Specialty Pharmacy Technician

The Specialty Operations Pharmacy Technician 2 performs varied activities and moderately complex administrative/technical/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments and daily follow ups. Works closely with providers offices to troubleshoot and complete medication prior authorization requests for specialty medications.

The Specialty Operations Prior Authorization Technician works with Provider's offices to complete Prior Authorization requests for our members using various programs. Decisions are typically focused on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

• Must have an active Pharmacy Tech Certification with Board of Pharmacy for state of residence
• National Certification: PTCB (CPhT) or ExCPT
• Experience as a Pharmacy Technician OR call center experience in a pharmacy or related call center setting
• Must be able to read & interpret clinical information
• Excellent communication skills
• Experience using multiple computer applications simultaneously
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

• Mail Order Pharmacy or Specialty Pharmacy experience
• Experience working with insurance plans and Medicare
• Experience submitting and/or reading pharmacy claims

• Position
  
  Hours:
  
  Monday - Friday 8:00 am - 4:30 pm (with an option of a later shift if needed)
• Overtime: When there is a business need, overtime will be requested. Potentially voluntary or mandatory.

• Holidays: When there is a business need to work on a holiday outside of Thanksgiving day and Christmas Day, there is the possibility of working on a holiday.

Work at Home Requirements:
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel:
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

40

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$40,000 - $52,300 per year

• Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Center Well Pharmacy:
Center Well Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.

About Center Well, a Humana company:
Center Well is a leading…