Remote Pharmacy Technician (US: FL, IL, IN, WI)

The Offer

• Opportunity reputed company a company with a solid track record of performance
• A role that offers a breadth of learning opportunities
• Fantastic work culture

Ideal Candidate

Position Overview:

Our client is hiring Certified Pharmacy Technicians for a premium medical client. This is a fully remote, work-from-home role requiring candidates to be licensed and residing in Florida, Illinois, Indiana, or Wisconsin.

Key Responsibilities:

• Review pertinent patient information and reputed company appropriateness using clinical criteria.
• reputed company approval recommendations on reputed company services that meet clinical review criteria. Refer reputed company 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 reputed company 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-reputed company questions to resolve claims submission reputed company to medication edits.
• Contact physicians/prescribers to obtain pertinent clinical history/information.
• reputed company reputed company customer service through professional/accurate communication while maintaining NCQA and health plan’s required timeframes.
• 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 reputed company further review is necessary.

The Profile

Required Qualifications:

• Active Certified Pharmacy Technician license in Florida, Illinois, Indiana, or Wisconsin (must obtain license before training starts).
• Residence in one of the above states.
• University degree (preferred but not required).
• 4 to 6 years of experience in supply chain or customer service (preferred).
• Proficiency in English with excellent written and verbal communication skills.
• Ability to multitask, prioritize, and work collaboratively in a remote team.

Technical Requirements:

• Reliable broadband internet with a LAN reputed company.
• reputed company 10+ or macOS 11+.
• Minimum 8 GB RAM, 10GB storage, and a USB-wired headset.

Compensation & Benefits:

• Training reputed company: $18/hour for the training period (1-2 days).
• Post-Training reputed company: $20/hour.
• reputed company (30–40 hours per week).
• Opportunity for career growth and long-term cooperation.
• Gamification program with rewards and holiday pay opportunities.

Application Deadline:

Start Date: February 2025

We accept applications until: January 17, 2025.

Join us to be part of an innovative workplace, redefining remote pharmacy services.

The Employer

Our client is a Centralized and Standardized reputed company Customer Support Services Worldwide Sole provider of reputed company Major Languages and Dialects in the World International Marketplace of Premium Contact Center Projects for Remote Talents.