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Pharmacy Operations Senior Representative

Pyramid Consulting

Pharmacy Operations Senior Representative

Immediate need for a talented Pharmacy Operations Senior Representative. This is a 03+ Months Contract opportunity with long-term potential and is located in IL, TX, TN, NM, OK or MT (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:26-23776 Pay Range: $20 - $22/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities

  • The Pharmacy Technician in the Pharmacy Call Center will work within the Part D Star Operations Group.
  • This call center role performs telephonic outreach to members, pharmacies, and providers for the purpose of addressing prescription medication adherence.
  • You will be responsible for assisting members with obtaining prescribed medications, determine barriers to medication adherence, and working to overcome those barriers by working with the clinical pharmacy team, physicians, and resources within the Medicare Health Plan.
  • Primary Responsibilities include but are not limited to:
    • Telephonic outreach to members, pharmacies, and providers.
    • Will work in a call queue where productivity and quality are monitored.
    • Meet service level goals (i.e., call quality, daily/weekly call performance expectations, etc.).
    • Maintain member privacy by strictly adhering to HIPAA regulations.
    • Answer complex telephonic questions from members while ensuring a high level of customer service and maximizing productivity with minimum downtime.
    • Handles member correspondence, complaints, and inquiries.
    • Will keep track of issues and timelines, research and resolve complex issues, and compile required documentation for daily activities.
    • Must maintain a professional, member-centric demeanor at all times.

Key Requirements and Technology Experience

  • An ability to make a positive impact in the lives of our members.
  • Great team environment. We have fun and get our work done too.
  • A working environment that embraces diversity.
  • Pharmacy Technician license, current.
  • Minimum of one year of experience in a retail pharmacy, Pharmacy Benefit Management (PBM) or Health Plan setting required.
  • Experience in, and a passion for, delivering excellent customer service.
  • Strong computer skills (will be simultaneously talking on the phone, toggling between multiple open Internet windows, software programs, Word and Excel).
  • Self-motivator with strong organizational skills, attention to detail, and exceptional time management skills.
  • Superb active listening skills, ability to work in a dynamic, fast-paced team environment.
  • Effective written and oral communication skills.
  • Experience working in a call center.
  • 2+ years of experience in a retail pharmacy, Pharmacy Benefit Management (PBM) or Health Plan setting.
  • Certified Pharmacy Technician (CPhT), national certification from PTCB or NHA.
  • Work Schedule: 8:00am 5:00pm CST Monday thru Friday. No weekends, holidays.

Our client is a leading Health Insurance Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Pyramid Consulting
Vacancy posted 1 day ago
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