Specialty Pharmacy Technician

humana; United States; À distance; USD 40 000 - 52 000; Plein temps

Avantages offerts par ce poste

Medical benefits

Dental benefits

Vision benefits

401(k)

Résumé du poste

Humana is seeking a Specialty Operations Pharmacy Technician to support prior authorization requests for specialty medications. The role includes collaborating with providers to interpret policies, handling administrative tasks, and ensuring timely processing of authorizations.

The position is remote with potential travel to Humana offices for training, requires active state Pharmacy Technician certification, and a national certification (PTCB/ExCPT). Monday–Friday schedule with 40 hours weekly.

Qualifications

• Active Pharmacy Technician Certification with state of residence.
• National Certification: PTCB (CPhT) or ExCPT.
• Experience as a Pharmacy Technician or in a pharmacy call center.

Responsabilités

• Assist with Prior Authorization requests for specialty medications.
• Collaborate with provider offices to interpret policies and complete requests.
• Perform varied administrative/operational tasks and follow up on assignments.

Connaissances

Pharmacy Technician Certification

PTCB/ExCPT

Pharmacy call center experience

Read/interpret clinical information

Excellent communication

Multitask with multiple computer apps

Description du poste

Become a part of our caring community

The Specialty Operations Pharmacy Technician 2 performs varied activities and moderately complex administrative/technical/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments and daily follow ups. Works closely with providers offices to troubleshoot and complete medication prior authorization requests for specialty medications.

The Specialty Operations Prior Authorization Technician works with Provider's offices to complete Prior Authorization requests for our members using various programs. Decisions are typically focused on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Use your skills to make an impact

Required Qualifications

• Must have an active Pharmacy Tech Certification with Board of Pharmacy for state of residence
• National Certification: PTCB (CPhT) or ExCPT
• Experience as a Pharmacy Technician OR call center experience in a pharmacy or related call center setting
• Must be able to read & interpret clinical information
• Excellent communication skills
• Experience using multiple computer applications simultaneously
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Mail Order Pharmacy or Specialty Pharmacy experience
• Experience working with insurance plans and Medicare

Additional Information

Position Hours: Monday - Friday 8:00 am - 4:30 pm (with an option of a later shift if needed)

Overtime: When there is a business need, overtime will be requested. Potentially voluntary or mandatory.

Holidays: When there is a business need to work on a holiday outside of Thanksgiving day and Christmas Day, there is the possibility of working on a holiday.

Work at Home Requirements

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel

While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$40,000 - $52,300 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.

About CenterWell, a Humana company:

CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health an