Pharmacy Technician - Medicare Stars Program – Remote
By The Cigna Group At , Nashville, 37214, Tn

Primary Responsibilities include but are not limited to:

Clinical Technician Jobs
By Vanderbilt University Medical Center At , Nashville, Tn

Organization: Main OR Tech Support 20 Job Summary: JOB SUMMARY Assists the clinical team in preparing the OR room for each case by removing all dirty linen, trash, used suctions canisters, ...

Pharmacy Technician Remote Jobs
By Actalent At Oregon, United States
Experience with health insurance and/or prescription benefits.
Pharmacy Technician Certification/License from one of the following states: Oregon, Washington, Idaho or Utah.
3-5 years of experience as a pharmacy technician in a retail, hospital, or other licensed pharmacy setting.
Knowledge of Pharmaceutical products, including orals, injectables, infusion products, and chemotherapy.
Knowledge of HIPAA regulations, medical terminology and healthcare coding systems (ICD-10, CPT, & HCPCS).
Basic computer skills and proficiency within Microsoft Office (Word, Excel, Outlook).
Pharmacy Technician - Remote
By Actalent At Oregon, United States
Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required.
Obtain verbal authorizations and request detailed clinical information from prescribers.
Approve coverage determination requests based on defined criteria.
Enter and document coverage determination request decision into the PBM system and notify providers and/or members.
Respond to client inquiries regarding authorization approvals and PBM on-line applications.
Refer coverage determination requests for specialty drugs to delegated vendor or client for processing.
Remote Certified Pharmacy Technician - Engagement (11:00Am - 7:30Pm)
By CarepathRx At , , Oh
Providing an exceptional customer service experience each day in a phone based environment.
Utilizing sound drug knowledge to effectively receive prescription authorizations, clarifications or transfers.
Exceptional customer service skills; servicing doctor’s office, pharmacist, and patient needs over the phone.
Knowledge of appropriate processes in taking prescriptions, clarifications and transfers including clear written and verbal communication.
Strong prioritization and organizational skills.
Prior experience in a pharmacy setting
Clinical Programs - Pharmacy Technician
By Humana At , Cincinnati, 45202, Oh
Must be able to become certified by the Pharmacy Technician Certification Board (PTCB)
Experience as a Pharmacy Technician OR call center experience in a pharmacy or related call center setting
Experience using multiple computer applications simultaneously
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Mail Order Pharmacy or Retail Pharmacy experience
Experience working with insurance plans and Medicare
Remote Certified Pharmacy Technician
By CarepathRx At , , Oh
Providing an exceptional customer service experience each day in a phone based environment.
Utilizing sound drug knowledge to effectively receive prescription authorizations, clarifications or transfers.
Exceptional customer service skills; servicing doctor’s office, pharmacist, and patient needs over the phone.
Knowledge of appropriate processes in taking prescriptions, clarifications and transfers including clear written and verbal communication.
Strong prioritization and organizational skills.
Prior experience in a pharmacy setting
Remote Certified Pharmacy Technician - Engagement (12:30Pm - 9:00Pm)
By CarepathRx At , , Oh
Providing an exceptional customer service experience each day in a phone based environment.
Utilizing sound drug knowledge to effectively receive prescription authorizations, clarifications or transfers.
Exceptional customer service skills; servicing doctor’s office, pharmacist, and patient needs over the phone.
Knowledge of appropriate processes in taking prescriptions, clarifications and transfers including clear written and verbal communication.
Strong prioritization and organizational skills.
Prior experience in a pharmacy setting
Fully Remote Pharmacy Technician
By SonicJobs At Barberton, OH, United States
Looking for a remote Pharmacy Technician.*
Must have certification as required by state of operation - PTCB or NHA.
Minimum of 2 years of a experience as a Pharmacy Technician with good tenure.
These Technicians are reviewing Prior Authorizations for determination for a Pharmacy Services department a part of a large healthcare insurance company.
Must either approve or deny and then send them to a Pharmacists for final review.
Handling all health plans, and all types of medications.
Pharmacy Implementation Specialist - Remote
By UnitedHealth Group At , Grove City, 43123, Oh $67,800 - $133,100 a year
Assist Pharmacy Benefit Operations Management team with new client implementations
Project Management skills with the ability to handle multiple projects simultaneously
3+ years of Pharmacy Benefits experience
Perform accurate client pharmacy benefit configuration for all business rules for PBS clients
Proven internal/external client facing experience
Experience performing quality assurance review
Clinical Pharmacy Specialist Jobs
By Hi-Quality Recruits At Davenport, IA, United States
Certification with diabetes mellitus management
Clinical pharmacy practice setting experience; or specialized residency and/or board certification in Pharmacotherapy or other specialized field
3+ years of relevant clinical pharmacy experience
Requires some accountability for scheduling, assigning or coordinating work.
BS degree in Pharmacy (required)
Registered Pharmacist in Iowa or ability to obtain within 6 months of hire (new or out of state)
Pharmacy Technician - Remote | Wfh
By Get It Recruit - Healthcare At Philadelphia, PA, United States

Are you passionate about contributing to the management and integrity of Pharmacy Network services? We are seeking a detail-oriented and dedicated professional to join our team as we ensure that our ...

Clinical Support Staff (Css) Pharmacy Technician - Remote
By Cureatr At United States
Manage inbound and outbound patient calls and inquiries
Manage challenging patient situations: respond promptly to patient needs and service requests
At least two years of experience as a pharmacy technician or medical assistant
Excellent oral and written communication skills
Able to work with multiple applications to provide a seamless experience for the patient
Highly motivated, focused, and productive while working from home
Remote Certified Pharmacy Technician
By CarepathRx At ,
Providing an exceptional customer service experience each day in a phone based environment.
Utilizing sound drug knowledge to effectively receive prescription authorizations, clarifications or transfers.
Exceptional customer service skills; servicing doctor’s office, pharmacist, and patient needs over the phone.
Knowledge of appropriate processes in taking prescriptions, clarifications and transfers including clear written and verbal communication.
Strong prioritization and organizational skills.
Prior experience in a pharmacy setting
Clinical Pharmacy Technician Remote
By Gainwell Technologies LLC At ,
5 years of relevant experience as a pharmacy technician in managed care, insurance, or pharmacy benefit management
Contribute to organizational continuous improvement efforts and actively seek personal growth in clinical, technical, and insurance knowledge.
Strong communication skills (verbal and written)
Process requests using databases, validate data, and handle correspondence
Obtain necessary documentation for resolving inquiries
Engage in various tasks, including call answering, outreach to prescribers/patients, QA participation, and collaboration with pharmacists
Call Center Clinical Pharmacy Technician - Remote
By Prime Therapeutics At , Remote
You will determine appropriateness for medications and communicate decision to physicians, physician`s office staff, medical management staff and/or pharmacists.
For CPTs assigned to work the fax queue, responsibilities will also include:
Must have an active pharmacy technician licensure or registration in accordance with state requirements.
Active Pharmacist license supersedes requirement for CPT and/or PTCB.
Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.
Excellent written and verbal communication skills.
Pharmacy Technician - Remote | Wfh
By Get It Recruit - Healthcare At Roseburg, OR, United States

We are seeking a dedicated and skilled Pharmacy Technician to join our dynamic team. This full-time remote role is open to residents of Oregon or Washington. As a member of our team, you will play a ...

Call Center Clinical Pharmacy Technician (Remote)
By Prime Therapeutics At , Remote
You will determine appropriateness for medications and communicate decision to physicians, physician`s office staff, medical management staff and/or pharmacists.
For CPTs assigned to work the fax queue, responsibilities will also include:
Must have an active pharmacy technician licensure or registration in accordance with state requirements.
In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.
Excellent written and verbal communication skills.
Clinical Pharmacy Specialist Jobs
By MUSC At , Remote

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

Adap Clinical Pharmacy Technician
By Prime Therapeutics At , Remote $15.29 - $22.93 an hour
Full time remote work from home with active pharmacy technician license/registration and national pharmacy technician certification.
Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.
Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists.
For CPTs assigned to work the fax queue, responsibilities will also include:
Must have an active pharmacy technician licensure or registration in accordance with state requirements.
In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
Remote Pharmacy Coordinator, Central Clinical Support (R)
By Rite Aid At , Remote $13.90 - $19.11 an hour
H.S. Diploma or General Education Degree (GED) required.
Other, Certified Pharmacy Technician certification, preferred
Perform outbound “Needs Refill” (or similar) TIP calls or CMR preparation under supervision of pharmacist.
Assist with customer outreach calls (vaccine reminders, messaging and predictive refill programs) under supervision of pharmacist
Assist with administrative tasks (call counts, chat counts, MTM billing reports).
Screen chats from website and mobile app, and transfer to a pharmacist for clinical issues
Remote Certified Pharmacy Technician - Transfers
By CarepathRx At ,
Providing exceptional customer service experiences each day in a phone based environment.
Utilizing sound drug knowledge to effectively assist patient questions over the phone.
Exceptional customer service skills, serving patient needs over the phone.
Knowledge of appropriate billing activities pertaining to medications.
Strong prioritization and organizational skills.
Prior experience in a pharmacy setting, preferred
Clinical Programs Pharmacy Technician
By Humana At ,
1+yrs. of retail pharmacy experience
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Active state pharmacy tech license in AZ, OH, FL or TX
High School diploma or GED
Clinical Pharmacy Technician Remote In California
By Prime Therapeutics At , Remote $15.29 - $22.93 an hour
Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.
Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists.
LPT: Licensure in accordance with California state requirements.
Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.
Excellent written and verbal communication skills.
Minimum of 6 months dispensing or retail experience required, or equivalent internal training will be substituted.
Vp, Pharmacy Care Services Clinical Differentiation - Remote
By Optum At , Eden Prairie, 55346
Experience in complex project management and problem navigation and driving change across an organization
Solid project management experience and expertise
Actively supports PCS and PBM sales and marketing efforts by highlighting the value of our PCS clinical capabilities and offerings
5+ years of clinical pharmacy product/service development and/or management
Collaborates in the development of unique clinical offerings that improve quality, patient outcomes and reduce costs
Bachelor’s degree in a healthcare-related clinical or business field or equivalent experience
Pharmacy Technician - Sorenson Building In Murray - Ft - Possible Remote Opportunity
By Intermountain Healthcare At , Taylorsville, Ut $19.34 - $29.46 an hour
Communicates with caregivers regarding responsibilities and identified concerns.
Is competent and effective in technical responsibilities assigned and seeks appropriate training and peer feedback on routine responsibilities.
Participates in and supports financial responsibilities of the department, facility, and Intermountain Healthcare.
Experience in the area of practice.
Over 302,000 discount offers across 10,000 cities on everything from movie tickets, pizza and the zoo to car rentals and hotels
To learn about additional Intermountain benefits Click here
Pharmacy Services Technician - Remote
By AmeriHealth Caritas At , Philadelphia, 19103, Pa
Current/recent Pharmacy Benefit Manager (PBM), managed care, hospital pharmacy, long-term care (LTC) pharmacy, home infusion pharmacy, and/or retail pharmacy experience preferred
Research benefit and claims related inquiries from external and internal stakeholders
Assist with Member and Provider communications regarding Medical Pharmacy benefit changes, performing NCQA audits, and coordinate authorizations with the Appeals Team
Manage the pharmacy appeals reconsiderations process
Provide support to the Marketing and Customer Service staff, enabling them to assist members in understanding and utilizing pharmacy benefits
Active/current National Pharmacy Technician Certification (NHA or PTCB) required
Certified Pharmacy Technician - Remote
By ASK Consulting At , San Antonio, Tx
Required to come onsite day 1 and then remote
Expiry Date: 05 September 2023
Candidate has to be sit in a individual room
Call center / Prior Authorization - Preferred
Inbound and outbound calls for the clarifications on the details missing in the prescriptions.
These prescriptions are sent thru email, phone and the candidate has clarified it to the customers