Pharmacy Technician, Appeals Specialist

11 hours ago


New York, New York, United States Capital Rx Full time
Job Summary:

We are seeking a highly skilled Pharmacy Technician to join our Appeals team. As a Pharmacy Technician, Appeals Specialist, you will be responsible for reviewing and processing appeals for our clients. This is a critical role that requires strong attention to detail, excellent communication skills, and the ability to work independently in a fast-paced environment.

Key Responsibilities:

• Review and process appeals for our clients, ensuring that all necessary information is gathered and submitted in a timely manner.

• Collaborate with the appeals team to ensure that all appeals are processed efficiently and effectively.

• Maintain accurate and up-to-date records of all appeals, including case notes and correspondence.

• Develop and maintain relationships with clients and stakeholders to ensure that their needs are met and that they are satisfied with our services.

• Stay up-to-date with changes in regulations and policies that impact our appeals process.

Requirements:

• 1+ years of experience working as a certified pharmacy technician in a managed care or PBM setting.

• Active, unrestricted certified pharmacist technician license.

• Excellent organization and detail orientation, with strong analytical and problem-solving skills.

• Strong oral and written communication skills, with the ability to effectively communicate with clients and stakeholders.

• Ability to work independently in a fast-paced environment, with minimal supervision.

Preferred Qualifications:

• Experience working with commercial and Medicare appeals.

About Capital Rx:

Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation's electronic healthcare infrastructure to improve drug price visibility and patient outcomes. We are committed to providing our clients with the highest level of service and support, and we are seeking a highly skilled Pharmacy Technician to join our team.

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