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Clinical Ops Pharmacy Technician

Ultimate Staffing Charlotte, NC
  • Posted: over a month ago
  • Full-Time
  • Benefits: medical
Job Description

 Ultimate Staffing Services is a business line of Roth Staffing Companies L.P., one of the largest privately held staffing companies in the USA.  We are currently hiring for Work from Home Pharmacy Technicians!   This is a wonderful opportunity to work from home with a great potential to go hire with our client after one year.    This is an exciting opportunity!!! 

Job Summary:

The Clinical Ops Pharmacy Technician role is all about helping people get the prescribed medications they need.  This is an important role and the Clinical Ops Pharmacy Technician is responsible for data processing, documenting, and tracking of requests to process pharmacy transactions.  

Training Hours:   
4 to 6 weeks of paid virtual (WebEx) training will be provided.   
9:00am to 5:30pm Eastern Time.  (Monday through Friday)

Normal Hours:   
The business operates between 8:00am and 8:00pm Eastern Time.   
After training a schedule will be provided with an 8 hour shift between 8:00am and 8:00am.   

Pay:                   
$ 14.00 per hour 

Work Location:   
Work at home.    Computer and all hardware needed is issued by the company.  

Internet:             
You must have and maintain high speed internet to be considered. 

Term:                   
One year temporary with Ultimate Staffing Services.  Our client would like to hire successful candidates after 1 year.  

Job Responsibilities:   

  • Review criteria to determine if the request can be approved.
  • Analyze pharmacy claims and research information to resolve pharmacy claim problems 
  • Accurately enter data regarding Prior Authorization in claims system to ensure appropriate claims will adjudicate
  • Provide clinical outcome to member’s physician within client specific turnaround times
  • Research and respond to rejected pharmacy transactions.  Update data in system. 
  • Perform electronic outreach (e-mail, fax, etc.)  to pharmacies and physician’s offices to obtain all necessary information related to requests, including occasional member assistance

Qualifications/years of experience:

  • Computer background; working experience/known success working and navigating between different applications and/or learning new systems. (May use up to 8 different applications simultaneously per day)
  • Quality and attention to details
  • Demonstrated organizational and time-management skills
  • Basic math skills and general PC knowledge including Microsoft Office, Internet, and email.
  • Driven by metrics.
  • Looking for someone who wants to grow
  • HIGHLY Preferred; Pharmacy Tech, PBM, Health Insurance experience.  


Technology Requirements:

  • Candidate will utilize multiple different systems– dual monitors, toggling between screens.
  • Systems that are utilized include Cover my meds, RX Claims, BET Website (Benefits Editor Tool), Right Fax, WebEx, Microsoft Office (Excel, Word, PowerPoint, Outlook).

Ultimate Staffing

Why Work Here?

Dynamic team culture, stable work environment, and benefits included

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