Pharmacy Technician at Oscar Health

You are a certified pharmacy technician with at least one year of professional experience looking to transition into a specialized role within a health insuranc

Work type: remote

Location: Remote

Salary: $19 – $25/hr

Type: Full-time

Summary

You are a certified pharmacy technician with at least one year of professional experience looking to transition into a specialized role within a health insurance environment. You must hold an active, unrestricted CPhT certification to qualify for this position. **What makes it worth a look...** Oscar Health offers a fully remote role based in specific states with a clear pay range of $19.11 to $25.08 per hour. The position includes 15 days of vacation per year plus standard employee benefits. **You might be a good fit if you...** * Have processed pharmacy prior authorization requests in a clinical or managed care setting. * Possess hands-on experience navigating CVS Caremark portals and criteria. * Understand the operational requirements for implementing step therapy regulations. * Maintain current, active CPhT certification in good standing.

Job Description

Hi, we're Oscar. We're hiring a Pharmacy Technician to join our Pharmacy team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

You will be dedicated to high quality pharmacy decision-making and improving the member and provider experience. This position is responsible for processing prior authorizations requests as well as providing support for escalated issues related to prior authorizations.

You will report into the Pharmacy Technician Supervisor.

Work Location:This is a remote position, open to candidates who reside in: Alabama; Arizona; Arkansas; Colorado; Connecticut; District of Columbia; Florida; Georgia; Idaho; Illinois; Indiana; Iowa; Kansas; Kentucky; Maine; Maryland; Massachusetts; Michigan; Minnesota; Missouri; Nevada; New Hampshire; New Jersey; New Mexico; North Carolina; Ohio; Oregon; Pennsylvania; Rhode Island; South Carolina; Tennessee; Texas; Utah; Vermont; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency:The base pay for this role is: $19.11 - $25.08 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

• Use Oscar and vendor tools to determine eligibility, screen for required documents, create, process, and properly track pharmacy prior authorization requests

• Prepare, organize, and distribute pharmacy prior authorization requests for review by pharmacist/physician and respond to pharmacist/physician requests for additional information

• Collect relevant medical information (via telephone, fax, and portal) and apply the appropriate PA criteria, clearly documenting all communication and decision making

• Meet required decision-making timeframes, including promptly triggering escalation for cases requiring pharmacist review

• Communicate oral and written prior authorization outcome notifications that comply with standards and requirements for timeliness, content and accuracy

• Compliance with all applicable laws and regulations

• Other duties as assigned

• 1+ years of work experience in a pharmacy related field

• Active, unrestricted Pharmacy Technician certification (CPhT)

• 1+ years of performing pharmacy reviews for a managed care plan or pharmacy benefits manager

• Experience working with CVS Caremark’s portal and criteria

• In-depth understanding of how to operationalize step therapy rules and regulations

• Strong verbal and written communications, and interpersonal interactions

• Excellent customer service, phone etiquette, and typing skills

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

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