This on-site position is based in Tulsa, Oklahoma, United States. The Pharmacy Technical Support Specialist provides technical and customer service support for pharmacy benefits, processes prior authorizations in accordance with CMS and state regulations, and resolves pharmacy-related issues. Responsibilities include telephone support for pharmacies and members regarding pharmacy benefits for the HMO product, handling inquiries about referrals, authorizations, and step therapy protocols between physicians, pharmacies, and members, and addressing claims adjudication issues. Qualifications include strong communication skills, the ability to work under pressure, proficiency with Microsoft applications, ability to work independently with good judgment, handling of confidential information, project management capabilities, and successful completion of a Health Care Sanctions background check. Education/Experience requirements include a high school diploma or equivalent, two years of experience in managed care pharmacy benefits, pharmacy technician or related discipline, one year of customer service experience, and a preference for Medicare Advantage experience.
This on-site position is based in Tulsa, Oklahoma, United States. The Pharmacy Technical Support Specialist provides technical and customer service support for pharmacy benefits, processes prior authorizations in accordance with CMS and state regulations, and resolves pharmacy-related issues. Responsibilities include telephone support for pharmacies and members regarding pharmacy benefits for the HMO product, handling inquiries about referrals, authorizations, and step therapy protocols between physicians, pharmacies, and members, and addressing claims adjudication issues. Qualifications include strong communication skills, the ability to work under pressure, proficiency with Microsoft applications, ability to work independently with good judgment, handling of confidential information, project management capabilities, and successful completion of a Health Care Sanctions background check. Education/Experience requirements include a high school diploma or equivalent, two years of experience in managed care pharmacy benefits, pharmacy technician or related discipline, one year of customer service experience, and a preference for Medicare Advantage experience.
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