Remote Pharmacy Operations Specialist

HCSC; Helena (MT); Teletrabalho; USD 41 000 - 73 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Remote work

Resumo da oferta

Health Care Service Corporation (HCSC) is seeking a licensed Pharmacy Technician to support pharmacists and pharmacy coordinators in reviewing clinical documentation for medical necessity based on policy. The role involves collaboration with internal teams and external vendors to resolve prior authorization issues.

The position emphasizes customer service, drug information, and strong communication skills. This remote role may have specific hours and weekend rotations; sponsorship is not

Qualificações

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

Responsabilidades

• Provide assistance to pharmacists and pharmacy coordinators in resolving medical necessity determinations.
• Review clinical documentation for medical policy adherence.
• Collaborate with internal departments and external vendors to resolve prior authorization issues.

Conhecimentos

Pharmacy tech license

Customer service

Drug information

Communication skills

Office skills

Multi-tasking

Formação académica

Bachelor’s degree in Business or health care

Healthcare/insurance experience (4 years)

Descrição da oferta de emprego

Health Care Service Corporation (HCSC) is seeking a licensed Pharmacy Technician to support pharmacists and pharmacy coordinators in reviewing clinical documentation for medical necessity based on policy. The role involves collaboration with internal teams and external vendors to resolve prior authorization issues.

The position emphasizes customer service, drug information, and strong communication skills. This remote role may have specific hours and weekend rotations; sponsorship is not