Current jobs related to Medicare Pharmacy Technician - New York, New York - NYC Health Hospitals

  • Pharmacy Technician

    1 month ago

    New York, New York, United States MetroPlus Health Plan Full time

    Job SummaryMetroPlus Health Plan is seeking a highly skilled Pharmacy Technician to join our team in a key role that will play a critical part in ensuring the accuracy and integrity of our pharmacy benefit configuration. As a Pharmacy Technician - Operations, you will be responsible for auditing and validating internal and external reports to ensure proper...

  • Pharmacy Technician

    4 weeks ago

    New York, New York, United States MetroPlus Health Plan Full time

    Job SummaryMetroPlus Health Plan is seeking a highly skilled Pharmacy Technician to join our team in a key role that will play a critical part in ensuring the accuracy and integrity of our pharmacy benefits configuration. As a Pharmacy Technician - Operations, you will be responsible for auditing and validating internal and external reports to ensure proper...

  • Pharmacy Technician

    4 weeks ago

    New York, New York, United States MetroPlus Health Plan Full time

    Job SummaryMetroPlus Health Plan is seeking a highly skilled Pharmacy Technician to join our team in a key role that will play a critical part in ensuring the accuracy and integrity of our pharmacy benefit configuration. As a Pharmacy Technician - Operations, you will be responsible for auditing and validating internal and external reports to ensure proper...

  • Pharmacy Technician

    2 weeks ago

    New York, New York, United States HADDY PHARMACY AND SURGICAL SUPPLIE Full time

    About the RoleWe are seeking a highly skilled and detail-oriented Pharmacy Technician to join our team at HADDY PHARMACY AND SURGICAL SUPPLIE. As a Pharmacy Technician, you will play a vital role in supporting our pharmacists in accurately preparing and dispensing medications, providing exceptional customer service, and maintaining optimal inventory...

  • Pharmacy Technician

    3 weeks ago

    New York, New York, United States NYC Health Hospitals Full time

    Job Title: Prior Authorization Review Pharmacy TechnicianAs a Prior Authorization Review Pharmacy Technician at NYC Health + Hospitals, you will play a critical role in ensuring that our members receive the necessary medications and treatments in a timely and efficient manner.Key Responsibilities:Input and review prior authorization requests for medical and...

  • Pharmacy Technician

    3 weeks ago

    New York, New York, United States MetroPlus Health Plan Full time

    Job SummaryMetroPlusHealth is seeking a skilled Pharmacy Technician to join our team in the Prior Authorization Review department. As a Pharmacy Technician - Prior Authorization Review, you will play a critical role in ensuring that our members receive the necessary medications and treatments in a timely and efficient manner.Key ResponsibilitiesInput and...

  • Pharmacy Technician

    3 weeks ago

    New York, New York, United States NYC Health Hospitals Full time

    Job Title: Prior Authorization Pharmacy TechnicianJob Summary:MetroPlus Health is seeking a highly skilled Prior Authorization Pharmacy Technician to join our team. As a Prior Authorization Pharmacy Technician, you will be responsible for reviewing and processing prior authorization requests for pharmacy benefits, ensuring accurate and timely processing of...

  • Pharmacy Technician

    1 month ago

    New York, New York, United States NYC Health Hospitals Full time

    Job Title: Prior Authorization Review Pharmacy TechnicianMetroPlusHealth, a subsidiary of NYC Health + Hospitals, is seeking a skilled Pharmacy Technician to join our team in the Prior Authorization Review department. As a Pharmacy Technician, you will play a critical role in ensuring that our members receive the necessary medications and treatments while...

  • Pharmacy Assistant

    1 month ago

    New York, New York, United States Apotheco Pharmacy Full time

    About the RoleApotheco Pharmacy is seeking a highly skilled and compassionate Pharmacy Technician to join our team. As a Pharmacy Technician, you will play a vital role in providing exceptional patient care and ensuring the smooth operation of our pharmacy.Key ResponsibilitiesProvide outstanding customer service to patients and colleaguesPrepare and label...

  • Pharmacy Technician Position Available

    3 weeks ago

    New York, New York, United States Livingword Pharmacy Inc Full time

    Job DetailsWe are seeking a highly skilled Pharmacy Technician to join our team at Livingword Pharmacy Inc. in Brooklyn. The ideal candidate will have a strong background in pharmacy operations and excellent communication skills.Key Responsibilities:Assist pharmacists with dispensing medications and performing administrative tasksProvide exceptional customer...

  • Pharmacy Technician

    3 weeks ago

    New York, New York, United States MetroPlusHealth Full time

    About MetroPlusHealthMetroPlusHealth is a leading healthcare provider in New York City, committed to empowering New Yorkers by uniting communities through care. We believe that healthcare is a right, not a privilege. Our team is dedicated to delivering high-quality services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Island.Job SummaryThe...

  • Pharmacy Technician

    3 weeks ago

    New York, New York, United States MetroPlusHealth Full time

    Empower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest...

  • Pharmacy Technician II

    3 weeks ago

    New York, New York, United States Highmark Health Full time

    Job SummaryWe are seeking a highly skilled Pharmacy Technician II to join our team at West Penn Hospital. As a Pharmacy Technician II, you will play a critical role in providing distributive pharmacy services, assistance, and support for our registered pharmacists.Key ResponsibilitiesProcess medication orders, including computer order entry, medication...

  • Pharmacy Technician

    3 weeks ago

    New York, New York, United States MetroPlusHealth Full time

    Empowering New Yorkers through Healthcare ExcellenceMetroPlusHealth is dedicated to delivering exceptional healthcare services to the residents of New York City. Our mission is to provide high-quality care that empowers individuals and communities to thrive. If you share our passion for healthcare and are committed to making a difference, we invite you to...

  • Pharmacy Technician, Appeals Specialist

    3 weeks 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...

  • Pharmacy Authorization Specialist

    4 weeks ago

    New York, New York, United States NYC Health Hospitals Full time

    Job Title: Prior Authorization Pharmacy TechnicianMetroPlusHealth is a leading healthcare provider in New York City, dedicated to delivering high-quality services to residents of the five boroughs. As a Prior Authorization Pharmacy Technician, you will play a critical role in ensuring that our members receive the necessary medications and treatments.Job...

  • Pharmacy Authorization Specialist

    3 weeks ago

    New York, New York, United States MetroPlus Health Plan Full time

    Job SummaryMetroPlusHealth is seeking a highly skilled Pharmacy Technician to join our team as a Prior Authorization Review Technician. In this role, you will be responsible for reviewing and processing prior authorization requests, ensuring accurate and timely decision-making. Your exceptional organizational and communication skills will enable you to...

  • Pharmacy Technician

    2 weeks ago

    New York, New York, United States V L V ORANGE PHARMACY INC Full time

    Job Summary:V L V Orange Pharmacy Inc is seeking a detail-oriented and highly motivated Pharmacy Technician to join our dynamic team.Key Responsibilities:Assist in the preparation and dispensing of prescription medications under the supervision of a licensed pharmacist.Provide outstanding customer service by assisting patients with their inquiries,...

  • Senior Pharmacy Manager

    3 weeks ago

    New York, New York, United States Bowen Pharmacy Full time

    Job OverviewBowen Pharmacy is seeking a highly skilled and experienced Supervising Pharmacist to join our team. As a key member of our leadership team, you will be responsible for overseeing the daily operations of our pharmacy, ensuring compliance with regulatory requirements, and providing exceptional patient care.Key Responsibilities:Lead and manage a...

  • Pharmacy Authorization Review Specialist

    2 weeks ago

    New York, New York, United States MetroPlus Health Plan Full time

    Job SummaryMetroPlusHealth is seeking a skilled Pharmacy Authorization Reviewer to join our team. As a Pharmacy Authorization Reviewer, you will be responsible for reviewing and processing prior authorization requests for pharmacy benefits. This role requires strong analytical and communication skills, as well as the ability to work independently and as part...

Medicare Pharmacy Technician

2 months ago

New York, New York, United States NYC Health Hospitals Full time

About the Role

The Pharmacy Operations Specialist will play a critical role in ensuring the accuracy and integrity of pharmacy benefits for our members. This position will be responsible for auditing and validating internal and external reports to ensure proper benefit configuration, as well as processing prior authorization requests related to Medicare Lines of Businesses.

Key Responsibilities

  • Data entry and processing of Medicare prior authorization requests, including inputting and providing notification to members and providers as appropriate.
  • Reviews daily claims reports of varying focuses across all lines of business to identify and report on the accuracy of the pharmacy benefit configuration.
  • Reviews daily rejection reports to identify and report on inconsistencies or concerns that may impact patient care.
  • Validates improper coding through verification between POS and UM platform systems.
  • Reviews daily reports to ensure all overrides are inputted correctly and claim adjudication is as intended.
  • Reaches out to members, pharmacies, and prescribers to reconcile benefit inconsistencies.
  • Reviews external communications for accuracy and appropriateness.
  • Assists with coordinating care between members, pharmacies, and providers to improve patient adherence for chronic medications and to promote other pharmacy initiatives, including assisting with pharmacy case management activities as needed.
  • Assists in preparing documentation for internal and external audits and regulatory submissions as needed.

Requirements

  • Associates degree required.
  • Four years' experience as a Pharmacy technician, required.
  • Pharmacy experience in a managed care environment preferred.
  • Experience in auditing preferred.
  • Experience in government programs (Medicare, Medicare Part D, and Medicaid) preferred.
  • Proficiency with MS Word, Excel, and PowerPoint is required.
  • Proficiency with MS Access is preferred.

Licensure and/or Certification Required

  • PTCB or ExCPT Pharmacy Technician Certification required.

Professional Competencies

  • Integrity and Trust
  • Customer Focus
  • Functional/Technical skills
  • Written/Oral Communication