Pharmacy Care Technician Associate

1 week ago

Pipe Creek, Texas, United States Optum Full time
Pharmacy Care Technician Associate

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. We are seeking a highly skilled Pharmacy Care Technician Associate to join our team.

The successful candidate will be responsible for making outbound calls to members and physicians to improve medication adherence and other pharmacy-related quality metrics. This role requires excellent communication and customer service skills, as well as the ability to work in a fast-paced environment.

Key Responsibilities:

  • Conduct high-volume outbound calls to members to discuss reasons for non-compliance with medication(s), schedule pharmacy telephonic appointments, and/or obtain important follow-up information from providers.
  • Answer inbound calls from members and assist them with their inquiries, routing calls to the appropriate department if necessary.
  • Follow system scripting and validate member demographic information.
  • Document the provider or member's record with accurate information obtained on the call.
  • Perform desk and on-site review of all claims documentation to validate correct billing and that payment made to contracted pharmacies is supported and appropriate.
  • Provide support to internal staff, subcontractors, and providers with respect to Medicare drug-related issues.
  • Participate in and contribute to the overall pharmacy quality improvement initiatives.
  • Collect and maintain eligibility information in an appropriate and confidential manner.
  • Enter all assigned applications within a specified time frame to ensure eligibility deadlines are met accordingly.
  • Exhibit excellent phone and communication skills while providing complete and accurate information to members.
  • Request additional or supplemental information via correspondence to complete applications.
  • Adhere to assigned schedule and quality metrics.
  • Use a multi-lined telephonic system to answer calls regarding eligibility requirements and medication refill orders.
  • Follow all policy and procedures for the Medical Assistance Program.
  • Perform all other related duties as assigned.

Requirements:

  • High School Diploma / GED (or higher)
  • Active and unrestricted Pharmacy Technician license in the state of Texas
  • National Pharmacy Technician Certification (Certified Pharmacy Technician CPhT)
  • 1+ years of experience in a pharmacy setting
  • 1+ years of experience in a customer service setting
  • 6+ months of previous call center experience
  • Basic level of proficiency with Medicare Part D, particularly the pharmacy record review, claims, billing, and reimbursement rules
  • Basic level of proficiency with HIPAA Privacy and Security Rules and CMS security requirements
  • Basic level of proficiency with writing skills and ability to produce work free from typographical or spelling errors
  • Basic level of proficiency with Microsoft Office, Internet, and e-mail, including the ability to produce work free from typos
  • Ability to sit for extended periods of time

Preferred Qualifications:

  • Bilingual (any language)
  • PBM experience
  • Advanced knowledge of NCPDP and other types of prescription drug claims is required
  • Knowledge of Medicare Part B and Part D coverage guidelines and payment methodologies Previous retail pharmacy experience

At Optum, we are committed to creating a diverse and inclusive work environment that reflects the communities we serve. We believe that everyone deserves the opportunity to live their healthiest life, regardless of their background or circumstances. We are an equal employment opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity, or any other characteristic protected by law.

  • Pharmacy Care Associate Technician

    4 weeks ago

    Pipe Creek, Texas, United States Optum Full time

    Sign-On Bonus: $1,000 for External ApplicantsCompany Overview:Optum is a leading global organization dedicated to enhancing healthcare through innovative technology. Our mission is to support millions in achieving healthier lives. The contributions you make will directly influence health outcomes by connecting individuals with essential care, pharmacy...

  • Pharmacy Care Coordinator

    1 week ago

    Pipe Creek, Texas, United States Optum Full time

    Optum Pharmacy Care Coordinator Job DescriptionAt Optum, we're dedicated to delivering care and improving health outcomes for millions of people worldwide. As a Pharmacy Care Coordinator, you'll play a vital role in connecting patients with the care, pharmacy benefits, and resources they need to thrive.Key Responsibilities:Conduct high-volume outbound calls...

  • Nail Care Specialist

    4 weeks ago

    Pipe Creek, Texas, United States Optum Full time

    About OptumOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. Our mission is to make the health system work better for everyone.Job SummaryThis position is responsible for traveling between serviced clinics to provide professional nail care to patients. As a Nail Care Specialist, you will...

  • Nail Care Specialist

    4 weeks ago

    Pipe Creek, Texas, United States Optum Full time

    About OptumOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. Our mission is to make the health system work better for everyone.Job SummaryThis position is responsible for traveling between serviced clinics to provide professional nail care to patients.Key ResponsibilitiesProvides...

  • Senior Claims Examiner

    7 days ago

    Pipe Creek, Texas, United States Optum Full time

    Senior Claims Examiner Job DescriptionOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best.Here, you will find a culture...

  • Senior Claims Examiner

    7 days ago

    Pipe Creek, Texas, United States Optum Full time

    Job Title: Senior Claims ExaminerOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best.Here, you will find a culture guided...

  • Dental Hygiene Specialist

    3 days ago

    Pipe Creek, Texas, United States WALKER TEXAS DENTAL MANAGEMENT LLC Full time

    Job OpportunityWe are seeking a skilled and experienced Dental Hygienist to provide exceptional oral health care to our patients. As a key member of our team, you will be responsible for delivering high-quality dental hygiene services, educating patients on proper oral health practices, and collaborating with our dental team to ensure seamless patient...

  • Dental Hygiene Specialist

    2 hours ago

    Pipe Creek, Texas, United States WALKER TEXAS DENTAL MANAGEMENT LLC Full time

    Job OverviewWe are seeking a skilled and dedicated Dental Hygienist to provide exceptional oral care services to our patients. As a key member of our team, you will be responsible for delivering high-quality patient care, promoting preventive measures, and maintaining a clean and safe environment.Key ResponsibilitiesConduct thorough oral examinations and...

  • Dental Hygiene Specialist

    3 weeks ago

    Pipe Creek, Texas, United States WALKER TEXAS DENTAL MANAGEMENT LLC Full time

    About the RoleWe are seeking a skilled and professional Dental Hygienist to provide excellent oral hygiene and preventative care to our patients.Key ResponsibilitiesWelcome patients into the treatment area and ensure their comfort and well-beingDiscuss dental care plans and answer patient questionsPrepare and maintain sterilized equipment for exams and...

  • Clinical Quality Auditor

    1 week ago

    Pipe Creek, Texas, United States Optum Full time

    Job Title: Clinical Quality AuditorWe are seeking a highly skilled Clinical Quality Auditor to join our team at Optum. As a Clinical Quality Auditor, you will be responsible for monitoring and reporting compliance issues, ensuring adherence to regulatory requirements, and providing innovative solutions to complex problems.Key Responsibilities:Conduct audit...

  • Dental Hygiene Specialist

    2 weeks ago

    Pipe Creek, Texas, United States WALKER TEXAS DENTAL MANAGEMENT LLC Full time

    About the RoleWe are seeking a skilled and professional Dental Hygienist to join our team at Walker Texas Dental Management LLC.Key ResponsibilitiesWelcome patients into the treatment area and ensure their comfort and well-beingDiscuss dental care plans with patients and address any questions or concerns they may havePrepare and maintain sterilized equipment...

  • Clinical Quality Auditor

    2 weeks ago

    Pipe Creek, Texas, United States Optum Full time

    Job SummaryWe are seeking a highly skilled Registered Nurse to join our team as a Clinical Quality Auditor. In this role, you will be responsible for monitoring and reporting compliance issues, as well as overseeing the utilization management process to ensure adherence to regulatory requirements.Key ResponsibilitiesConduct audits to ensure accuracy and...

  • Process Technician

    3 weeks ago

    Oyster Creek, Texas, United States Olin Full time

    Job SummaryOlin is seeking a highly skilled Process Technician to join our team at the Oyster Creek, TX plant. As a Process Technician, you will play a critical role in ensuring the safe and efficient operation of our chemical production plant.Key ResponsibilitiesMonitor and control process conditions, equipment, and control systems to ensure optimal plant...

  • Medical Radiology Technician

    6 days ago

    Brushy Creek, Texas, United States CareNow Full time

    About the RoleCareNow is seeking a skilled Limited Medical Radiology Technician to join our team. As a key member of our urgent care team, you will be responsible for performing radiology procedures, maintaining equipment, and providing exceptional patient care.ResponsibilitiesPerform high-quality radiology procedures, including x-rays and other imaging...

  • Process Technician

    2 weeks ago

    Oyster Creek, Texas, United States Olin Full time

    Job Summary:Olin is seeking a skilled Process Technician to join our team at the Oyster Creek, TX plant. As a Process Technician, you will play a critical role in ensuring the safe and efficient operation of our chemical production plant.Key Responsibilities:Monitor and control process conditions, equipment, and control systems to ensure optimal plant...

  • Pediatric Surgery Technician

    2 weeks ago

    Brushy Creek, Texas, United States Cynet Health Full time

    Job Title: Pediatric Surgery TechnicianJob Specialty: Pediatric SurgeryJob Duration: 13 weeksShift: Monday to Friday, 06:30 AM - 03:00 PM, with call requirementsGuaranteed Hours:Experience: Minimum 2 yearsLicense: Certifications: BLS, Certified Pediatric Scrub TechKey Responsibilities:* Work as a Certified Pediatric Scrub Technician* Collaborate in a unit...

  • Medical Radiology Technician

    5 days ago

    Brushy Creek, Texas, United States CareNow Full time

    About the RoleCareNow is seeking a skilled Limited Medical Radiology Technician to join our team. As a key member of our urgent care team, you will be responsible for performing high-quality radiology procedures, ensuring patient safety and comfort, and maintaining accurate records.Key ResponsibilitiesPerform radiology procedures, including X-rays,...

  • Medical Radiology Technician

    6 days ago

    Brushy Creek, Texas, United States CareNow Full time

    About the RoleWe are seeking a skilled Limited Medical Radiology Technician to join our team at CareNow. As a key member of our urgent care team, you will play a vital role in providing high-quality patient care and contributing to the success of our organization.ResponsibilitiesPerform radiology procedures with precision and accuracy, ensuring timely and...

  • Process Technician

    4 weeks ago

    Oyster Creek, Texas, United States Olin Full time

    Job Summary:Olin is seeking a highly skilled and experienced Process Technician to join our team at the Oyster Creek, TX plant. As a Process Technician, you will play a critical role in ensuring the safe and efficient operation of our chemical production plant.Key Responsibilities:Monitor and control process conditions, equipment, and control systems to...

  • Certified Sterile Processing Technician

    11 hours ago

    Brushy Creek, Texas, United States Ascension Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Certified Sterile Processing Technician to join our team at Ascension Seton. As a key member of our sterile processing department, you will be responsible for ensuring the quality and safety of surgical instruments and equipment.ResponsibilitiesInspect, assemble, and evaluate surgical instruments...