Pharmacy Technician

1 hour, 37 minutes ago
Full-time
Junior
Customer and Technical Support
Oscar

Oscar

Oscar is a health insurance company that offers plans for individuals, families, and small businesses. With a focus on humanizing health care through technology, design, and data, Oscar provides easy-to-understand bills, 24/7 access to doctors, and a p...

Insurance
1K-5K
Founded 2012

Description

  • Process pharmacy prior authorization requests using Oscar and vendor tools, including eligibility checks, document screening, creation, tracking, and completion of requests.
  • Prepare, organize, and route prior authorization requests for pharmacist or physician review.
  • Respond to pharmacist and physician requests for additional information needed to complete reviews.
  • Collect medical information by phone, fax, and portal, apply prior authorization criteria, and document communication and decisions.
  • Meet required decision-making timeframes and escalate cases promptly when pharmacist review is needed.
  • Communicate prior authorization outcomes verbally and in writing in accordance with timeliness, content, and accuracy standards.
  • Comply with all applicable laws and regulations.
  • Perform additional duties as assigned.

Requirements

  • 1+ years of work experience in a pharmacy-related field.
  • Active, unrestricted Pharmacy Technician certification (CPhT).
  • Ability to work remotely from one of the approved states listed in the posting.
  • Preferred: 1+ years of experience performing pharmacy reviews for a managed care plan or pharmacy benefits manager.
  • Preferred: Experience working with CVS Caremark’s portal and criteria.
  • Preferred: In-depth understanding of how to operationalize step therapy rules and regulations.
  • Preferred: Strong verbal and written communication and interpersonal skills.
  • Preferred: Excellent customer service, phone etiquette, and typing skills.

Benefits

  • Base pay of $19.11 - $25.08 per hour.
  • Monthly vacation accrual at a rate of 15 days per year.
  • Medical, dental, and vision benefits.
  • 11 paid holidays.
  • Paid sick time and paid parental leave.
  • 401(k) plan participation.
  • Life and disability insurance.
  • Paid wellness time and reimbursements.

Interested in this position?

Apply directly on the company website

Apply Now

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