Pharmacy Technician II

*SIGN ON BONUS AVAILABLE*

Company Overview:

Join us in our mission to transform healthcare! RxAdvance, now doing business as nirvanaHealth, is committed to bringing the art of possible to the payer and PBM industries, which is why we strive to invest in our employees throughout all stages of life. Success radiates through all levels of employees here, with competitive benefits, a strong focus on employee wellness, and optional education courses offered through UDEMY: we aim to support all aspects of employee growth.

Characterized by curiosity, innovation, and an entrepreneurial mindset, nirvanaHealth is the first to offer medical and pharmacy benefit management solutions that run on the same platform, made possible by our creation, Aria – the first robotic process automation cloud platform designed for healthcare.

Led by our chairperson John Sculley (former Apple CEO) and noted healthcare entrepreneur and founder of ikaSystems Ravi Ika, nirvanaHealth endeavors to sizably reduce the $900 billion in waste in healthcare administrative and medical costs. We are seeking A-players to join our team – folks who embrace the grind and hustle of a growing company, are collaborative and innovate, are life-long learners and growers, and have an entrepreneurial and positive mindset.

Job Summary :

Pharmacy Technicians at RxAdvance work cross-functionally to provide support and research to both the Customer Service and Clinical departments. A Pharmacy Technician II is responsible for answering member, pharmacy, and provider inquiries via phone and written communication. They will use problem-solving skills and collaboration to resolve the members’, pharmacy personnel’s, and providers’ concerns.

Job Responsibilities (but not limited to):

• Triage phone calls and written inquiries from members, pharmacy personnel, and providers.
• Maintain accurate and complete documentation of all inquiries for continuous improvement.
• Effectively communicate issues and resolutions to members, pharmacy personnel, providers, and appropriate internal staff.
• Research insurance benefit details for commercial, exchange, Medicare, and Medicaid payers.
• Monitor ticketing system and respond to inquiries internal and external to Rxadvance.
• Assist in supplying suggestions and input into training manuals and training documentation.
• Monitor System Dashboard for accuracy and to verify documentation process is followed.
• Assists in peer level training and call observation of new hires.
• Keep up to date with industry trends and regulatory changes in the pharmacy industry.
• May assist the Clinical, Account Management, or PA Ops departments with tasks as needed.
• Intake required information and complete process for Prior Authorization call back requests.
• If a complaint is received, fills out the Complaint Form and follows the Complaint and Grievance Policy.
• Other duties as assigned.

Qualifications:

Education and/or Training:

• High school diploma or the equivalent.
• Associate’s or bachelor’s degree is preferred.

Professional Experience:

• 2-3 years of healthcare experience preferred or aptitude/or if meet KPI/knowledge skills requirement upon evaluation.
• Has shown understanding and competency with knowledge and skills required of Pharmacy Tech I and/or in Pharmacy Technician I position for at least 6 months.
• Communicate effectively in writing and verbally.

Licenses/Certifications:

• One of the following is required. Candidates who have both is preferred:
  • Registered Pharmacy Technician in any U.S. state, Registered Pharmacy Technician in the state of Massachusetts preferred
  • PhT PTCB certification

Specialized Skills:

• Ability to visualize processes and identify core functions
• Excellent communication, writing, and organizational skills with the ability to multi-task and collaborate in a team
• Self-motivated and detail-oriented with the ability to resolve complex matters
• Able to work in a high-volume call center environment

Technical Skills:

• Basic level PC skills Required (for example: start up and shut down computer, use mouse to point and click, start, and close programs, switch between programs, save files, print documents and/or access information on-line).
• Basic Search Engines Skills Required, to include opening a browser, typing in URLs in the correct location, using a search engine, bookmarking a site, navigating using back/forward/stop buttons, and filling out forms online.
• Intermediate level keyboarding skills Required (at least 25 WPM, touch typing, formatting documents).
• Communicate effectively in writing and verbally.
• Basic or higher understanding of Microsoft Office preferred.

Additional Considerations:

• Applicants must be able to pass a background investigation as all offers are pending a successful completion of background check per the company policy.