Remote Appeals Technician – PBM & Medicare

Transformcap; Jersey City (NJ); On-site; USD 60,000 - 65,000; Full time

Job summary

Transformcap is seeking a Certified Pharmacy Technician for remote work in Jersey City, NJ. The role involves managing appeal requests with a focus on customer service and compliance with established procedures. Candidates should have at least 1 year of experience, an active technician license, and strong organizational and communication skills. The salary range is $60,000 - $65,000 annually. Join a forward-thinking team dedicated to improving healthcare outcomes.

Qualifications

• 1+ years’ experience as a certified pharmacy technician in a managed care or PBM setting.
• Active and unrestricted certified pharmacist technician license.
• Excellent organization and attention to detail.
• Strong oral and written communication skills.
• Ability to work independently in a remote, high-volume environment.

Responsibilities

• Maintain quality and productivity standards for all cases.
• Review cases to verify qualifications for appeal review.
• Communicate effectively with appeal pharmacists.
• Perform triple checks to ensure quality reviews.

Skills

Customer service skills

Organization

Strong communication

Independent work

Detail orientation

Job description

Transformcap is seeking a Certified Pharmacy Technician for remote work in Jersey City, NJ. The role involves managing appeal requests with a focus on customer service and compliance with established procedures. Candidates should have at least 1 year of experience, an active technician license, and strong organizational and communication skills. The salary range is $60,000 - $65,000 annually. Join a forward-thinking team dedicated to improving healthcare outcomes.