About Our Company
We are a leading provider of premium contact center projects for remote talents, operating in the international marketplace. Our company has a solid track record of performance, and we're committed to delivering exceptional results. We're passionate about building a team of talented professionals who share our vision and values. If you're a motivated and dedicated individual looking for a new challenge, we'd love to hear from you!
About the Role
We're seeking an experienced Full Stack Remote Pharmacy Technician to join our team. As a key member of our team, you'll play a vital role in driving success and delivering exceptional results. This is a fantastic opportunity to work in a dynamic and fast-paced environment, where you'll have the freedom and flexibility to work from home. If you're passionate about pharmacy and customer service, and you're looking for a new challenge, we'd love to hear from you!
Key Responsibilities
As a Full Stack Remote Pharmacy Technician, you'll be responsible for the following key tasks:
- Review pertinent patient information and check appropriateness using clinical criteria.
- Make approval recommendations on all services that meet clinical review criteria. Refer all cases not meeting clinical criteria to pharmacist clinical reviewer.
- Practice and maintain the principles of utilization management by adhering to company policies and procedures.
- Uphold clinical integrity of pharmaceutical solutions by participating in ongoing training programs to ensure quality performance in compliance with applicable standards and regulations.
- Assist with the documentation and implementation of both written and verbal communications to physicians/prescribers and assist in the maintenance of the edits and data elements that support the edits.
- Be available for consultation on pharmacy-related questions to resolve claims submission related to medication edits.
- Contact physicians/prescribers to obtain pertinent clinical history/information.
- Provide optimum customer service through professional/accurate communication while maintaining NCQA and health plan's required time frames.
- Regularly review and monitor information on pended claims identified as outliers by internal and/or external analysis of pharmacy claims data.
- Support Intake call volume and order entry if necessary.
- Determine eligibility for medication reimbursement based upon established clinical criteria and clinical knowledge and enter approvals or denials in the system.
- Electronically document both written and verbal communications with physicians, their staff, cardholders, and pharmacies.
- Escalate medical exception requests to nurse, pharmacist, or physician on the utilization review clinical team when further review is necessary.
Ideal Candidate
We're looking for a highly motivated and experienced individual who possesses the following skills and qualifications:
- At least 2 years of experience within a Customer Service role, ideally within the Hospital / Health Care / Healthtech, Pharmaceutical industry.
- Excellent interpersonal, written, and verbal communication skills.
- Strong attention to detail and a high standard of work.
- A self-starter with a high level of resilience.
- A strong team player who can manage multiple stakeholders.
- A University Degree - Certified Pharmacy Technician (Required).
- Licensed in Florida, Illinois, Indiana, or Wisconsin (Required).
- Fluent in English (US) (Required) to effectively liaise with stakeholders in the region.
- Living in the USA due to HIPAA compliance.
- 4 to 6 years of supply chain or customer support service experience (Preferred).
Career Growth Opportunities and Learning Benefits
We're committed to providing our employees with the opportunity to grow and develop their careers. As a Full Stack Remote Pharmacy Technician, you'll have access to ongoing training programs, mentorship, and coaching to help you achieve your goals. We're passionate about creating a culture of learning and development, where our employees can thrive and reach their full potential.
Work Environment and Company Culture
We're a dynamic and fast-paced organization that values innovation, collaboration, and customer satisfaction. Our company culture is built on the principles of teamwork, respect, and open communication. We're committed to creating a work environment that's inclusive, supportive, and empowering. As a Full Stack Remote Pharmacy Technician, you'll have the freedom and flexibility to work from home, while still being part of a vibrant and connected team.
Compensation, Perks, and Benefits
We offer a competitive salary and a range of benefits, including:
- A dependable salary.
- Ongoing training and development opportunities.
- A supportive and inclusive work environment.
- The freedom and flexibility to work from home.
- A range of health and wellness benefits.
- A comprehensive benefits package, including medical, dental, and vision coverage.
- A 401(k) retirement plan with company match.
- A generous paid time off policy.
- A range of employee recognition and reward programs.
How to Apply
If you're a motivated and dedicated individual who's passionate about pharmacy and customer service, we'd love to hear from you! Please submit your application, including your resume and a cover letter, to [insert contact information]. We can't wait to hear from you and learn more about your qualifications and experience!
We Want to Hear From You!
Don't hesitate to apply today and let's build the future together! We're excited to hear from you and learn more about your qualifications and experience. Thank you for considering this opportunity, and we look forward to hearing from you soon!
Apply Now