Specialty Pharmacy Technician
About The Position
The Specialty Operations Pharmacy Technician 2 performs varied, moderately complex administrative, technical, operational, and customer-support assignments, including computations and routine follow-ups. The role works closely with provider offices to troubleshoot and complete prior authorization requests for specialty medications. The technician supports prior authorization requests for members using various programs, applying area and department policies and methods while working within defined expectations and quality standards. The position allows some discretion over prioritization and timing and operates under minimal direction, following standard practices that permit some interpretation or independent discretion. This is a remote position with occasional travel to Humana offices for training or meetings. Work-from-home employees must have an internet connection with at least 25 Mbps download and 10 Mbps upload speed, and work from a dedicated space that protects member PHI/HIPAA information. The scheduled hours are 40 per week, Monday through Friday, 8:00 a.m. to 4:30 p.m., with an option for a later shift if needed. Overtime may be requested when there is a business need and may be voluntary or mandatory. Work on holidays other than Thanksgiving and Christmas may also be required when there is a business need.
Requirements
- Must hold an active Pharmacy Technician Certification with the Board of Pharmacy for the state of residence.
- Must hold national certification through PTCB (CPhT) or ExCPT.
- Experience as a pharmacy technician or call center experience in a pharmacy or related call center setting.
- Ability to read and interpret clinical information.
- Excellent communication skills.
- Experience using multiple computer applications simultaneously.
- Passion for contributing to an organization focused on continuously improving consumer experiences.
Nice To Haves
- Mail order pharmacy or specialty pharmacy experience.
- Experience working with insurance plans and Medicare.
- Experience submitting and/or reading pharmacy claims.
Responsibilities
- Work with provider offices to troubleshoot and complete specialty medication prior authorization requests.
- Complete prior authorization requests for members using various programs.
- Perform computations and semi-routine assignments, including daily follow-ups.
- Apply department policies, standard practices, and quality standards while exercising discretion over prioritization and timing.
Benefits
- Medical, dental, and vision benefits.
- 401(k) retirement savings plan.
- Paid time off, company holidays, and personal holidays.
- Paid parental and caregiver leave.
- Short-term and long-term disability coverage.
- Life insurance.
- Other opportunities supporting personal wellness and healthcare decisions.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
