Remote Pharmacy Operations Specialist

Health Care Service Corp.; Albuquerque (NM); Remote; USD 41,000 - 73,000; Full time

Benefits offered by this job

Remote/Work-From-Home

Job summary

Health Care Service Corporation (HCSC) is seeking a Licensed Pharmacy Technician to support pharmacists and pharmacy coordinators in reviewing clinical documentation for medical necessity under policy. This remote role collaborates with internal departments and external vendors to resolve prior authorization issues.

The job requires current licensure, managed care customer service experience, drug information skills, and strong communication.

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
• Skills to handle multiple tasks and organizational skills
• Bachelor’s degree in Business or related health care field or four years work experience in a health care/insurance industry.

Responsibilities

• Assist pharmacists and pharmacy coordinators in resolution to 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

Verbal and written communication

Multitasking

Organizational skills

Education

Bachelor’s degree in Business or related health care field

Four years work experience in health care/insurance industry

Tools

Microsoft Word

Excel

Databases

Job description

Health Care Service Corporation (HCSC) is seeking a Licensed Pharmacy Technician to support pharmacists and pharmacy coordinators in reviewing clinical documentation for medical necessity under policy. This remote role collaborates with internal departments and external vendors to resolve prior authorization issues.

The job requires current licensure, managed care customer service experience, drug information skills, and strong communication.