Policy Change Technician jobs in Parkersburg, WV

Policy Change Technician processes incoming insurance policy change requests according to company guidelines. Responsibilities include reviewing and screening requests, calculating new premiums, issuing new policies, and calculating reimbursement checks and agents' commissions. Being a Policy Change Technician requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Policy Change Technician works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Policy Change Technician typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Pharmacy Technician - Pharmaceutical Systems and Policy - School of Pharmacy
  • West Virginia University
  • Morgantown, WV FULL_TIME
  • The Department of Pharmaceutical Systems and Policy in the School of Pharmacy at West Virginia University Research Corporation is currently accepting applications for a Pharmacy Technician.

    About the Opportunity

    As a Pharmacy Technician, you will be responsible for answering requests for information, prior authorization, or help from pharmacy providers enrolled in the WV Bureau for Medical Services Medicaid Prescription Drug Program and WV Public Employees Insurance Agency via phone or fax. You will review different drug products to determine insurance coverage of the drug or prior authorization criteria. You will explain to the provider why a prescription drug claim is not being paid by the plan and will perform data entry for all drug requests and provide resources to the providers to help them understand the drug coverage limitations.

    At WVU Research Corporation, we strongly believe in work-life balance and keeping time for things we love outside our work. WVU Research Corporation offers a comprehensive benefits package with a variety of options to suit your needs:

    • 13 paid holidays (staff holiday calendar)
    • PTO
    • 403(b) retirement savings with a fully vested 3% employee contribution match, (Employees have the option of contributing an additional 1-3% of their earnings to the plan, which is also matched by the WVURC)
    • A range of health insurance and other benefits
    • Dependent Education Scholarship
    • WVU Perks
    • And More!!

    What you'll do:

    Call Center Duties

    • Serve as the initial and main point of contact for healthcare providers serving the population of the West Virginia Bureau for Medical Services and the West Virginia Public Employees Insurance Agency. Provides excellent customer service through interaction with pharmacies and other healthcare providers.
    • Evaluates non-complex Help Desk and prior authorization requests using established guidelines, then enters approved requests into mainframe computer. Requests which are complex or require therapeutic judgement are referred to the attending pharmacist.
    • Research provider inquiries using all available resources.
    • Perform callbacks to providers' inquiries when necessary.
    • Document all communications and required information in the appropriate database.
    • Communicate clearly and concisely over the phone, fax, or electronic mail in a professional manner.

    Program Duties

    • Assist Program Director/Pharmacist with administrative details of the program. Gather, coordinate, and develop materials needed for enhanced quality of the program.
    • Respond to requests for information from state, federal, or other governmental agencies and departments, and colleges or other university offices.
    • Assist Program Director/Pharmacist with special projects as needed.
    • Compose correspondence, independently or in accordance with general instructions and/or guidelines, requiring a high degree of knowledge and familiarity of the program.
    • Perform research or statistical work in the compilation of reports involving the administrative activities of the program.
    Qualifications
    • Associate degree, or an equivalent combination of education and experience.
    • 0-6 months of experience as a pharmacy technician or similar responsibilities.
    • Strong mathematical skills necessary to perform financial and dosage calculations.
    • Demonstrated ability to work independently, exercising judgement.
    • Demonstrated ability to organize information & draw logical conclusions.
    • Demonstrated ability to plan, organize, and set priorities regarding the work to be accomplished.
    • Demonstrated excellent oral and written communications skills. Outstanding people skills, including a positive attitude, outgoing personality, and the ability to effectively deal with all types & levels of people in a positive manner.
    • Demonstrated ability to maintain confidential information.
    • Skilled at using a microcomputer and related software, including Microsoft Office (Word, Excel, PowerPoint, etc.)
    • Skilled at using mainframe/microcomputers for internet data collection, electronic mail & other software.
    • Ability to read and write in English and perform complex basic mathematical calculations.
    • Ability to operate standard office equipment.
    • Ability to learn scientific or specialized terminology specifically relating to Pharmacy and Medicaid programs.
    • Excellent verbal and written communication skills.
    • Knowledge of prescription drug information (i.e. generic and brand names, class of drugs).
    • Knowledge of pharmacy operations and insurance billing processes associated with retail pharmacy operations.
    • Knowledge of symptoms, drug properties and interactions, and preventive healthcare measures.
    • Strong understanding of pharmacy operations and insurance billing processes associated with retail pharmacy operations.
    • Ability to follow guidelines and convey information in an accurate manner.
    • Ability to be flexible and work in an environment with frequent rule changes.

    Certifications:

    • Licensed Pharmacy Technician or eligible to pass an equivalent examination. Licensure will be required for continued employment.
    About Research Corporation


    The WVURC was created as a not-for-profit corporation in 1985 to support research (R1) at West Virginia University. We provide evaluation, development, patenting, management, and marketing services for inventions of the faculty, staff and students of the University.

    The WVURC receives and administers funds awarded by external agencies for research and other activities and is responsible for helping protect intellectual property through patents, copyrights and licensing agreements for start-up companies based on University research.


    Creating an inclusive, engaged, and dynamic environment is core to WVURC’s mission. We welcome candidates who can contribute a range of ideas, approaches and experiences.


    West Virginia University Research Corporation is proud to be an Equal Opportunity employer. We value diversity among its employees and invites applications from all qualified applicants regardless of race, ethnicity, color, religion, gender identity, sexual orientation, age, nationality, genetics, disability, or Veteran status.


    Job Posting: Apr 1, 2024
    Posting Classification: Research Corporation
    Exemption Status: Non-Exempt
    Benefits Eligible: Yes
    Schedule: Full-time
  • 12 Days Ago

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Team Member (ID0002) -$14-16 an Hour
  • Valvoline Instant Oil Change
  • Marietta, OH FULL_TIME
  • Geared for the Driven $14.00/hour * Medical * Dental * Vision * Paid Time Off * 401(k)*DailyPay Option*Hourly Bonus Program What You’ll Do: As a lube technician, you will help keep our guests safe on ...
  • 1 Month Ago

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Technician
  • MPW Industrial Services, Inc
  • Maidsville, WV FULL_TIME
  • MPW is growing at a rapid pace. We would like to be able to interview any potential candidates as soon as possible. If you are interested in scheduling an interview, please text MPW to 25000, so that ...
  • 14 Days Ago

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Technician
  • Delight Restaurant Group
  • Weston, WV FULL_TIME
  • Facilities Technician Weston, WV Performs a wide range of facilities services tasks including non-technical maintenance of plumbing, electrical, heating, ventilating, and / or air conditioning facilit...
  • 6 Days Ago

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Technician
  • QAS MANAGEMENT COMPANY INC
  • Marietta, OH OTHER
  • Job Details Job Location: ID0002 - Marietta, OH Position Type: Full-Time/Part-Time Salary Range: Undisclosed Description$14.00/hour-ID0002- 307 Pike Street, Marietta, OH 45750 General Purpose of the P...
  • 1 Month Ago

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Technician
  • QAS MANAGEMENT COMPANY INC
  • Vienna, WV OTHER
  • Job Details Job Location: ID0003 - Vienna, WV Position Type: Full-Time/Part-Time Salary Range: Undisclosed Description$14.00/hour-ID0003- 905 Grand Central Ave., Vienna, WV 26105 General Purpose of th...
  • 1 Month Ago

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0 Policy Change Technician jobs found in Parkersburg, WV area

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Technician - Frac Automation
  • Select Water Solutions
  • Saint Marys, WV
  • FRAC AUTOMATION TECHNICIAN Job Details Full Time / Part Time: Full Time FLSA Classification: Non-Exempt Business Unit: O...
  • 4/15/2024 12:00:00 AM

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Pharmacy technician
  • PHILLIPS DRUG
  • Sistersville, WV
  • Job Description Job Description Seeking a full-time or near full-time technician for our growing pharmacy in Sistersvill...
  • 4/14/2024 12:00:00 AM

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Floor Technician
  • Worthington Healthcare Center
  • Parkersburg, WV
  • Worthington Healthcare Center - Floor Technician Worthington Healthcare Center, a member of the CommuniCare family, is d...
  • 4/14/2024 12:00:00 AM

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Medical Equipment Technician
  • AdaptHealth LLC
  • Parkersburg, WV
  • AdaptHealth Opportunity - Apply Today! At AdaptHealth we offer full-service home medical equipment products and services...
  • 4/14/2024 12:00:00 AM

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Lab Technician
  • CapLeo Global
  • Belmont, WV
  • Job Title: Lab Technician Location: Willow Island, WV 26134-9700 Duration: 6 months with possible extension Shift: Monda...
  • 4/14/2024 12:00:00 AM

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Structural CAD Technician / Designer
  • AMT Engineering
  • Parkersburg, WV
  • A. Morton Thomas, Inc. (AMT, Inc.) is seeking a highly motivated CAD Designer / Technician to join and assume a key role...
  • 4/14/2024 12:00:00 AM

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Assembly Technician
  • Career Connections, Inc
  • Athens, OH
  • Position Summary: Assembly technicians needed for an Athens, Ohio manufacturer. Will work as part of an assembly team ha...
  • 4/13/2024 12:00:00 AM

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Auto Body Technician
  • Don Wood, Inc
  • Athens, OH
  • The Athens Collision Center is seeking experienced Auto Body Techs/Painters! Responsibilities: Estimate repair costs and...
  • 4/12/2024 12:00:00 AM

Parkersburg is a city in and the county seat of Wood County, West Virginia, United States. Located at the confluence of the Ohio and Little Kanawha rivers, it is the state's third-largest city and the largest city in the Parkersburg-Marietta-Vienna metropolitan area. The population was 31,492 at the 2010 census. Its peak population was 44,797 in 1960. The city is about 14 miles south of Marietta, Ohio. The Baltimore and Ohio Railroad reached Parkersburg in 1857, but lacked a crossing over the Ohio River until after the American Civil War. When the B&O completed the Parkersburg Bridge (CSX) 18...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Policy Change Technician jobs
$38,970 to $48,978
Parkersburg, West Virginia area prices
were up 1.2% from a year ago

Policy Change Technician in Concord, NH
Criteria for Registration on the Voluntary Technician Register Due to the delay in approving the new regulation, the voluntary technician register is still in effect.
February 06, 2020
Policy Change Technician in Tuscaloosa, AL
However, the delay in legislation approval has resulted in ACP council introducing two changes to policy.
January 13, 2020
Policy Change Technician in Jamestown, NY
Taking into account legislative delay and pharmacy technicians’ concerns about the deadlines for transition, ACP council has made two changes to previously established policies.
December 26, 2019