Senior Pharmacy Technician - Call Center - Work From Home Opportunity at CVS Health

Remote Full-time
Transforming Healthcare from the Comfort of Your Own Home At CVS Health, we're on a mission to bring our heart to every moment of your health. As a leader in the healthcare industry, we're committed to delivering enhanced human-centric health care that's more personal, convenient, and affordable. We're now seeking an experienced Senior Pharmacy Technician to join our team in a call center role that can be performed from the comfort of your own home. If you're passionate about making a difference in people's lives and have a strong background in pharmacy services, we encourage you to apply for this exciting opportunity. About the Role As a Senior Pharmacy Technician - Call Center - Work From Home, you'll play a critical role in supporting the comprehensive coordination of Medicaid and/or Medicare pharmacy services. Your primary responsibilities will include processing pharmacy authorization requests, evaluating and authorizing approvals, and communicating decisions to physicians, pharmacists, and other stakeholders. You'll work in a fast-paced environment that requires strong communication skills, attention to detail, and the ability to navigate complex clinical guidelines. Key Responsibilities: Process pharmacy authorization requests, including intake, evaluation, and communication of decisions Evaluate and authorize approvals for pharmacy requests using client clinical criteria Determine appropriateness for medications and communicate decisions to physicians, physician's office staff, medical management staff, members, and/or pharmacists Perform clinical research to support requests and maintain accurate documentation Conduct non-medical research, including eligibility verification, COB, and benefits verification Communicate with Aetna Case Managers, Health Plan Staff, External Pharmacies, and Health Care Providers to enhance effectiveness of medication therapy management services Escalate requests to Pharmacist when request requires extensive clinical review or denial Maintain confidentiality of member information and adhere to company policies regarding confidentiality Requirements for Success To excel in this role, you'll need to possess a strong foundation in pharmacy services, excellent communication skills, and the ability to work in a fast-paced environment. The following qualifications are required: Essential Qualifications: National Pharmacy Technician certification and Home State License, current and in good standing Proficiency in computerized pharmacy systems and software applications Excellent verbal and written communication skills Experience with Windows-based software applications Ability to protect the confidentiality of member information and adhere to company policies regarding confidentiality Preferred Qualifications: High volume call center and production unit experience Experience in retail, hospital, facility, or call center environment What We Offer At CVS Health, we're committed to supporting the well-being and growth of our employees. In addition to a competitive salary range of $18.50 - $31.72 per hour, we offer a comprehensive benefits package that includes: Medical, dental, and vision benefits 401(k) retirement savings plan and Employee Stock Purchase Plan Fully-paid term life insurance plan and short-term and long-term disability benefits Numerous well-being programs, education assistance, and free development courses CVS store discount and discount programs with participating partners Paid Time Off (PTO) and paid holidays throughout the calendar year Career Growth and Development As a Senior Pharmacy Technician - Call Center - Work From Home, you'll have opportunities to grow and develop your skills in a dynamic and supportive environment. You'll be part of a team that's passionate about delivering exceptional healthcare services and making a positive impact on people's lives. Our company culture encourages collaboration, innovation, and continuous learning, ensuring that you'll have the resources and support you need to succeed. Our Culture and Values At CVS Health, we're guided by a strong set of core values that shape our culture and inform our decisions. We're committed to: Innovating and delivering solutions that make healthcare more personal, convenient, and affordable Fostering a culture of collaboration, diversity, and inclusion Empowering our employees to make a positive impact on their communities Maintaining the highest standards of integrity and ethics in everything we do Why Join Us? If you're a motivated and compassionate professional looking for a challenging and rewarding role, we encourage you to apply for this exciting opportunity. As a Senior Pharmacy Technician - Call Center - Work From Home, you'll be part of a team that's dedicated to transforming healthcare and making a difference in people's lives. With our comprehensive benefits package, opportunities for career growth and development, and commitment to supporting our employees, we offer a work environment that's both rewarding and fulfilling. Don't Miss Out on This Exciting Opportunity We look forward to hearing from you and exploring how you can contribute to our mission to bring our heart to every moment of your health. Apply now and take the first step towards a rewarding career with CVS Health! Apply for this job
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