Pharmacy Operations Representative – Work From Home

HCSC Group; United States; Remote; USD 41,000 - 73,000; Full time

Job summary

HCSC is seeking a Licensed Pharmacy Technician to support pharmacists and coordinators by reviewing medical necessity documentation and policies. The role involves collaboration with internal teams and external vendors to resolve prior authorization issues, with remote work options within the continental United States.

Candidates should bring strong drug information skills, excellent communication, and the ability to manage multiple tasks in a fast-paced environment.

Qualifications

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

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

Customer service

Drug information

Verbal and written communication

Multi-tasking

Education

Bachelor’s degree in Business or related health care field

Four years work experience in health care/insurance

Tools

Word processing

Spreadsheets

Database

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.

Job Summary

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 Thursday through Monday (8 hours between 7AM – 6 PM MST) OR Monday through Friday (8 hours between 7AM – 6 PM MST) with Weekend Rotations
• Training Hours are Monday through Friday 7AM – 3 PM MST

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

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.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

Base Pay Range

$40,500.00 - $72,500.00

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

Remote/Work-From-Home role.

Sponsorship is not available