Associate Rx Customer Service Specialist

📋 Description

• Serve on the front line of calls, emails, faxes with pharmacies, beneficiaries.
• Use Rx Platform to resolve caller's needs.
• Manage incoming/outgoing communications and web requests.
• Meet CMS/client service levels: 80% within SLA; <5% abandon; <30s response.
• Provide coverage determinations, exceptions, and appeals.
• Document PA requests per policies; log issues for correction.

🎯 Requirements

• Associate’s Degree in Pharmacy Technician or equivalent.
• 1+ years in Pharmacy or Member Services Call Center.
• Excellent oral/written communication; bilingual Spanish/English required.
• Remote work: stable internet; dedicated workspace; HIPAA/PHI compliant.
• Available to work 40 hours/week, including holidays; 7:00 AM–8:00 PM PST.
• Active Pharmacy Technician License preferred.

🎁 Benefits

• Equal employment opportunities; inclusive environment.
• Remote work option for eligible employees.
• Diversity, equity, inclusion, and belonging values.
• Company participates in E-Verify.
• HIPAA/PHI compliant operations.
• Supportive team in PBM/healthcare space.