Pharmacy Technician- Care Team
Core
Front-line support for members, providers, and pharmacies regarding benefits, prior authorization, claims, and clinical program enrollment via phone, chat, and email.
Role type
Pharmacy Technician (Care Team)
Builds
Member support interactions and pharmacy claim processing
Domain
Healthcare / Pharmacy Benefits Management
Deliverable
client delivery
Required skills
Pharmacy claims adjudication, benefit design, PBM terminology, multi-channel communication, root cause problem solving, clinical program enrollment support
Preferred skills
Mail order and specialty pharmacy background, AI-enabled tools proficiency
Technologies
AI-enabled tools, internal knowledge systems
Responsibilities
Field and resolve inquiries on mail order, benefit design, formulary coverage, medication cost, prior authorization, and claims adjudication; Assist network pharmacies in processing prescription claims; Support clinical pharmacists with patient and provider outreach; Document interactions and resolutions in internal systems; Coordinate with internal teams to resolve member issues
Seniority
Junior to Mid-level, hands-on IC