Pharmacy Technician, Navigation - Hiregy

Job ID 20302

Location: Fully remote
ASAP START!
Pay:  $23 per hour

Type: Contract 
Shifts: 
1. 2 - 10:30 EST
2. 9-5:30pm EST
Training: Training shift: M-F, 9:00 AM to 5:00 PM EST

Quantity: 2

Job description:
WHAT YOU'LL DO:

• Serve as direct member and provider contact for pharmacy benefit information, prior authorization requests, and navigation support.  Inquiries may be received by telephone, chat, fax, email, or written correspondence
• Fields questions from members, human resources departments, pharmacies, and providers related to mail order, benefit design, formulary coverage and cost of medication, prior authorization criteria, claims adjudication and ensures individual’s questions and issues are resolved
• Supports Clinical Pharmacists in patient and provider outreaches, including scheduling of appointments between members and pharmacists, enrollment of members into Rightway clinical programs, medication adherence support, and other administrative tasks
• Assists in ensuring all operating and productivity standards are met, which may include conducting quality reviews of calls, chats, and documentation notes to identify opportunities for improvement

Required:

• Must have an active National LIC- CPHT 
• Must have a call center background.
• Associate’s or Bachelor’s degree preferred
• 1-2 years’ experience in a pharmacy technician role within a PBM, pharmacy department of a health plan, or similar managed care setting.  Or 1-2 year’s experience working in a mail order or specialty pharmacy
• Active Certified Pharmacy Technician (CPhT)
• Detail-oriented, adaptable, critical thinker, empathetic, ability to dig deep in understanding an issue to get to true root cause and resolution, desire to improve a patient’s healthcare experience and provide concierge level service
• Background check required.