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Virtual Pharmacy Operations Specialist

2 months ago


Jacksonville, Florida, United States Global Channel Management, Inc Full time

Position Overview: The Virtual Pharmacy Operations Specialist is responsible for supporting pharmacy operations in a remote capacity.

Qualifications:

  • Minimum of 2 years of relevant experience in pharmacy operations.
  • Compliance with COVID-19 vaccination requirements.
  • National Certification as a Pharmacy Technician (PTCB) is essential.
  • Proficiency in Microsoft Office Suite, including Outlook, Word, Excel, and PowerPoint.
  • Ability to work collaboratively within a team environment while maintaining strong organizational skills.
  • Exceptional oral and written communication abilities.
  • Strong interpersonal skills and effective organizational capabilities.
  • Demonstrated decision-making and problem-solving skills.
  • Capacity to work independently with minimal oversight.
  • Familiarity with medical terminology is advantageous.

Key Responsibilities:

  • Manage and triage requests from healthcare providers and members regarding pharmacy prior authorizations, exceptions, and appeals.
  • Input authorizations and process claims within the pharmacy benefit management system to ensure accurate claim processing.
  • Conduct system edits, perform data entry, and maintain tracking logs for operational efficiency.
  • Assist in departmental audits and contribute to quality improvement initiatives.