Remote Pharmacy Technician (US - Illinois)

About Us:

Think Global - Expect Amazing! TalentWorldGroup is a Revolutionary Multilingual Contact Center. We are a truly people?s company, and we are on a mission to reinvent professional Home-Based Working and build the Workplace of the Future!

Position Overview:

We are seeking seven Remote Pharmacy Technicians based in the US, licensed in preferably from Illinois , to work for a premium client in the medical field. This is a fully remote/work-from-home position providing support to customers.

Key Responsibilities: ? Review pertinent patient information and check appropriateness using clinical criteria. ? Make approval recommendations on all services that meet clinical review criteria. Refer all cases not meeting clinical criteria to pharmacist clinical reviewer. ? Practice and maintain the principles of utilization management by adhering to company policies and procedures. ? Uphold clinical integrity of pharmaceutical solutions by participating in ongoing training programs to... ensure quality performance in compliance with applicable standards and regulations. ? Assist with the documentation and implementation of both written and verbal communications to physicians/prescribers and assist in the maintenance of the edits and data elements that support the edits. ? Be available for consultation on pharmacy-related questions to resolve claims submission related to medication edits. ? Contact physicians/prescribers to obtain pertinent clinical history/information. ? Provide optimum customer service through professional/accurate communication while maintaining NCQA and health plan?s required timeframes. ? Regularly review and monitor information on pended claims identified as outliers by internal and/or external analysis of pharmacy claims data. ? Support Intake call volume and order entry if necessary. ? Determine eligibility for medication reimbursement based upon established clinical criteria and clinical knowledge and enter approvals or denials in the system. ? Electronically document both written and verbal communications with physicians, their staff, cardholders, and pharmacies. ? Escalate medical exception requests to nurse, pharmacist, or physician on the utilization review clinical team when further review is necessary. ? Other duties as assigned.

Training Program:
? Five weeks of paid training starting in September.
? Training is fully remote/work-from-home.
? $18 Training Hourly Rate.
? Hourly rate of $20 after completing the training.

Requirements: ? University Degree - Certified Pharmacy Technician (Required). ? Licensed in Florida, Illinois, Indiana, or Wisconsin (Required). ? Fluent in English (US) (Required). ? Living in the USA due to HIPAA compliance. ? 4 to 6 years of supply chain or customer support service experience (Preferred).

Internet and Hardware Requirements: ? Internet: Broadband connection with Ethernet-based LAN. ? Processor: 1.8GHz upwards (64bit preferable). ? RAM: 4GB upwards. ? Storage: 10GB minimum. ? Resolution: 1920x1080 preferred. ? Headset: Wired USB. ? Operating System: Windows 10 or upwards, Mac OSX 11 or upwards.

If you are a dedicated and compassionate Pharmacy Technician, we encourage you to apply quickly. Training begins in September, and we are eager to welcome you to our team.

Job Types: Full-time, Part-time, Contract

Expected hours: No less than 30 per week

Benefits:
? Opportunities for advancement
? Paid training
? Referral program
? Work from home

Physical Setting:
? Telehealth

Schedule:
? Day shift
? Monday to Friday
? Morning shift
? No weekends

Application Question(s):
? Are you available for an Interview this week?

Experience:
? Pharmacy technician: 4 years (Required)

License/Certification:
? Pharmacy Technician Certification (FL, IN, IL, or WI) (Required)

Work Location: Remote

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