Pharmacy Technician

Oscar Health

3d•$19 - $25•Remote

About The Position

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.

Requirements

1+ years of work experience in a pharmacy related field
Active, unrestricted Pharmacy Technician certification (CPhT)

Nice To Haves

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

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