Pharmacy Operations Representative CPhT
4 weeks ago
As a valued member of our Pharmacy Medicare team, you will be responsible for providing assistance to the customer service team, pharmacy coordinators, pharmacists, and members in resolving various pharmacy claims, pricing, and coding issues. This role will involve working with internal departments and external vendors to evaluate and resolve pharmacy-related issues.
Key Responsibilities- Assist in resolving pharmacy claims, pricing, and coding issues
- Work with internal departments and external vendors to evaluate and resolve pharmacy-related issues
- Provide support to the customer service team, pharmacy coordinators, pharmacists, and members
- Valid Certified Pharmacy Technician (CPhT) certification
- Bachelor's degree in Business or a related healthcare field
- 4 years of work experience in a pharmacy/healthcare/managed care industry
- Retail/Hospital/Specialty Pharmacy, Pharmacy Benefits Manager, MCO, Health Plan pharmacy customer service experience
- Medicare/STARS, Facets knowledge or experience
- Inquisitive, continuous learning, critical thinking skills for understanding regulations, benefits, and ability to complete departmental projects
This role will provide a flexible schedule requiring 3 days of working in the office and up to 2 days of working from home in Albuquerque, NM. Core business hours are 8:00am - 5pm, Monday - Friday, with no weekends or evenings.
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Pharmacy Operations Coordinator
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Albuquerque, New Mexico, United States Health Care Service Corporation Full timeJob Summary:As a valued member of our Pharmacy Medicare team, you will be responsible for providing assistance to the customer service team, pharmacy coordinators, pharmacists, and members in resolving various pharmacy claims, pricing, coding issues.Working with internal departments and external vendors to evaluate and resolve pharmacy-related issues.Key...
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