Handle calls, emails, faxes, and web requests from pharmacies, beneficiaries, prescribers.
Use Rx Platform and other resources to resolve caller needs.
Meet CMS/client SLA: 80% in SLA, <5% abandon, <30s response.
Provide Coverage Determination status, including exceptions and appeals.
Document PA requests; track inquiries per federal and company policies.
Front-line handling of all communications with pharmacies, beneficiaries, and prescribers.

🎯 Requirements

Associate’s Degree in Pharmacy Technician (or equivalent work experience).
1+ years in Pharmacy or member services call center.
Excellent oral and written communication skills in English.
Remote work: stable, secure internet; dedicated workspace observing HIPAA and PHI.
40 hrs/week Mon-Sun; holidays; 8-hr shifts 8am-8pm AST.
Active Pharmacy Technician License preferred.

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