pharmacy outreach specialist

Aledade, Inc.

<div><div>The <b>Pharmacy Outreach Specialist</b> is responsible for patient outreach, coordinating with practices and pharmacies to promote medication adherence and improve patient health outcomes and pharmacy quality measures.</div>
<div></div>
<div>We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home <b>across US time zones.</b></div>
<h3 class="jobSectionHeader"><b>Primary Duties</b></h3><div>
<p><b>
Patient Outreach</b></p>
<ul>
<li><p>Conduct &amp; handle high-volume outbound and inbound calls with patients, providers, and pharmacies using established scripts and protocols while meeting and sustaining performance goals (i.e. calls/hour, call quality, etc.)</p>
</li>
</ul><ul><li><p>Collaborate with patients to actively problem-solve, identify and remove barriers to medication adherence (i.e. cost, forgetfulness, or lack of perceived need) and/or escalate clinical barriers to a pharmacist</p>
</li>
<li><p>Overcome patient objectives and reluctance through influence, empathy, and education to secure patient commitment to medication adherence.</p>
</li>
<li><p>Proactively coordinate with medical providers or pharmacies as needed to ensure prescription refills occur as scheduled.</p>
</li>
<li><p>Accurately document all interactions, outcomes, and identified barriers in appropriate systems.</p>
</li>
</ul><p><b>Process Improvement, Learning &amp; Collaboration</b></p>
<ul>
<li><p>Identify opportunities to enhance pharmacy workflows and processes</p>
</li>
<li><p>Participate in training and peer-to-peer learning opportunities to build subject matter expertise in pharmacy quality metrics (e.g., STARs)</p>
</li>
<li><p>Provide feedback, share best practices, and assist employees to support achievement of program, departmental, and organizational goals</p>
</li>
</ul><p><b>Other duties as assigned</b></p>
</div><h3 class="jobSectionHeader"><b>
Minimum Qualifications</b></h3><div>
<ul>
<li><p>High School Diploma</p>
</li>
<li><p>Minimum 1 year of experience in a call center environment providing patient outreach</p>
</li>
<li><p>Regular and predictable attendance; Ability to work any shift between 8 AM - 7 PM EST with the potential for evening and Saturday coverage as dictated by business needs</p>
</li>
<li><p>Excellent verbal communication, active listening, and negotiation skills</p>
</li>
<li><p>Ability to overcome objections and build rapport with patients or customers</p>
</li>
<li><p>Proficient with call center platforms and electronic health records (EHR) platforms</p>
</li>
<li><p>Proficient in Microsoft Excel and Google Sheets</p>
</li>
<li><p>Ability to work in a fast paced environment and adapt quickly to change</p>
</li>
<li><p>Strong organizational skills with an attention to detail and accuracy</p>
</li>
<li><p>Must have access to reliable high speed internet connection</p>
</li>
</ul></div><h3 class="jobSectionHeader"><b>Preferred Qualifications</b></h3><div>
<ul>
<li><p>Associate&rsquo;s Degree</p>
</li>
<li><p>Pharmacy Technician Certification (CPhT or ExCPT) or Active Pharmacy Technician License in any state</p>
</li>
</ul></div><h3 class="jobSectionHeader"><b>Physical Requirements</b></h3><div>
<ul>
<li><p>Prolonged periods of sitting at a desk and working on a computer</p>
</li>
</ul></div><div><b>Who We Are:</b></div><div>
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.</div><div></div><div><b><br>
What Does This Mean for You?</b></div><div>
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.</div><div></div><div><br>
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:</div><div></div><div><br>
Flexible work schedules and the ability to work remotely are available for many roles</div><div>
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners</div><div>
Robust time-off plan (21 days of PTO in your first year)</div><div>
Two paid volunteer days and 11 paid holidays</div><div>
12 weeks paid parental leave for all new parents</div><div>
Six weeks paid sabbatical after six years of service</div><div>
Educational Assistant Program and Clinical Employee Reimbursement Program</div><div>
401(k) with up to 4% match</div><div>
Stock options</div><div>
And much more!</div><div></div><div><i><br>
At Aledade, we don&rsquo;t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.</i></div><div></div><div><br>
Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants</div>
<p>
We may use automated tools, including artificial intelligence (AI), to help organize and evaluate application materials. These tools support our recruiters and hiring managers by helping manage large applicant pools. Human judgment plays an essential role in our hiring process, including in the oversight and use of any automated tools. If you would like more information about our screening and hiring process, please contact us.</p></div>

Outreach Specialist, Pharmacy Outreach

UnitedHealthcare

<div><p>At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start <b>Caring. Connecting. Growing together.</b></p><p>
As a <b>Senior Pharmacy Care Technician</b>, you will perform live telephonic outreach to UHC Medicare members and their physicians/pharmacies to improve health quality outcomes (i.e., medication adherence, appropriate drug utilization). This is your opportunity to join a pharmacy team with a focus on clinical and business collaboration. You will find an incredible team culture that provides opportunities to learn and evolve every day.</p><p><b>
Schedule:</b> Monday - Friday, 8-hour shift between the hours of 8am - 5pm. This is a hybrid-remote role. You will be required to work onsite 1 day per month and work remotely (work from home) all other days of the month.</p><p><b>
Office Location:</b></p><ul><li>
Schaumburg, IL - 1600 McConnor Parkway, Schaumburg, IL 60173</li></ul><p><b>
Training:</b> 100% onsite for initial 2-3 weeks of starting employment</p><p>
If you reside in<b> Schaumburg, IL</b>, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges.</p><p>
This position follows a hybrid schedule with 1 in-office day per month.</p><p><b>
Primary Responsibilities:</b></p><ul><li>
Perform telephonic customer outreach to improve health quality outcomes in collaboration with Clinical Pharmacists</li><li>
Provide additional telephonic engagement with providers and pharmacies</li><li>
Assess and interpret customer needs and requirements, triaging to a Clinical Pharmacist when appropriate</li><li>
Outbound calls to CAHPs detractors and MedAdhmembers to improve member experience and reduce barriers to adherence drugs</li><li>
Document and track member engagement</li></ul><p>
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.</p><p><b>
Required Qualifications:</b></p><ul><li>
High School Diploma/GED</li><li>
Active and unrestricted Pharmacy Technician license in your state of residence</li><li>
National Pharmacy Technician Certification</li><li>
3+ years of Pharmacy Technician experience</li><li>
Beginner level of proficiency with navigating Microsoft Office and a Windows-based environment</li><li>
Reside within commutable distance to Schaumburg, IL office location</li><li>
Ability to work Monday - Friday, 8-hour shift between the hours of 8am - 5pm</li></ul><p><b>
Preferred Qualifications:</b></p><ul><li>
Retail and/or mail order pharmacy experience</li><li>
Experience with Part D claims adjudication</li><li>All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.</li></ul><p><br>
</p><p>Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable.</p><p><br>
</p><p><i>At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.</i></p><p><br>
</p><p></p><p><i>UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.</i></p><p><i><br>
</i></p><p><i>UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.</i></p><p><i><br>
</i></p><p></p><p>#RPO #YELLOW</p></div>

Senior Pharmacy Care Technician - Hybrid in Schaumburg, IL

<div><p>At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start <b>Caring. Connecting. Growing together.</b></p><p>
As a <b>Senior Pharmacy Care Technician</b>, you will perform live telephonic outreach to UHC Medicare members and their physicians/pharmacies to improve health quality outcomes (i.e., medication adherence, appropriate drug utilization). This is your opportunity to join a pharmacy team with a focus on clinical and business collaboration. You will find an incredible team culture that provides opportunities to learn and evolve every day.</p><p><b>
Schedule:</b> Monday - Friday, 8-hour shift between the hours of 8am - 5pm. This is a hybrid-remote role. You will be required to work onsite 1 day per month and work remotely (work from home) all other days of the month.</p><p><b>
Office Location:</b></p><ul><li>
Houston, TX - 2950 North Loop West, Brookhollow Central III, Houston, TX</li></ul><p>
If you reside in <b>Houston, TX</b>, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges.</p><p>
This position follows a hybrid schedule with 1 in-office day per month.</p><p><b>
Primary Responsibilities:</b></p><ul><li>
Perform telephonic customer outreach to improve health quality outcomes in collaboration with Clinical Pharmacists</li><li>
Provide additional telephonic engagement with providers and pharmacies</li><li>
Assess and interpret customer needs and requirements, triaging to a Clinical Pharmacist when appropriate</li><li>
Outbound calls to CAHPs detractors and MedAdhmembers to improve member experience and reduce barriers to adherence drugs</li><li>
Document and track member engagement</li></ul><p>
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.</p><p><b>
Required Qualifications:</b></p><ul><li>
High School Diploma/GED</li><li>
Active and unrestricted Pharmacy Technician license in your state of residence</li><li>
National Pharmacy Technician Certification</li><li>
1+ years of Pharmacy Technician experience</li><li>
Beginner level of proficiency with navigating Microsoft Office and a Windows-based environment</li><li>
Reside within commutable distance to Houston, TX office location</li><li>
Ability to work Monday - Friday, 8-hour shift between the hours of 8am - 5pm</li></ul><p><b>
Preferred Qualifications:</b></p><ul><li>
Retail and/or mail order pharmacy experience</li><li>
Experience with Part D claims adjudication</li><li>All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.</li></ul><p><br>
</p><p>Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable.</p><p><br>
</p><p><i>At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.</i></p><p><br>
</p><p></p><p><i>UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.</i></p><p><i><br>
</i></p><p><i>UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.</i></p><p><i><br>
</i></p><p></p><p>#RPO #YELLOW</p></div>

Senior Pharmacy Care Technician - Hybrid in Houston, TX

Shields Health Solutions

<p></p><div><div><h1 class="jobSectionHeader"><b>Patient Engagement Specialist (Remote)</b></h1>
<p><b>
 Location:</b> Remote (U.S.)</p>
<h2 class="jobSectionHeader"><b>
Make a Direct Impact on Patient Care&mdash;From Home</b></h2>
<p>
Are you a <b>certified pharmacy technician </b>passionate about patient support, medication access, and high-quality service? As a <b>Patient Engagement Specialist</b>, you'll serve as a critical connection between patients, pharmacists, clinicians, and health system partners&mdash;ensuring timely medication refills, resolving pharmacy claims, and delivering compassionate support across the care continuum.</p>
<p>
This is a <b>remote pharmacy role</b> ideal for professionals who thrive in a fast-paced, patient-centered environment and enjoy proactive outreach and problem-solving.</p>
<p></p>
<h2 class="jobSectionHeader"><b>What You'll Do</b></h2>
<p>
In this role, you will manage both <b>inbound and outbound pharmacy communications</b> while supporting medication access and adherence.</p>
<h3 class="jobSectionHeader"><b>
Core Responsibilities</b></h3>
<ul><li> Handle <b>inbound pharmacy calls</b> and place <b>outbound patient refill calls</b></li>
<li>✅ Guide patients through the <b>complete medication refill process</b></li>
<li> Coordinate prescription refills including <b>data entry and pharmacy claim adjudication</b></li>
<li> Perform prescription <b>status checks</b> and resolve adjudication issues</li>
<li> Serve as a liaison between <b>patients, pharmacists, clinicians, payors, and internal teams</b></li>
<li> Clarify prescription orders with pharmacists and/or clinicians as needed</li>
<li>❄️ Identify medications requiring <b>special handling</b> (e.g., refrigerated or hazardous)</li>
<li> Accurately manage and update patient and prescription data across systems</li>
<li> Identify trends, resolve recurring issues, and recommend <b>process improvements</b></li>
<li> Maintain <b>strict confidentiality</b> of sensitive patient and healthcare data</li>
<li> Participate in training, professional development, and quality initiatives</li>
<li><ul><li>Maintain <b>schedule flexibility</b> to meet health system partner needs</li></ul></li><i>
(8-hour shifts, Monday through Friday between 7am and 7pm EST, weekends as needed)</i>
</ul>
<p><i>Additional duties may apply as business needs evolve.</i></p>
<p></p>
<h2 class="jobSectionHeader"><b>What We're Looking For</b></h2>
<h3 class="jobSectionHeader"><b>Licensure &amp; Certification</b></h3>
<ul><li><ul><li><b>National certification (CPhT)</b> required</li></ul></li>
<li>✅ <b>State-registered Pharmacy Technician</b> (obtainable with national certification)</li>
<li>Willingness to obtain additional required licensure within an agreed timeframe<br>
<i>(continued employment contingent upon licensure compliance)</i></li>
</ul><p></p><h3 class="jobSectionHeader"><b>Experience &amp; Education</b></h3>
<ul><li> <b>1&ndash;3 years of pharmacy technician experience</b> preferred
<ul><li>Refill management</li>
<li>Pharmacy claim adjudication</li>
<li>Specialty pharmacy exposure</li>
<li>Clinical care team collaboration</li>
<li>Remote or call-center pharmacy experience (plus)</li>
</ul></li><li> <b>High school diploma or GED</b> required</li>
</ul><p></p><h3 class="jobSectionHeader"><b>Key Skills</b></h3>
<ul><li>Exceptional <b>phone presence</b> and patient communication skills</li>
<li>Comfortable with <b>outbound patient engagement</b></li>
<li>Strong collaboration skills with clinicians, payors, and pharmacy teams</li>
<li>Proficiency in <b>Microsoft Excel and Word</b></li>
<li>Ability to quickly learn new systems and workflows</li>
<li>Excellent organization, multitasking, and attention to detail</li>
</ul><p></p><h3 class="jobSectionHeader"><b>Attributes for Success</b></h3>
<ul><li>Empathetic, patient-focused, and service-oriented</li>
<li>Reliable, accountable, and highly dependable</li>
<li>Collaborative team player with a quality mindset</li>
<li>Strong listener and clear communicator</li>
<li>Consistently punctual with minimal unscheduled time off</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Remote Work Requirements</b></h2>
<p>
To ensure optimal patient care and team collaboration, remote team members must have:</p>
<ul><li>️ A dedicated desk setup with <b>two company-provided monitors</b></li>
<li> <b>High-speed, stable, and reliable internet connection</b></li>
<li> A <b>quiet, distraction-free workspace</b></li>
<li><ul><li>️ Willingness to work <b>overtime</b> as patient care volumes fluctuate</li></ul></li>
<li> Ability to keep <b>camera on</b> for most meetings with leaders and teammates</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Why This Role Matters</b></h2>
<p>
You'll play a vital role in improving <b>medication access, adherence, and patient experience</b>&mdash;while enjoying the flexibility of a remote pharmacy position. Your work directly supports patients, providers, and health system partners every day.</p>
</div><div><p>
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>

Certified Pharmacy Technician - Refill & Medication Adherence

Tampa General Hospital

<div><div><b>Pharmacy Billing Specialist - Outpatient Specialty</b> <b>-</b> <b>(</b><b>260001CE</b><b>)</b><div>
</div></div><div><b>
Description</b><div></div><p><br>
The Pharmacy Billing Specialist handles all medication billing functions within Pharmacy Services. Responsibilities include verifying insurance eligibility, facilitating prior authorizations, and collaborating with third-party payers and clinical offices. The specialist works with patients and providers to ensure access to medications and assists with denial appeals and financial assistance through funding sources. Additionally, the role involves auditing hospital pharmacy billing, resolving claim rejections, and supporting medical bill audits. The specialist performs duties in alignment with TGH&rsquo;s mission, vision, and values.</p><div><br>
</div></div><div><b>
Qualifications</b><div>
</div><ul><li>
Associate's Degree Relevant Field</li><li>
Registered Pharmacy Technician</li><li>
Two (2) years of experience in healthcare, retail, pharmacy, or billing. Experience may be considered in<br>
lieu of degree.</li></ul><div>
</div></div><div><b>
Primary Location</b><b>:</b> Tampa</div><div><b>
Work Locations</b><b>:</b> TGH Main Campus 1 Tampa General Circle Tampa 33601</div><div><b>
Eligible for Remote Work</b><b>:</b> Hybrid Remote</div><div><b>
Job</b><b>:</b> Pharmacy</div><div><b>
Organization</b><b>:</b> Florida Health Sciences Center Tampa General Hospital</div><div><b>
Schedule</b><b>:</b> Full-time</div><div><b>
Scheduled Days</b><b>:</b> Monday, Tuesday, Wednesday, Thursday, Friday</div><div><b>
Shift</b><b>:</b> Day Job</div><div><b>
Job Type</b><b>:</b> Hybrid Remote</div><div><b>
Shift Hours</b><b>:</b> Day shifts 8am to 4:30pm Monday to Friday</div><div><b>
Minimum Salary</b><b>:</b> 43,180.80</div><div><b>
Job Posting</b><b>:</b> Mar 31, 2026, 9:15:20 AM</div></div>

Pharmacy Billing Specialist - Outpatient Specialty

Onco360 Oncology Pharmacy

<div>
 <strong>
  Pharmacy Prior Authorization Specialist &ndash; Onco360 Pharmacy
  <br/>
  <br/>
 </strong>
 <em>
  Woodridge, IL
 </em>
 |
 <em>
  Full-Time
 </em>
 |
 <em>
  Starting at $23.00/hr and up
  <br/>
  <br/>
 </em>
 <strong>
  Join a mission-driven team making a difference in the lives of cancer patients.
  <br/>
  <br/>
 </strong>
 Onco360 Pharmacy is seeking a
 <strong>
  Pharmacy Prior Authorization Specialist
 </strong>
 to join our dedicated team in Woodridge, IL. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.
 <br/>
 <br/>
 <strong>
  Why Join Us?
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   A career with purpose: Help patients access life-saving medications.
  </li>
  <li>
   Supportive culture: We value teamwork, respect, integrity, and passion.
  </li>
  <li>
   Growth opportunities: We invest in your professional and personal development.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Company Benefits
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Medical; Dental; Vision
  </li>
  <li>
   401k with a match
  </li>
  <li>
   Paid Time Off and Paid Holidays
  </li>
  <li>
   Tuition Reimbursement
  </li>
  <li>
   Quarterly Incentive Bonus
  </li>
  <li>
   Paid Volunteer Day
  </li>
  <li>
   Referral Incentive Program
  </li>
  <li>
   Company Paid Life Insurance; and Short/Long-Term Disability
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What You&rsquo;ll Do
  <br/>
  <br/>
 </strong>
 The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
 <br/>
 <br/>
 <strong>
  How You&rsquo;ll Do This
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Manage prior authorization requests and appeals with insurance carriers.
  </li>
  <li>
   Collaborate with physicians, pharmacists, and other departments.
  </li>
  <li>
   Ensure HIPAA compliance while handling sensitive patient information.
  </li>
  <li>
   Maintain accurate documentation of authorization details.
  </li>
  <li>
   Proactively monitor and renew expiring authorizations.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What You Bring
  <br/>
  <br/>
 </strong>
 <em>
  <strong>
   Required:
   <br/>
   <br/>
  </strong>
 </em>
 <ul>
  <li>
   High School Diploma or GED
  </li>
  <li>
   1+ years of pharmacy or prior authorization experience
  </li>
  <li>
   Registration with Board of Pharmacy (as required by state law)
  </li>
  <li>
   Strong communication, organizational, and customer service skills
  </li>
  <li>
   Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  </li>
  <li>
   Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Preferred:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Associate degree or Certified Pharmacy Technician (PTCB)
  </li>
  <li>
   3+ years of experience in pharmacy or prior authorizations
  </li>
  <li>
   Specialty pharmacy experience
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
  <br/>
  <br/>
 </strong>
 <strong>
  #Company Values: Teamwork, Respect, Integrity, Passion
  <br/>
  <br/>
 </strong>
 #IH
</div>


Pharmacy Prior Authorization Specialist

Onco360

<div><div><b>Pharmacy Prior Authorization Specialist &ndash; Onco360 Pharmacy</b><br>
<i>Louisville, KY</i> | <i>Full-Time</i> | <i>Starting at $23.00/hr and up</i></div>
<div></div><div><div>Onco360 Pharmacy is seeking a <b>Pharmacy Prior Authorization Specialist</b> to join our dedicated team in Louisville, KY. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.</div>
<div> </div><p></p><div><div><b>Why Join Us?</b></div>
<ul><li>A career with purpose: Help patients access life-saving medications.</li>
<li>Supportive culture: We value <b>teamwork, respect, integrity, and passion</b>.</li>
<li>Growth opportunities: We invest in your professional and personal development.</li>
</ul></div></div><div><b>Company Benefits</b></div>
<ul><li>Medical; Dental; Vision</li>
<li>401k with a match</li>
<li>Paid Time Off and Paid Holidays</li>
<li>Tuition Reimbursement</li>
<li>Quarterly Incentive Bonus</li>
<li>Paid Volunteer Day</li>
<li>Referral Incentive Program</li>
<li>Company Paid Life Insurance; and Short/Long-Term Disability</li>
</ul><p></p><div><b>What You&rsquo;ll Do</b></div>
<div></div><div>The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.</div>
<div></div><div><b>How You&rsquo;ll Do This</b></div>
<ul><li>Manage prior authorization requests and appeals with insurance carriers.</li>
<li>Collaborate with physicians, pharmacists, and other departments.</li>
<li>Ensure HIPAA compliance while handling sensitive patient information.</li>
<li>Maintain accurate documentation of authorization details.</li>
<li>Proactively monitor and renew expiring authorizations.</li>
</ul><p></p><div><b>What You Bring</b></div>
<div></div><div><b><i>Required:</i></b></div>
<ul><li>High School Diploma or GED</li>
<li>1+ years of pharmacy or prior authorization experience</li>
<li>Registration with Board of Pharmacy (as required by state law)</li>
<li>Strong communication, organizational, and customer service skills</li>
<li>Self-motivated, organized, detail-oriented, and adaptable to changing priorities</li>
<li>Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds</li>
</ul><div><b>Preferred:</b></div>
<ul><li>Associate degree or Certified Pharmacy Technician (PTCB)</li>
<li>3+ years of experience in pharmacy or prior authorizations</li>
<li>Specialty pharmacy experience</li>
</ul><p></p><div><b>Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.</b></div>
<div></div><div><b>#Company Values: Teamwork, Respect, Integrity, Passion</b></div>
<div>#IH</div></div><div></div>

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