Virtual Pharmacy Support Specialist

2 weeks ago


San Jose, California, United States PRIDE Health Full time

Virtual Pharmacy Support Specialist

Pride Health is seeking to fill several Virtual Pharmacy Support Specialist positions to assist with our client's medication fulfillment initiatives.

This is a fully remote role; however, candidates must reside in one of the following states: Idaho, Montana, Nevada, New Mexico, Utah, Arizona, Colorado, Oregon, Wyoming, Texas, Kansas, Missouri, Minnesota, Illinois, Wisconsin, Oklahoma, or Iowa.

Position Details:

  • Employment Type: 6-month contract (project-based)
  • Compensation: $18 - $20 per hour (dependent on experience, credentials, and location)
  • Training Schedule: Monday – Friday from 8:00 am to 5:00 pm for a duration of 4 weeks, subject to change
  • Work Schedule: Post-training, an 8-hour shift with a one-hour lunch break; availability required from as early as 5 am to as late as midnight, including potential weekend shifts
  • Overtime: May be required during peak periods and holidays

Key Responsibilities:

  • Primarily handling prior authorization inquiries and requests, providing exceptional customer service while researching and resolving formulary and benefits issues using the appropriate resources
  • Processing member prescriptions or prior authorizations through various computer systems, ensuring data accuracy and timely updates
  • Utilizing established criteria and guidelines to receive and process prior authorization requests from healthcare providers and members for medications not typically covered by a member's prescription drug plan
  • Addressing issues and complaints in a prompt manner
  • Performing additional tasks as assigned by management
  • Managing inbound phone requests and collecting member information to facilitate Pharmacist consultations
  • Maintaining a safe and secure workspace, promptly communicating any safety concerns to leadership

Qualifications:

  • High School Diploma or equivalent required
  • Licensure/Certification: Active National or State Board Pharmacy Technician Licensure through the Pharmacy Technicians Certification Board (PTCB) and State Board of Pharmacy Licensure in the state of residence
  • A private and secure home workspace with a hard-wired ethernet connection is essential
  • Candidates must be permanent residents of one of the following states: Minnesota, Wisconsin, Idaho, Montana, Nevada, New Mexico, Utah, Arizona, Colorado, Oregon, Iowa, or Kansas

Benefits:

Pride Global offers eligible employees a comprehensive benefits package, including healthcare coverage (medical, dental, and vision), supplemental insurance (accident, critical illness, and hospital indemnity), 401(k) retirement savings, life and disability insurance, an employee assistance program, legal support, auto and home insurance, pet insurance, and employee discounts with preferred vendors.

Equal Opportunity Employer:

Pride Global, as a certified minority-owned business, is dedicated to fostering a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or any other characteristic.



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