,

Multitasking and organizational skills

Education

Bachelor’s degree in Business or related health care field or four years work experience in a health care/insurance industry

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

This position is responsible for providing assistance to pharmacists and pharmacy coordinators in resolution to reviewing clinical documentation for medical necessity based on medical policy. Works with internal departments and external vendors to evaluate and resolve medical prior authorization related issues.

Job Requirements

• Current Licensed/Certified Pharmacy Technician
• Managed care customer service experience
• Drug information skills
• Verbal and written communication skills
• Demonstrated proficiency in word processing, spreadsheets, and database
• Skills to handle multiple tasks and organizational skills
• Bachelor’s degree in Business or a related health care field or four years work experience in a health care/insurance industry.

Preferred Job Requirements

• Retail Pharmacy experience
• Must be a Current Licensed/Certified Pharmacy Technician
• Work Hours are Monday through Friday (8 hours between 7AM – 6 PM MST) with Weekend Rotation
• Training Hours are Monday through Friday 7AM – 3 PM MST

This is a Remote/Work-From-Home role.

Sponsorship is not available

Compensation: $40,500.00 - $72,500.00

Exact compensation may vary based on skills, experience, and location

HCSC Employment Statement

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

To learn more about available benefits, please click https://careers.hcsc.com/totalrewards