pharmacy services representative

<div>Responsibilities: <b>Job Summary:</b> As a Pharmacy Care Representative, you'll work in a team environment to provide superior customer service that exceeds patient expectations.<br>
<br>
<b>Key Responsibilities &amp; Essential Functions:</b><br>
<br>
<ul><li>Customer Service / Patient Care:</li></ul><br>
<ul><li>
Provides / role-models superior customer service; works closely with Pharmacists, Pharmacy Technicians, and Pharmacy Care Representatives (PCRs) to provide excellent patient care</li><li>
Promotes / fosters &quot;Greet, Ask, and Thank&quot; and H-E-B telephone strategies; directs calls to appropriate Partner</li><li>
Receives written prescriptions from customers; obtains / verifies demographic and profile-related information; receives refill prescription numbers (by phone and at drop-off counter) and obtains profile-related information; processes written prescriptions and refill numbers into RXEVO</li><li>
Generates prescription-related paperwork; files / retrieves / maintains prescriptions in the Will-Call area</li><li>
Uses RXEVO at point of sale (POS) system; ensures procedures are followed to deliver prescriptions to correct patients (name, number of orders per bag, etc.)</li><li>
Directs customers to counseling window for Pharmacist consultation</li><li>
Obtains /returns tills from bookkeeping; processes customer transactions at register</li><li>
Maintains manual signature capture receipts; scans into RXEVO in a timely fashion</li><li>
Properly processes / clears prepaid prescriptions</li><li>
Ensures all prescription deliveries are finalized; prints RX delivery ledger daily</li><li>
Completes contact patient queue</li><li>
Files / maintains prescription hard copies</li><li>
Assists Technicians and Pharmacists to ensure complete, efficient production for the shift</li><li>
Participates in / assists with Rx screening events, flu shot scheduling, immunization scheduling, and future medication therapy management (MTM) events</li><li>
Checks in / assists customers receiving vaccines using comprehensive vaccine manager (CVM) tool or other professional services apps</li><li>
May participate in other professional services activities</li></ul><br>
<ul><li>Inventory Management:</li></ul><br>
<ul><li>
Receives OTC inventory; checks delivery for accuracy compared to invoices, contacts H-E-B warehouse or vendor if inventory is short</li><li>
Stages OTC inventory; breaks out into stocking sections, including front-of-pharmacy items (e.g., OTC, diabetic supplies)</li><li>
Complies with Return to Stock SOP to locate prescriptions via inventory management queue</li><li>
Ensures caps, vials, bags, etc., are correctly stocked</li><li>
Records fridge and freezer temperature logs</li></ul><br>
<ul><li>Compliance / Sanitation:</li></ul><br>
<ul><li>
Complies with HIPAA regulations to ensure privacy and confidentiality of personal health information (PHI)</li><li>
Complies with TSBP rules and H-E-B SOPs to ensure patient counseling is provided on applicable prescriptions</li><li>
Complies with SOP to process PSE transactions; follows manual process only if electronic system unavailable</li><li>
Complies with Central Fill check-in procedures</li><li>
Ensures department and work area (inside and outside) comply with presentation, organization, sanitation, and maintenance guidelines</li><li>
Removes trash from department; complies with trash compactor processes</li></ul><br>
<i>
The responsibilities and essential functions outlined above describe the general nature and level of work assigned to this position. This is not an exhaustive list of all duties, responsibilities, and skills required. Duties and responsibilities may be modified at any time based on business needs. Employees may be required to perform other job-related tasks as requested by their supervisor, subject to reasonable accommodations.</i><br>
<br>
<b>Qualifications &amp; Key Requirements:</b><br>
<br>
<b>Work Experience:</b><ul><li>
Experience in retail -
</li><li>experience in pharmacy a plus -
</li><li>Experience working in a fast-paced environment -
</li></ul><br>
<b>Knowledge/Skills/Abilities:</b><ul><li>
Working knowledge of pharmacy-related tasks, H-E-B RXEVO system, register procedures, and H-E-B Pharmacy SOPs -
</li><li>Strong communication and customer service skills -
</li><li>Mathematical skills (including calculating measurements) -
</li><li>PC skills, including MS Office and H-E-B software and programs required by the job -
</li><li>Cash-handling skills -
</li><li>Ability to maintain composure in high-stress situations -
</li><li>Ability to demonstrate strong telephone etiquette -
</li><li>Ability to manage multiple priorities and shift focus between tasks -
</li><li>Ability to work in a team environment -
</li><li>Ability to work with little direct supervision -
</li><li>Willingness to cross-train -
</li></ul><br>
<b>Education:</b><ul><li>
or equivalent -
</li></ul><br>
<b>Licenses/Certifications:</b><ul><li>
Completion of all training and certification e.g -
</li><li>PCR -
</li><li>RXEVO -
</li><li>HIPAA -
</li><li>FWA -
</li><li>MethGuard -
</li><li>diversity -
</li><li>ACR -
</li><li>H-E-B Screener certification -
</li><li>Company orientation -
</li></ul><br>
<b>Physical Demands &amp; Working Conditions:</b><ul><li>
Function in a fast-paced, retail, office environment</li><li>
Work rotating shifts, including nights and weekends</li><li>
Stand for extended periods (up to 12 hours)</li><li>
Regularly lift 30 lbs or more</li><li>
Fulfill vision requirements for the job, specifically close vision and color vision</li><li>
Maintain H-E-B Rx screener status, including required recertification</li></ul><br>
<i>
The work environment characteristics described here are representative of those a Partner encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</i><br>
<br>
<b>Last revised: </b>12/01/2021</div>

Stephenville RX Tech- Pharmacy Care Representative- Part Time

Curative, Inc.

<div><div><b>About Curative</b></div><div>
Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent <b>$150M in Series B funding </b>and valuation at <b>$1.275B</b>, Curative is scaling rapidly and investing in AI-powered service, deeper member engagement, and a smart network designed for today&rsquo;s workforce.</div><div></div><div><br>
Our north star guides everything we do: <b>healthcare only works when people can actually use it</b>. That belief drives every decision we make: from how we design our plan, support our members, to how we collaborate as a team.</div><div></div><div><br>
If you want to do meaningful work with a team that moves fast, experiments boldly, and cares deeply, Curative is the place to do it. We&rsquo;re growing fast and looking for teammates who want to help transform health insurance for the better.</div><div></div><div><b><br>
SUMMARY</b></div><div><br>
Curative wants to change the view on what a health plan can be. Born out of the pandemic, we created a health plan reinvented for a post-pandemic world that is built around whole-person affordable preventive care featuring more benefits. Curative is looking for a Pharmacy Technician with Member Services experience who is passionate about helping the company as we work to reinvent healthcare options. Candidates will be able to utilize their previous experience in Pharmacy Operations/Member Services experience by increasing satisfaction and retention by providing Curative health plan Members, patients, and providers with accurate, consistent, timely and meaningful information. They will provide support to Members&rsquo; while building rapport and collaborative relationships with current and prospective Members in accordance with compliance guidelines. This is a remote position with multiple shift options in a 24/7 call center.</div><div></div><div><b><br>
ESSENTIAL DUTIES AND RESPONSIBILITIES</b></div><ul><li>
Monitoring for prescription claims rejections from 3rd party pharmacies</li><li>
Outreach to members and providers with information regarding rejection and offering alternative options as applicable</li><li>
Working with the Curative pharmacy prior authorization team discussing PA decisions with members and providers as needed</li><li>
Evaluating extenuating requests and processing overrides as appropriate in the CAPRx JUDI system</li><li>
Working with the Pharmacy team on non formulary drug alternatives for member and provider notification</li><li>
Contact 3rd party pharmacies to reprocess claims, notify of drug alternatives, prior authorization status.</li><li>
Correct claims and prior authorization request as needed</li><li>
SME on pharmacy and drug benefits handling escalated contacts from members, providers, pharmacies, and member service team</li><li>
Escalation support for after hours issues resolution as needed</li><li>
Processing notifications to members services team for member outreach and status updates on prescription status</li><li>
Working with leadership team on policy and process improvements</li><li>
This position assumes and performs other duties, project management and data reporting as assigned</li><li>
Work adhering to US regulatory and Quality System requirements (21 CFR 820, etc).</li></ul><div></div><div><b><br>
QUALIFICATIONS</b><br>
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:</div><br>
<div></div><ul><li>
Excellent attendance is critical to success in this position</li><li>
Internal candidates must have been in their current role for at least 6 months and have no performance or attendance actions in effect.</li><li>
Excellent computer and phone skills, attention to detail, process and policy adherence</li><li>
Call Center Experience preferred but not required</li><li>
Excellent verbal and written communication skills.</li><li>
Strong interpersonal skills.</li><li>
Active listening skills to accurately respond to inquiries and requests.</li><li>
Exceptional organizational skills, retention of policy and process a must</li><li>
Intermediate skills minimum in google and microsoft office suite of products a must</li><li>
Experience with Talkdesk (or other VOIP phone systems) preferred but not required</li><li>
Experience with Helpscout (or other email ticket systems) preferred but not required</li><li>
Experience with JUDI (or other prescription claims systems) preferred but not required</li><li>
Experience with slack, gmail, zoom conference preferred but not required</li></ul><p><b>
EDUCATION and/or EXPERIENCE</b></p><ul><li>
Minimum 5 years experience in pharmacy or PBM operations</li><li>
Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.</li></ul><p><b>
CERTIFICATES, LICENSES, REGISTRATIONS</b></p><ul><li>
 Active PTCB certification required</li></ul><p><b>
WORK ENVIRONMENT</b><br>
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</p><ul><li>
Remote position</li><li>
Must have a quiet place, secure, with no distractions to perform duties for work from home</li><li>
Must have password protected, stable internet access - stipend will be provided</li><li>
Work location MUST be secure and private to maintain HIPAA compliance for work from home</li><li>
Office equipment will be supplied including: PC, monitor, keyboard, mouse, headset</li><li>
While performing the duties of this Job, the employee is regularly required to sit; use hands to type, talk; and hear.</li><li>
The employee is frequently required to reach with hands and arms.</li><li>
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.</li><li>
We also request, with the exception of emergencies, that you do not request any time off within the first 120 days of employment. Any request within the first 120 days if approved will be unpaid</li><li>
For this position the percentage of expected Travel is:0% of the time</li></ul><div><b>
TRAINING EXPECTATIONS</b></div><br>
<div></div><ul><li>
You will attend a 2-3 week minimum remote training program.</li><li>
Attendance is mandatory for the full training program</li><li>
You will be required to take daily competency exams and a retention exam on the Friday of both weeks of training. Passing grades are 90% or above.</li><li>
We also request, with the exception of emergencies, that you do not request any time off within the first<br>
120 days of employment. Any request within the first 120 days if approved will be unpaid</li></ul><div></div><div><b><br>
Perks &amp; Benefits</b></div><div></div><ul><li><div><br>
Curative Health Plan (100% employer-covered medical premiums for you and 50% coverage for dependents on the base plan.)</div><ul><li><div>
$0 copays and $0 deductibles (with completion of our Baseline Visit )</div></li><li><div>
Preventive and primary care built in</div></li><li><div>
Mental health support (Rula, Televero, Two Chairs, Recovery Unplugged)</div></li><li><div>
One-on-one care navigation</div></li><li><div>
Chronic condition programs (diabetes, weight, hypertension)</div></li><li><div>
Maternity and family planning support</div></li><li><div>
24/7/365 Curative Telehealth</div></li><li><div>
Pharmacy benefits</div></li></ul></li><li><div>
Comprehensive dental and vision coverage</div></li><li><div>
Employer-provided life and disability coverage with additional supplemental options</div></li><li><div>
Flexible spending accounts</div></li><li><div>
Flexible work options: remote and in-person opportunities</div></li><li><div>
Generous PTO policy plus 11 paid annual company holidays</div></li><li><div>
401K for full-time employees</div></li><li><div>
Generous Up to 8&ndash;12 weeks paid parental leave, based on role eligibility.</div></li></ul></div><div></div>

Pharmacy Technician - Member Services

Curative

<div>
 <strong>
  About Curative
  <br/>
  <br/>
 </strong>
 Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent
 <strong>
  $150M in Series B funding
 </strong>
 and valuation at
 <strong>
  $1.275B
 </strong>
 , Curative is scaling rapidly and investing in AI-powered service, deeper member engagement, and a smart network designed for today&rsquo;s workforce.
 <br/>
 <br/>
 Our north star guides everything we do:
 <strong>
  healthcare only works when people can actually use it
 </strong>
 . That belief drives every decision we make: from how we design our plan, support our members, to how we collaborate as a team.
 <br/>
 <br/>
 If you want to do meaningful work with a team that moves fast, experiments boldly, and cares deeply, Curative is the place to do it. We&rsquo;re growing fast and looking for teammates who want to help transform health insurance for the better.
 <br/>
 <br/>
 <strong>
  Summary
  <br/>
  <br/>
 </strong>
 Curative wants to change the view on what a health plan can be. Born out of the pandemic, we created a health plan reinvented for a post-pandemic world that is built around whole-person affordable preventive care featuring more benefits. Curative is looking for a Pharmacy Technician with Member Services experience who is passionate about helping the company as we work to reinvent healthcare options. Candidates will be able to utilize their previous experience in Pharmacy Operations/Member Services experience by increasing satisfaction and retention by providing Curative health plan Members, patients, and providers with accurate, consistent, timely and meaningful information. They will provide support to Members&rsquo; while building rapport and collaborative relationships with current and prospective Members in accordance with compliance guidelines. This is a remote position with multiple shift options in a 24/7 call center.
 <br/>
 <br/>
 <strong>
  Essential Duties And Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Monitoring for prescription claims rejections from 3rd party pharmacies
  </li>
  <li>
   Outreach to members and providers with information regarding rejection and offering alternative options as applicable
  </li>
  <li>
   Working with the Curative pharmacy prior authorization team discussing PA decisions with members and providers as needed
  </li>
  <li>
   Evaluating extenuating requests and processing overrides as appropriate in the CAPRx JUDI system
  </li>
  <li>
   Working with the Pharmacy team on non formulary drug alternatives for member and provider notification
  </li>
  <li>
   Contact 3rd party pharmacies to reprocess claims, notify of drug alternatives, prior authorization status.
  </li>
  <li>
   Correct claims and prior authorization request as needed
  </li>
  <li>
   SME on pharmacy and drug benefits handling escalated contacts from members, providers, pharmacies, and member service team
  </li>
  <li>
   Escalation support for after hours issues resolution as needed
  </li>
  <li>
   Processing notifications to members services team for member outreach and status updates on prescription status
  </li>
  <li>
   Working with leadership team on policy and process improvements
  </li>
  <li>
   This position assumes and performs other duties, project management and data reporting as assigned
  </li>
  <li>
   Work adhering to US regulatory and Quality System requirements (21 CFR 820, etc).
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:
 <br/>
 <br/>
 <ul>
  <li>
   Excellent attendance is critical to success in this position
  </li>
  <li>
   Internal candidates must have been in their current role for at least 6 months and have no performance or attendance actions in effect.
  </li>
  <li>
   Excellent computer and phone skills, attention to detail, process and policy adherence
  </li>
  <li>
   Call Center Experience preferred but not required
  </li>
  <li>
   Excellent verbal and written communication skills.
  </li>
  <li>
   Strong interpersonal skills.
  </li>
  <li>
   Active listening skills to accurately respond to inquiries and requests.
  </li>
  <li>
   Exceptional organizational skills, retention of policy and process a must
  </li>
  <li>
   Intermediate skills minimum in google and microsoft office suite of products a must
  </li>
  <li>
   Experience with Talkdesk (or other VOIP phone systems) preferred but not required
  </li>
  <li>
   Experience with Helpscout (or other email ticket systems) preferred but not required
  </li>
  <li>
   Experience with JUDI (or other prescription claims systems) preferred but not required
  </li>
  <li>
   Experience with slack, gmail, zoom conference preferred but not required
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  EDUCATION And/or EXPERIENCE
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Minimum 5 years experience in pharmacy or PBM operations
  </li>
  <li>
   Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  CERTIFICATES, LICENSES, REGISTRATIONS
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Active PTCB certification required
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  WORK ENVIRONMENT
  <br/>
  <br/>
 </strong>
 The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 <br/>
 <br/>
 <ul>
  <li>
   Remote position
  </li>
  <li>
   Must have a quiet place, secure, with no distractions to perform duties for work from home
  </li>
  <li>
   Must have password protected, stable internet access - stipend will be provided
  </li>
  <li>
   Work location MUST be secure and private to maintain HIPAA compliance for work from home
  </li>
  <li>
   Office equipment will be supplied including: PC, monitor, keyboard, mouse, headset
  </li>
  <li>
   While performing the duties of this Job, the employee is regularly required to sit; use hands to type, talk; and hear.
  </li>
  <li>
   The employee is frequently required to reach with hands and arms.
  </li>
  <li>
   Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
  </li>
  <li>
   We also request, with the exception of emergencies, that you do not request any time off within the first 120 days of employment. Any request within the first 120 days if approved will be unpaid
  </li>
  <li>
   For this position the percentage of expected Travel is:0% of the time
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  TRAINING EXPECTATIONS
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   You will attend a 2-3 week minimum remote training program.
  </li>
  <li>
   Attendance is mandatory for the full training program
  </li>
  <li>
   You will be required to take daily competency exams and a retention exam on the Friday of both weeks of training. Passing grades are 90% or above.
  </li>
  <li>
   We also request, with the exception of emergencies, that you do not request any time off within the first 120 days of employment. Any request within the first 120 days if approved will be unpaid
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Perks &amp; Benefits
 </strong>
 <br/>
 <br/>
 <ul>
  <li>
   Curative Health Plan (100% employer-covered medical premiums for you and 50% coverage for dependents on the base plan.)
  </li>
  <ul>
   <li>
    $0 copays and $0 deductibles (with completion of our Baseline Visit )
   </li>
   <li>
    Preventive and primary care built in
   </li>
   <li>
    Mental health support (Rula, Televero, Two Chairs, Recovery Unplugged)
   </li>
   <li>
    One-on-one care navigation
   </li>
   <li>
    Chronic condition programs (diabetes, weight, hypertension)
   </li>
   <li>
    Maternity and family planning support
   </li>
   <li>
    24/7/365 Curative Telehealth
   </li>
   <li>
    Pharmacy benefits
   </li>
  </ul>
  <li>
   Comprehensive dental and vision coverage
  </li>
  <li>
   Employer-provided life and disability coverage with additional supplemental options
  </li>
  <li>
   Flexible spending accounts
  </li>
  <li>
   Flexible work options: remote and in-person opportunities
  </li>
  <li>
   Generous PTO policy plus 11 paid annual company holidays
  </li>
  <li>
   401K for full-time employees
  </li>
  <li>
   Generous Up to 8&ndash;12 weeks paid parental leave, based on role eligibility.
  </li>
 </ul>
</div>


Brown University Health

<div><ul><li>Job ID: JR-108219
</li><li>Entity: Rhode Island Hospital
</li><li>Location Name: Rhode Island Hospital
</li><li>City, State: Providence, RI
</li><li>Work Type: PER DIEM
</li><li>Hours Per Week: Variable
</li><li>Shift: Variable
</li><li>Posted Date: 4/7/2026
</li></ul><div><h2 class="jobSectionHeader"><b>SUMMARY</b></h2>
<p>
Reports to the Pharmacist-in-Charge. Under general supervision of a Pharmacy Supervisor is responsible for remote services which includes the interpretation, evaluation, preparation and dispensing of medications pursuant to a legitimate order in keeping with established policies, procedures, and standards of practice and scope of pharmacy services of all Brown University Health (BrownHealth) affiliates. Collaborates with multidisciplinary care providers to monitor, assess, and intervene as needed to ensure safe, appropriate, and cost-effective medication use. Oversees and reviews the work of pharmacy technicians and ancillary support personnel as applicable.</p>
<h2 class="jobSectionHeader"><b>
RESPONSIBILITIES</b></h2>
<p>
Establishes and maintains compliance with Brown University Health&rsquo;s Flexible Work Arrangements Guidelines and receives patient medication orders remotely when entered into the electronic health record (EHR) by a provider. Reviews and interprets each order to determine completeness, therapeutic appropriateness as it relates to the patient&rsquo;s clinical status, concomitant drug therapy and diet, and with consideration of the aging processes and human developmental stages (neonate, child, adolescent, adult, geriatric). Contacts the provider, or covering provider, as necessary to initiate appropriate interventions to ensure therapeutic efficacy, minimize potential risks of drug therapy, and optimize cost effectiveness. Applies pharmacotherapeutic and pharmacokinetic principles to ensure safe and effective use of medications for the patient populations served. Provides drug information and consultation to prescribers, nurses, and other health care professionals regarding appropriate drug therapy, including drug interactions, side effects, incompatibilities, allergies, medication order discrepancies, drug stability problems, and drug administration. Proactively reviews and approves medication orders in the EHR including drug, dose, dose form, frequency, and duration of therapy. Ensures relevant patient specific parameters are present in the EHR and considers (i.e., diagnosis, known allergies, weight, age, etc.). Identifies, documents, resolves, monitors, and prevents drug therapy related problems, including contraindications, duplications of therapy, and drug interactions. Engages with other clinical pharmacists or clinical pharmacist specialists for complex clinical situations. Integrates patient-focused medication therapy management and pharmaceutical care in accordance with established clinical pathways or guidelines. Participates in prospective and retrospective pharmacokinetic dosing and monitoring of selected medications and recommends dose adjustments and laboratory monitoring as required. Ensures compliance with target drug programs, formulary management initiatives, medication management initiatives, and adverse drug event monitoring programs. Documents and reports all clinical interventions, medication errors, near misses, and adverse drug events in accordance with established protocols. Remotely reviews and approves formulations for sterile products requiring compounding or manipulation prior to dispensing. In accordance with established procedures, completes in-process and final checks for medications prepared by pharmacy technicians. Ensures accuracy, sterility, and stability of compounded products. Participates in continuous quality improvement activities and total quality management initiatives, including, but not limited to adverse drug reaction, pharmacist clinical intervention, and medication incident reporting programs. Maintains professional competence through participation in Pharmacy staff development and skills enhancement programs, including but not limited to ongoing independent study, and membership and participation in professional organizations. Performs other duties as assigned.</p>
<h2 class="jobSectionHeader"><b>
MINIMUM QUALIFICATIONS</b></h2>
<ul><li>Bachelor of Science in Pharmacy or Doctor of Pharmacy degree from an accredited college of pharmacy.</li>
<li>Prior to start date, possesses current unrestricted licensure as a licensed pharmacist or a licensed 90-day temporary pharmacist, in the State of Rhode Island. Within 90 days of start date, must possess and maintain current unrestricted licensure as a licensed pharmacist in the State of Rhode Island. Prior to start date, possess current licensure as a registered pharmacist in the Commonwealth of Massachusetts.</li>
<li>Within 18 months of hire, must possess and maintain Board of Pharmacy Specialties certification in area of clinical pharmacy expertise (i.e., Pharmacotherapy (BCPS), Oncology (BCOP), Cardiology (BCCP), etc.).</li>
<li>Successful completion of Post Graduate Year 1 (PGY-1) Residency from an accredited program and/or a minimum of 3 years clinical experience required. Clinical experience, knowledge, and development may be considered in lieu of formal training.</li>
<li>Effective interpersonal and communication skills, both written and verbal, to interact appropriately with colleagues and others. Effective organizational and presentation skills.</li>
<li>Knowledge of area/specialty specific technology, including, but not limited to, pharmacy information systems, automated dispensing technology, software, equipment, and automation.</li>
<li>Experience with MS Word, Excel, Outlook, and web browser.</li>
</ul><h2 class="jobSectionHeader"><b>WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS</b></h2>
<p>
Employee will be responsible to establish a secure workspace environment to protect the confidentiality of sensitive information. Sensitive information includes confidential information, protected health information (PHI), and protected identifiable information (PII). Employee will be responsible for costs associated with setting up, furnishing, and managing their remote employee workspace and for costs of maintaining appropriate internet connectivity to access Brown University Health&rsquo;s Information Services resources. Extended periods of time spent sitting. Requires the visual and manual dexterity to operate a computer. Occasional travel to Brown Health affiliates, as needed and/or in the event of Brown Health Information Services downtime.</p>
<h2 class="jobSectionHeader"><b>
Pay Range</b></h2>
<p>
$50.49-$83.30</p>
<h2 class="jobSectionHeader"><b>
Location</b></h2>
<p>
Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903</p>
<h2 class="jobSectionHeader"><b>
Work Type</b></h2>
<p>
Day and evening shifts. Includes weekdays, weekends, holidays. Scheduled by need and availability.</p>
<h2 class="jobSectionHeader"><b>
Work Shift</b></h2>
<p>
Variable</p>
<h2 class="jobSectionHeader"><b>
Daily Hours</b></h2>
<p>
Per Diem - As required</p>
<h2 class="jobSectionHeader"><b>
Driving Required</b></h2>
<p>
No</p>
<p><i>
Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.</i></p></div></div>

Clinical Pharmacist - Remote Services

Gainwell Technologies LLC

<div><p>It takes great medical minds to create powerful solutions that solve some of healthcare&rsquo;s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you&rsquo;ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you&rsquo;ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.</p><p></p><div><div><div><h2 class="jobSectionHeader"><b><br>
Summary</b></h2></div><div><p>
The <b>Pharmacy Prior Authorization Call Center (PPAAC) Representative</b> supports the <b>Connecticut Medicaid account</b> in a fast-paced, high-volume call center environment. This role is responsible for answering and resolving inquiries from prescribers and pharmacies related to <b>pharmacy claims and prior authorization requests</b>, ensuring timely, accurate, and compliant processing.</p><p>
Working as part of a small, specialized team, the PPAAC Representative is required to process <b>all pharmacy prior authorizations within 24 hours of receipt</b>. This position requires flexibility to work <b>rotating shifts</b>, including second and third shifts, as well as <b>on-call coverage</b> on a rotational basis. Other duties may be assigned as needed.</p></div></div><div><div><h2 class="jobSectionHeader"><b>
Your role in our mission</b></h2></div><div><ul><li><p>
Serve as a primary point of contact for prescribers and pharmacies regarding pharmacy claims and prior authorization inquiries</p></li><li><p>
Analyze pharmacy claims and provide accurate clarification, verification, and resolution to provider inquiries</p></li><li><p>
Process prior authorization requests, including approvals and denials, and document rationale in accordance with policy</p></li><li><p>
Accurately document all call interactions, inquiries, decisions, and resolutions in the system</p></li><li><p>
Maintain confidentiality and compliance with <b>HIPAA</b> and Connecticut Medicaid guidelines</p></li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
What we're looking for</b></h2></div><div><ul><li><p>
Knowledge of <b>pharmacy claims processing</b> and pharmacy dispensing systems, with exposure to Medicaid and/or Medicare Part D programs</p></li><li><p>
Ability to work effectively in a <b>high-paced, high-volume</b> environment with strong multi-tasking and time management skills</p></li><li><p>
Proficiency with <b>Microsoft Office Suite</b> (Word, Excel, Outlook) and experience working in a paperless, technology-driven environment</p></li><li><p>
Strong verbal and written communication skills, with the ability to interact professionally with providers and internal teams</p></li><li><p><b>
Active Connecticut Pharmacy Technician license</b>, along with prior retail pharmacy or customer service experience</p></li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
What you should expect in this role</b></h2></div><div><ul><li><b>
Remote work opportunity</b>, but must reside in Connecticut.</li><li><b>
Potential for in-office work</b> in East Hartford as needed.</li><li><b>
24/7/365 call center environment</b> with rotating shifts:<ul><li><b>
Monday &ndash; Friday:</b> 7:30 AM &ndash; 7:30 PM</li><li><b>
Saturday (rotating schedule):</b> 9:00 AM &ndash; 4:00 PM</li><li><b>
All off-hours are covered on an on-call rotation</b>.</li></ul></li><li>
A dynamic and fast-paced <b>call center environment</b> where accuracy and efficiency are key.</li><li><b>
Work from Home</b>: Reliable high-speed internet connectivity is essential. Minimum requirements are 24 Mbps download and 8 Mbps upload, with higher speeds recommended for optimal performance.</li><li><b>
Interview Requirement</b>: Video cameras must be used during all interviews.</li></ul><p>
#LI-REMOTE</p><p>
#LI-JT1</p><p>
#LI-CM1</p></div></div></div><p></p><p><br>
The pay range for this position is $33,500.00 - $47,900.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.</p><p></p><p><br>
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.</p><p></p><p><i><br>
Gainwell Technologies </i><i>is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. </i><i>Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></p></div>

Pharmacy Prior Authorization Representative - Remote CT

Prestige Staffing

<div>
 <strong>
  Clinical Pharmacist - 8 week Remote Contract to permanent role
  <br/>
  <br/>
 </strong>
 <strong>
  Pay:
 </strong>
 $55-65/hr. (based on experience)
 <br/>
 <br/>
 <strong>
  Location:
 </strong>
 Remote - REQUIRES FLORIDA LICENSURE
 <br/>
 <br/>
 <strong>
  Credentials
 </strong>
 : Florida License required
 <br/>
 <br/>
 <strong>
  Summary
  <br/>
  <br/>
 </strong>
 The
 <strong>
  Clinical Pharmacist
 </strong>
 is responsible for delivering medication management services to medically and socially complex patients. Reporting to the Manager of Pharmacy Services, this operational role involves direct patient care, development of pharmacy protocols, interdisciplinary collaboration, staff training, and participation in quality improvement initiatives. The position requires strong clinical expertise, regulatory compliance, patient education, and involvement in team-based care planning.
 <br/>
 <br/>
 <strong>
  Key Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Develop medication protocols and ensure safe prescribing practices
  </li>
  <li>
   Provide chronic disease management support (e.g., diabetes, COPD, CHF, asthma)
  </li>
  <li>
   Participate in quality initiatives, patient interventions, and policy development
  </li>
  <li>
   Educate patients and consult with healthcare professionals on drug therapies
  </li>
  <li>
   Maintain compliance with pharmacy regulations and stay current on drug innovations
  </li>
  <li>
   Support staff development and engage in team-based care coordination
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Requirements
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   PharmD degree and active pharmacist license
  </li>
  <li>
   Medicare Part B prescription coverage knowledge
  </li>
  <li>
   3+ years of pharmacy experience, preferably in clinical settings
  </li>
  <li>
   Strong therapeutic knowledge, organizational skills, and tech proficiency
  </li>
  <li>
   Effective communication, critical thinking, and ability to work independently and collaboratively
  </li>
  <li>
   Licensure as a pharmacist in the state of Florida
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Attributes
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Positive, team-oriented, and driven by quality patient outcomes
  </li>
  <li>
   Skilled in multitasking, confidentiality, and cultural sensitivity
   <br/>
   <br/>
  </li>
 </ul>
</div>


Medicare Part B Pharmacist (Remote)

The Cigna Group

<div><p><b>POSITION SUMMARY</b></p><p>
Are you ready to step into a position that combines your communication skills, attention to detail, ability to multitask, and unrelenting drive to help others? As a Front End staff pharmacist for Express Scripts Pharmacy you&rsquo;ll be part of a dedicated team which ensures that our customers receive accurate, appropriate, and timely prescription delivery. You will be on the front lines with doctors&rsquo; offices as well as patients, providing drug therapy information and responding to phone inquiries with care and detail. In addition, you will monitor and assure compliance to State and Federal Rules and Regulations, FDA requirements, and complete general product verification checks.</p><p></p><p><b>
How you&rsquo;ll make a difference:</b></p><ul><li><p>
Be a superstar in the eyes of providers and patients alike: Accept transfer and/or initiate phone calls with physicians&rsquo; as well as patients to communicate needed information and answer questions.</p></li><li><p>
Use your expert problem solving skills to help our patients be at their best every day: Collaborate with patients and doctors to research issues with medication therapy and implement the best treatment options to move forward with.</p></li><li><p>
Juggle multiple tasks without sacrificing attention to detail. You will be busy handling multiple requests at any given time. This can include documenting information from your conversations, verifying prescription information is correct, and assuring clinical appropriateness.</p></li></ul><p></p><p><b>
Essential Functions:
</b></p><ul><li><p>Provide oversight and quality assurance to pharmacy technicians.</p></li><li><p>
Maintain quality and efficiency expectations</p></li><li><p>
Adhere to all state and federal regulations surrounding pharmacy practice</p></li><li><p>
Interpret physicians&rsquo; or prescribers&rsquo; prescriptions.</p></li><li><p>
Contact doctors and/or patients to verify information on prescriptions such as drug strength, prescription sig., and drug name in order to expedite processing of orders.</p></li><li><p>
Verify and confirm validity of controlled substances.</p></li><li><p>
Review phone calls linked to prescriptions entered by certified pharmacy technicians.</p></li><li><p>
Verify prescription information entered in the system by certified pharmacy technicians.</p></li><li><p>
Consult with patients regarding the use of medications and potential drug interactions.</p></li><li><p>
Assist with clinical questions from prescribers and/or agents of the prescriber.</p></li><li><p>
Read, interpret and follow standard work instructions.</p></li><li><p>
Perform additional duties as assigned by management.</p></li></ul><p></p><p><b>
What You Should Have:</b></p><ul><li><p>
Graduate of ACPE Accreditation School of Pharmacy with a B.S. Pharmacy or PharmD, degree</p></li><li><p>
Current TN resident pharmacist license in good standing</p></li><li><p>
Highly-evolved clinical pharmacy skills and/or clinical knowledge</p></li><li><p>
Superior written and verbal communication skills</p></li><li><p>
Proficient in use of computer applications</p></li><li><p>
Demonstrated ability to work independently, solve problems and make informed decisions in a timely fashion</p></li><li><p>
Excellent customer service and interpersonal skills</p></li><li><p>
Demonstrated ability to effectively and professionally represent Express Scripts Pharmacy to patients, clinicians, clients and the public</p></li></ul><p></p><p><b>
Preferred Qualifications:</b></p><ul><li><p>
Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues.</p></li><li><p>
Ability to work effectively in both an in person and virtual setting.</p></li><li><p>
Strong focus on customer service, quality and accuracy.</p></li><li><p>
Ability to manage timelines and meet deadlines.</p></li><li><p>
Ability to adapt in a changing environment.</p></li><li><p>
Ability to work a flexible schedule for peak volume times.</p></li><li><p>
Proficient in use of computer applications including Microsoft Office</p></li><li><p>
Demonstrated ability to work independently, solve problems and make informed decisions in a timely fashion</p></li><li><p>
Established record of performance as a trusted advisor to other healthcare professionals &ndash;prescribers in particular</p></li></ul><br>
<p></p>
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.<p></p><p><b>
About Evernorth Health Services</b></p><p></p>
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.<p></p><p><i>
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.</i></p><p></p><p><i>
If you need a reasonable accommodation to complete the online application process, please email </i><b><i>seeyourself@thecignagroup.com</i></b><i> for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.</i></p><p></p><p><i>
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.</i></p><p></p><p><i>
Qualified applicants with criminal histories will be considered for employment in a manner </i><i>consistent with all federal, state and local ordinances.</i></p></div>

Staff Pharmacist - Express Scripts - Remote in Memphis, TN

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Staff Pharmacist - Express Scripts - Remote in Memphis, TN