Experience Inc. Jobs

Leading healthcare company is looking for a certified pharmacy technician to join their team! REMOTE OPPORTUNITY!

WHAT'S IN IT FOR YOU:

• REMOTE position

• Opportunity to grow within managed care

• Gain experience working with Medicare

REQUIREMENTS:

• California pharmacy technician license OR national pharmacy technician license

• Ability to work 8-hour shifts starting at 8am, 9am, or 10am Monday-Friday

• HS diploma

Job description:

• Approve/recommend denial for determination requests based on defined criteria.

• Enter and document coverage determination request decision into the PBM/RXClaims system and notify providers and/or members

• Refer coverage determination requests for specialty drugs to delegated vendor or client for processing

• Contact providers for additional information to facilitate coverage determination reviews

• Notify physicians, providers, and members of coverage determination decisions

Training:

• New hires will be placed on a roadmap once training is completed.

• They will need to meet expectations as they gradually increase expectations to 90% productivity (33-35 cases per day) at the end of the roadmap.

• QA expectation at the end of roadmap is 95%

Skills:

Basic computer skills, Pharmacy Technician license, retail pharmacy, hospital pharmacy, mail order pharmacy

Experience Level:

Entry Level

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent

• Maintaining an inclusive environment through persistent self-reflection

• Building a culture of care, engagement, and recognition with clear outcomes

• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.