pharmacy technician

client support technician Jobs in New York

client support technician

client support technician - part time ny Jobs in New York

client support technician - part time ny

customer care pharmacy technician (full-time) Jobs in New York

help desk technician - first response team m-f 11pm-7am Jobs in New York

customer care pharmacy technician full time

Judi Health

<div>
 <strong>
  About Judi Health
  <br/>
  <br/>
 </strong>
 Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:
 <br/>
 <br/>
 <ul>
  <li>
   Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
  </li>
  <li>
   Judi Health&trade;, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
  </li>
  <li>
   Judi&reg;, the industry&rsquo;s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.
   <br/>
   <br/>
  </li>
 </ul>
 Together with our clients, we&rsquo;re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health.
 <br/>
 <br/>
 <em>
  Capital Rx has an exciting full-time opportunity for remote candidates in the continental US, with priority given to those in Hawaii.
  <br/>
  <br/>
 </em>
 <strong>
  Location:
 </strong>
 Remote
 <br/>
 <br/>
 <strong>
  Shifts:
 </strong>
 Candidates must be open to working any shift.
 <br/>
 <br/>
 <strong>
  Position Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Act as the primary point of contact for incoming member calls, prior authorization inquiries, and ensure appropriate escalation of cases and all intake notes to the Clinical Prior Authorization Team
  </li>
  <li>
   Actively intake a thorough and complete prior authorization request from prescribers and members by asking applicable drug and client-specific clinical questions
  </li>
  <li>
   Accurately advise callers on options for exception requests (formulary, copay, early refill, etc.) based on client benefit elections and provide additional information and status updates to prescribers, members, and pharmacies
  </li>
  <li>
   Efficiently triage incoming calls with professional phone etiquette from members, prescribers, and pharmacies with minimal support. Ask probing questions to identify and resolve all issues and address concerns promptly
  </li>
  <li>
   Act as a valuable resource for Customer Service Representatives supporting member and pharmacy inquiries, stepping in as needed based on demand. Proactively identify, document, and address member and pharmacy concerns to ensure everyone receives the care and attention they deserve
  </li>
  <li>
   Effectively communicate issues and solutions to members, pharmacies, and relevant internal stakeholders to ensure customers receive quality care and that the resolution meets all health and safety standards
  </li>
  <li>
   Ensure customer satisfaction, extraordinary customer care, and quality resolution with genuine compassion in a fast-paced environment
  </li>
  <li>
   Follow all internal Standard Operating Procedures and adhere to HIPAA guidelines and Company policies
  </li>
  <li>
   Assist with onboarding and training of new team members or temporary staff as needed
  </li>
  <li>
   Support the Fraud, Waste, and Abuse program by reviewing pharmacy claims information and communicating findings to appropriate internal staff
  </li>
  <li>
   Collaborate across different systems while utilizing up to two monitors, efficiently multitasking in a dynamic and fast-paced environment
  </li>
  <li>
   Self-starter who displays a positive attitude, strong work ethic, and excellent attendance
  </li>
  <li>
   Meet all departmental goals including schedule adherence, attendance, and quality monitoring
  </li>
  <li>
   Standard hours for training: Monday thru Friday, 9:00 am &ndash; 5:30 pm, Eastern
  </li>
  <li>
   Perform other customer support duties as assigned
  </li>
  <li>
   Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Required Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   High school diploma or the equivalent; associate or bachelor&rsquo;s degree preferred
  </li>
  <li>
   A current National Certification as a Pharmacy Technician (CPhT) and a valid license are required
  </li>
  <li>
   2+ years of pharmacy technician experience in a clinical pharmacy setting PBM, Health Plan, or related Health Care experience required
  </li>
  <li>
   2+ years of customer service experience with a passion for building customer loyalty through exceptional listening, relationship building, and strong written and verbal communication
  </li>
  <li>
   Experience handling prior authorization requests/understanding of prior authorization requirements preferred
  </li>
  <li>
   Ability to work independently with minimal supervision, stay productive in a remote, high-volume, fast-paced, metric-driven call center environment
  </li>
  <li>
   Tech-savvy with proficiency in CRM systems, call center platforms, and Microsoft Office Suite.
  </li>
  <li>
   Demonstrated ability to meet performance metrics including call quality, resolution time, and customer satisfaction
  </li>
  <li>
   Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location.1 Gig plan required. Dial-up, satellite, WIFI, 5G or Cellular connections are NOT acceptable.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Preferred Attributes
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bilingual Spanish highly preferred
  </li>
  <li>
   Medicare experience preferred
  </li>
  <li>
   Passion for healthcare and improving patient outcomes.
  </li>
  <li>
   Adaptability in a startup or high-growth environment.
  </li>
  <li>
   Experience supporting pharmacy operations or benefits administration.
  </li>
  <li>
   Commitment to diversity, equity, and inclusion.
   <br/>
   <br/>
  </li>
 </ul>
 Salary Range: $28 USD - $28 USD
 <br/>
 <br/>
 <em>
  All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
  <br/>
  <br/>
 </em>
 <em>
  Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
  <br/>
  <br/>
 </em>
 By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.
</div>


Customer Care Pharmacy Technician (Full-Time)

Employee Benefits Fund

<div></div><div><p><b>JOB SUMMARY:</b></p><p>
Health Center Inc. (also known as The New York Hotel Trades Council and Hotel Association of NYC, Inc Employee Benefit Funds) is an NYC based healthcare organization with ambulatory care facilities that are staffed with a wide range of health professionals to provide extensive medical and diagnostic services to unionized hotel employees. We have an opening for a Pharmacy Technician based out of our Brooklyn location.</p><div><div><p><b>
DUTIES AND RESPONSIBILITIES:</b></p><ul><li>
Providing assistance to pharmacists in dispensing process</li><li>
Managing inventory</li><li>
Answering phones</li><li>
Data Entry</li><li>
Processing payments from members</li></ul><p><b>
EXPERIENCE AND QUALIFICATIONS</b></p><ul><li>
At least 1 year of experience working as a pharmacy technician</li><li>
Must be Certified by the Pharmacy Technician Certification Board (PTCB)</li><li>
Must possess excellent interpersonal skills</li><li>
Ability to provide excellent customer service</li><li>
Detail Oriented</li></ul><p><b>
BENEFITS AND COMPENSATION:</b></p><ul><li>
Medical, Dental, and Vision health benefits at no cost to all benefits-eligible employees and their eligible dependents</li><li>
Paid Time Off (Vacation, Personal, Sick days, and Paid Holidays)</li><li>
401(k) Plan with Employer Contribution</li><li>
Life Insurance</li><li>
Tuition Reimbursement</li><li>
Member&rsquo;s Health Assistance Program</li><li>
Pre-Paid Legal Services</li></ul></div></div></div><p></p>

PHARMACY TECHNICIAN

Shields Health Solutions

<div><p><b>Job Purpose:</b></p>
<p>
Provides integrated off-site support to patients, pharmacists, and providers by providing a full-service approach to total quality patient care. Works closely with patients to deliver a full continuum of medication adherence support by utilizing our various tools and applications. Encourages patients of specialty clinics to utilize the hospital partner pharmacy to fully benefit from its superior patient care services.</p>
<p><b>
Job Duties:</b></p>
<ul>
<li>Provide &quot;legendary&quot; care to hospital patients by providing a full suite of custom medication management services.</li>
<li>An off-site member of the clinic team providing prior authorization, financial assistance, patient medication on-boarding services, and patient refill/renewal support.</li>
<li>Educate prospective pharmacy patients on how the hospital pharmacy serves patients and improves their overall care.</li>
<li>Handle all medication needs of patients.</li>
<li>Grow the specialty pharmacies patient population by strictly adhering to Shields' programs and processes with enthusiasm and purpose.</li>
<li>Resolve insurance related issues, complete benefit investigations, including prior authorizations (PAs) as an agent of the provider.</li>
<li>Review the patients need for financial assistance and secure financial assistance when needed and available.</li>
<li>Document patient information within the hospital EMR, Therigy and all Shields proprietary tools as required.</li>
<li>Ensure that patients remain on track with medication regimens- outbound therapy/medication adherence check-ups, refill prescription.</li>
<li>Secure prescription renewals.</li>
<li>Communicate directly with patients to assist them in the awareness of their medications</li>
<li>Identify medications requiring special storage and/or handling such as hazardous medications and/or refrigerated medication.</li>
<li>Identify supplies necessary for select medications such sharps containers, needles/syringes, alcohol swabs, Band-Aids.</li>
<li>Answer, resolve and triage inbound inquiries.</li>
<li>Achieve operational objectives by inputting data, performing adjudication on test claims and preparing action plans for follow-up.</li>
<li>Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.</li>
<li>Actively participate in process improvement initiatives.</li>
<li>Protect organization's value by keeping information confidential.</li>
<li>Update knowledge by participating in educational opportunities; reading professional publications; maintaining networks; participating in professional organizations.</li>
<li>Other duties as assigned.</li>
</ul>
<p>Skills: Strong interpersonal communication skills, exceptional phone skills, comfortable with proactively engaging patients telephonically, comfortable reaching out to on-site clinicians, payors, and pharmacies telephonically, highly proficient in Microsoft Office particularly Excel and Word; able to quickly learn other programs, adapt to Shields' unique model / tools and able to extract relevant information; strong organizational skills a must.</p>
<p>
Traits: Organized, high-integrity, high accountability, attention to detail, dependable, quality focus, empathetic, good listener/communicator, collaborative, consistently arrives to work on-time with minimal unscheduled time off.</p>
<p>
Other: Energetic, highly motivated, team player with strong personal and communication skills, ability to sit and/or stand with focus at a workstation for a long period of time; discretion and confidentiality essential as position deals with highly sensitive and private data.</p>
<p>
Specialties Experience and knowledge in working in one or more of the following disease states a plus: transplant, hepatitis C, infectious disease (including HIV), diabetes, MS, oncology.</p>
<p><b>
Education/Experience:</b></p>
<p>
Required Licensure/Certification: We are seeking experienced pharmacy technicians who are state registered as a pharmacy technician. Nationally certified as a CPhT or equivalent is strongly preferred but not required. Should additional licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements.</p>
<p>
Years of Experience: Required 2-3 years, Preferred 3-5 years' experience as a Pharmacy Technician.</p>
<p>
Education: High School Diploma or GED required.</p>
<p>
Job Salary:<br>
An employee in this position can expect a salary rate between $55,000 and $70,000 plus bonus pursuant to the terms of any bonus plan if applicable. The actual salary will depend on experience, seniority, geographic location, and other factors permitted by law</p><p></p><div><p><br>
California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice and Privacy Policy.
</p><p>By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying 'STOP.' Consent is not a condition of employment.</p>
<p>
Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.</p></div></div>

Specialty Pharmacy Technician - Russian Speaking

NYC Health + Hospitals

<div><div><div><h2 class="jobSectionHeader"><b>About NYC Health + Hospitals</b></h2><div><br>
<div><div>
</div><p>Harlem Hospital Center has been a bedrock of the Harlem community since 1887. The hospital provides a wide range of medical, surgical, diagnostic, therapeutic and family support services to the residents of Central Harlem, West Harlem, Washington Heights and Inwood. Harlem is the largest hospital in the area, capable of treating the most seriously ill. Harlem provides over 90 specialized ambulatory care services, dentistry and oral surgery, behavioral health services, and community substance abuse treatment.</p><p>
At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.</p>
</div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Work Shifts</b></h2><div><br>
<div><div>
</div><p><b>11:30 P.M &ndash; 8:00 A.M(every other weekend)</b></p><br>
</div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Duties &amp; Responsibilities</b></h2><div><br>
<div><div>
</div><p><b>Purpose of Position</b>:</p><p>
Under the direct supervision of a licensed Pharmacist, performs work of a pharmacy technician, in accordance with Article 137 of the Education Law, specifically Article137-A, which details the tasks permitted for a licensed pharmacy technician and an unlicensed pharmacy technician. Ensures patient safety, optimal utilization of resources, service delivery and compliance with NYC Health + Hospitals, health care setting, and all other relevant regulatory policies and standards of care to improve outcomes and patient experience.</p><p><b>
Examples of Tasks and Responsibilities</b>:</p><p>
1. Validates patient identity and screens prescriptions for completeness, formulary/restriction and payment status, prior to processing.</p><p>
2. Receives written or electronically transmitted prescriptions, types prescription labels and affixes labels on containers.</p><p>
3. Accurately keys and retrieves prescription data from a computer-generated file for review by a pharmacist.
</p><p>4. Obtains drugs from stock and returns them to stock.</p><p>
5. Restocks automated dispensing cabinets.</p><p>
6. Gets prescription files and other manual records from storage and locates prescriptions.</p><p>
7. Counts dosage units of drugs and places unit doses in appropriate containers for dispensing.</p><p>
8. Prepares manual records of dispensing for the signature or initials of the pharmacist.</p><p>
9. Handles or delivers completed prescriptions to the patient or the person authorized to act on behalf of the patient and advises of the availability of counseling to be conducted by the licensed pharmacist or pharmacy intern.</p><p>
10. Obtains data for determining prescription cost and coverage.</p><p>
11. Performs pharmacy-related clerical duties.
</p><p>12. Attends and/or participates in staff departmental and interdisciplinary meetings and training, as required.</p><p>
13. Performs other related functions, as directed by the pharmacist.</p><p>
Those who are licensed to practice as a Registered Pharmacy Technician by the New York State Education Department (NYSED) may perform the following functions:</p><p>
1. Assists the Pharmacist, as directed, in compounding (&quot;compounding&quot; means the combining, admixing, mixing, diluting, pooling, reconstituting, or otherwise altering of a drug or bulk drug substance to create a drug), preparing, labeling or dispensing of compounding drugs used to fill valid prescriptions or medication orders or in compounding, preparing, and labeling in anticipation of a valid prescription or medication order for a patient.</p><br>
<p></p>
</div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Minimum Qualifications</b></h2><div><br>
<div><div>
</div><p>Effective April 25, 2021, all new hires into the title of Pharmacy Technician must be licensed to practice as a<br>
Registered Pharmacy Technician by the NYSED.</p>
</div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Benefits</b></h2><div><br>
<div><div>
</div><p>NYC Health and Hospitals offers a competitive benefits package that includes:</p><ul><li>
Comprehensive Health Benefits for employees hired to work 20+ hrs. per week</li><li>
Retirement Savings and Pension Plans</li><li>
Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts</li><li>
Loan Forgiveness Programs for eligible employees</li><li>
College tuition discounts and professional development opportunities</li><li>
College Savings Program</li><li>
Union Benefits for eligible titles</li><li>
Multiple employee discounts programs</li><li>
Commuter Benefits Programs</li></ul>
</div></div></div></div><div><div><h2 class="jobSectionHeader"><b>How To Apply</b></h2><div><br>
<div><div>
</div><p>If you wish to apply for this position, please apply online by clicking the &quot;Apply for Job&quot; button.</p></div></div></div></div></div>

Pharmacy Technician-(Inpatient)

NYU Langone Health

<div><div><p>NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. Vizient Inc. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News &amp; World Report recently placed nine of its clinical specialties among the top five in the nation. NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition-free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health.
<br>
<br>
<i>For more information, go to</i> <i>NYU Langone Health</i>, and interact with us on <i>LinkedIn</i>, <i>Glassdoor</i>, <i>Indeed</i>, <i>Facebook</i>, <i>Twitter</i>, <i>YouTube</i> <i>and</i> <i>Instagram</i>.</p><p><b>
Position Summary:</b><br>
We have an exciting opportunity to join our team as a Pharmacy Technician - Manhattan, Cancer Center.
<br>
Under the direct personal supervision of a registered pharmacist, the Pharmacy Technician is responsible for satisfactorily completing the responsibilities listed below.</p><p><b>
Job Responsibilities:</b></p><ul><li>
Completes annual competency assessments.</li><li>
Completes unit inspection and Expiration Tracking Report assignments.</li><li>
Appropriately stores and secures, and routinely reviews stock for expired medications
</li><li>Places and expedites orders; verifies receipts; receives shipments as needed. Verifies accurate drug receiving and documents on the corresponding invoice or packing slip. Records receiving in Epic and supplier website as per department guidelines.</li><li>
Demonstrates knowledge of State and Federal laws related to the Medical Centers policy of handling controlled substances.</li><li>
Demonstrates proficiency with applicable Pharmacy technology,
</li><li>Demonstrates proficiency with medication procurement process, stocking and deliveries to units in a timely manner, utilizing approved delivery methods when appropriate (i.e pneumatic tube)</li><li>
Maintains pharmacy inventory by checking stock; anticipates medication demands based on supply level and removes outdated medications.
</li><li>Demonstrates proficiency in aseptic technique and IV room procedures.</li></ul><p>
</p><ul><li>Prepares and accurately documents sterile product compounding under the supervision of a Pharmacist. Understands and complies with intravenous compounding room procedures including Sterile Medication Compounding and Hazardous Medication Handling.</li><li>
Cleans, sterilizes, and maintains equipment and work areas according to procedures, rules, and regulations.</li><li>
Demonstrates proficiency when repacking needed doses.</li><li>
Demonstrates proficiency with Hospital Information System, reviews patient information in the medical record system and prints labels when necessary.</li><li>
Demonstrates proficiency with unit dose drug distribution.</li><li>
Maintains Pharmacy files for patient medication profiles and pulls these charts for the Pharmacists as needed.</li><li>
Participates in the training of newly hired Pharmacy Technicians based on departmental training guidelines.</li><li>
Answers telephone with courtesy and promptness, stating their name and department.. Triages phone calls as appropriate, facilitates medication order workflow, troubleshoots interdepartmental medication order inquiries.</li><li>
Interacts with health care providers and patients, answers questions and requests, and refers inquiries to a Pharmacist where applicable.</li><li>
Checks current inventory to determine drug and products to be ordered. Places orders with drug wholesaler, materials management, or specialty pharmacy supplier. Receives medication and supplies promptly and stores in appropriate areas accurately document receiving of drugs and supplies, alerts Pharmacy manager of problems or discrepancies. Understands and complies with the requirements of the 340B Drug Pricing Program.</li><li>
Maintenance of pharmacy technician certification and registration as prescribed by the New York State Education Department.</li><li>
Maintenance and timely submission of appropriate continuing education hours to support ongoing registration</li><li>
Performs other duties as assigned.</li></ul><p><b>
Minimum Qualifications:</b><br>
To qualify you must have a High School Diploma and 2 years prior experience as a Pharm Tech or have successfully completed the NYU Pharmacy Technician training program. Must have knowledge and understanding of medical and pharmaceutical terminology as well as knowledge of procedures and standards for the labeling and dispensing of drugs. Ability to understand and follow specific instructions and procedures. Excellent organization and communication skills and, strong attention to detail required. Strong background in the use of computers and basic Microsoft programs. Pharmacy Technician certification and registration as prescribed by the New York State Education Department..
<br>
<br>
<b>Required Licenses:</b> Cert Pharmacy Technician</p><p><b>
Preferred Qualifications:</b><br>
Associates Degree</p><p><i>
Qualified candidates must be able to effectively communicate with all levels of the organization.</i><br>
<br>
NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.</p><p>
At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.
<br>
<br>
NYU Langone Health is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.</p><p>
View Know Your Rights: Workplace discrimination is illegal.</p><p>
NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $77,112.82 - $77,112.82 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.</p></div></div><p></p>

Pharmacy Technician - Manhattan, Cancer Center

Amerita

<div>Our Company:
<div>
Amerita</div><div></div>
Overview:
<div>
This role will be responsible for managing the main fax server, electronic prescription queue, and ensuring the accurate setup of patient profiles, creation of new drug orders, and processing refill prescriptions.</div><div></div><div><b><br>
Schedule:</b><br>
<b>Sunday/Saturday/Tuesday/Thursday</b></div><div></div><div><b><br>
We Offer:</b></div><ul><li>Competitive Pay</li><li>Health, Dental, Vision &amp; Life Insurance
</li><li>Company-Paid Short &amp; Long-Term Disability
</li><li>Flexible Schedules &amp; Paid Time Off</li><li>Tuition Reimbursement</li><li>Employee Discount Program &amp; DailyPay</li><li>401k</li><li>Pet Insurance</li></ul>
Responsibilities:
<ul><li>Monitors and manages incoming patient and prescription-related communication channels, including the main fax server and electronic prescription queue.
</li><li>Prioritizes and triage incoming communication based on urgency and relevance, ensuring timely processing and response.</li><li>
Creates and maintain accurate patient profiles in CPR+, including demographic information, medication history and lab information.
</li><li>Verifies patient information and ensure compliance with privacy regulations when setting up new profiles.</li><li>
Receives and processes new drug orders from referral sources, ensuring accuracy and completeness of prescription information.
</li><li>Verifies prescription details, including medication name, dosage, and instructions, and enter orders into CPR+.</li><li>
Communicates effectively with pharmacy staff, healthcare providers, and patients to address any questions or concerns related to incoming prescriptions or patient profiles.
</li><li>Collaborates with Document Management Supervisor to ensure seamless coordination of prescription processing and patient care.</li></ul>
Qualifications:
<ul><li>High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy</li><li>
1+ years pharmacy experience</li><li>
Pharmacy or healthcare-related knowledge</li><li>
Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication</li><li>
Basic math and analytical skills</li><li>
Intermediate typing/keyboard skills</li></ul>
About our Line of Business: Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X. Additional Job Information:
<ul><li><b>Percentage of Travel: </b>0-25%</li></ul>
Salary Range: USD $28.00 - $34.00 / Year</div>

Document Management Specialist / Remote

EmblemHealth

<div></div><div><div>Summary of Job</div><div>
Support eligibility and benefits configuration and deployment, including collaboration with pharmacy benefits manager (PBM) and Cognizant, formulary teams, for configuration. Responsible for Quality Assurance and Testing for operations and implementations. Coordinate and manage the pharmacy plan/ benefit design implementation process in partnership with PBM to ensure the accuracy and timeliness of members&rsquo; pharmacy benefit administration for superior member experience.</div><div>
Responsibilities</div><ul><li>
Maintain in-depth understanding of and ability to create and maintain plan/benefit design rules and limitations to include: Adjudication rules, Clinical rules, Payment rules, and Plan/group management.<br>
</li><li>
Partner with Sales and Product teams, assist in developing pharmacy benefit plan designs, meeting client requests, Health Plan strategic/ business parameters and all regulatory and other oversight agencies&rsquo; requirements.<br>
</li><li>
Responsible for creating and maintaining plan/benefit design documentation to support internal and external requirements<br>
</li><li>
Lead communication and coordination between Health Plan and PBM for receipt of required information for claims adjudication system set up, reporting and claim adjudication process.<br>
</li><li>
Assess all requests for new/ changes to plan benefit information to ensure compatibility with PBM claim adjudication logic.<br>
</li><li>
Submit accurate and complete requests to the PBM for new and changing benefit plan designs.<br>
</li><li>
Test pharmacy benefit plan designs for accuracy and alignment with business requirements.<br>
</li><li>
Serve as liaison to PBM to troubleshoot and resolve benefit-related questions/ issues, researching plan/benefit design options and requirements.<br>
</li><li>
Participate in PBM implementation meetings as required.<br>
</li><li>
Review and approve PBM benefit set up requirements.<br>
</li><li>
Perform claim testing to ensure accurate claim adjudication.<br>
</li><li>
Work with the pharmacy clinical team to implement formulary updates in the claim adjudication system.<br>
</li><li>
Participate in the research and resolution of claims adjudication-related discrepancies, errors, and problems.<br>
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Acts as a resource to operational areas in support of the pharmacy claims adjudication process and responding to issues related to plan/ benefit design.<br>
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Conduct quarterly audits of pharmacy benefit configurations to ensure alignment with plan design, regulatory requirements, and accurate claim adjudication across all lines of business.<br>
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Recommend streamlined work processes and systems that impact plan/ benefit design to create efficiency and quality outcomes.<br>
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Maintain acceptable and appropriate quality levels and production SLA response time.<br>
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Perform other projects and duties as assigned</li></ul>
<div><div>Qualifications</div><ul><li>
Bachelor&rsquo;s degree.<br>
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Pharmacy Technician Certification (Required)<br>
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Additional years of related experience may be considered in lieu of degree (Required)<br>
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Ability to perform in office environment with extended periods of sitting, using telephone, and viewing computer screens (Required)<br>
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Ability to prioritize tasks daily and trouble shoot urgent customer issues to successful completion (Required)<br>
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Advanced knowledge of MS Office - Word, Excel, PowerPoint, Outlook, Teams, SharePoint, etc. (Required)<br>
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Exceptional problem solving, analytical, interpersonal and communication skills to resolve issues within Operations (Required)<br>
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Professionally skilled in verbal and written communication (Required)<br>
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Meticulous organization skills, with the ability to multi-task, and ability to make sound decisions in a timely and independent manner (Required)</li></ul>
</div><div><p>Additional Information
</p><ul><li>Requisition ID: 1000003022</li>
<li>Hiring Range: $56,160-$99,360</li></ul></div></div>

Pharmacy Benefits Operations Specialist - Remote

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