Pharmacy Technician

*SIGN ON BONUS AVAILABLE*

Company Overview:

Join us in our mission to transform healthcare! RxAdvance, now doing business as nirvanaHealth, is committed to bringing the art of possible to the payer and PBM industries, which is why we strive to invest in our employees throughout all stages of life. Success radiates through all levels of employees here, with competitive benefits, a strong focus on employee wellness, and optional education courses offered through UDEMY: we aim to support all aspects of employee growth.

Characterized by curiosity, innovation, and an entrepreneurial mindset, nirvanaHealth is the first to offer medical and pharmacy benefit management solutions that run on the same platform, made possible by our creation, Aria – the first robotic process automation cloud platform designed for healthcare.

Led by our chairperson John Sculley (former Apple CEO) and noted healthcare entrepreneur and founder of ikaSystems Ravi Ika, nirvanaHealth endeavors to sizably reduce the $900 billion in waste in healthcare administrative and medical costs. We are seeking A-players to join our team – folks who embrace the grind and hustle of a growing company, are collaborative and innovate, are life-long learners and growers, and have an entrepreneurial and positive mindset.

Job Summary :

Pharmacy Technicians at RxAdvance work cross-functionally to provide support and research to both the Customer Service and Clinical departments. A Pharmacy Technician is responsible for answering member, pharmacy, and provider inquiries via phone and written communication. They will use problem-solving skills and collaboration to resolve the members’, pharmacy personnel’s, and providers’ concerns.

Job Responsibilities (but not limited to):

• Triage phone calls and written inquiries from members, pharmacy personnel, and providers
• Maintain accurate and complete documentation of all inquiries for continuous improvement
• Effectively communicate issues and resolutions to members, pharmacy personnel, providers, and appropriate internal staff
• Research insurance benefit details for commercial, exchange, Medicare, and Medicaid payers
• Follow all internal Policies & Procedures to ensure consistency, accuracy, and operational effectiveness
• Support the Fraud, Waste, and Abuse program by reviewing medication utilization records, communicating any suspected fraud discovered, and recommending course of action for providers
• Keep up-to-date with industry trends and regulatory changes in the pharmacy industry
• Use judgement and problem-solving skills to resolve members', pharmacy personnel's, and providers' concerns
• Gather all required information for the PA review
• Intakes Prior Authorization requests from the phone and fax queue
• Interacts with the Clinical Prior authorization team

Qualifications:

Education and/or Training:

• High school diploma or the equivalent.
• Associate’s or bachelor’s degree is preferred.

Professional Experience:

• 1 - 5 years of pharmacy technician experience in a retail pharmacy, PBM, hospital, clinical pharmacy, or long-term care environment.

Licenses/Certifications:

• Registered Pharmacy Technician in any U.S. state required.
  • Registered Pharmacy Technician in the state of Massachusetts preferred.
• National Certified Pharmacy Technician (CPhT) license preferred.

Specialized Skills:

• Ability to visualize processes and identify core functions
• Excellent communication, writing, and organizational skills with the ability to multi-task and collaborate in a team
• Self-motivated and detail-oriented with the ability to resolve complex matters
• Able to work in a high-volume call center environment

Technical Skills:

• Basic level PC skills Required (for example: start up and shut down computer, use mouse to point and click, start, and close programs, switch between programs, save files, print documents and/or access information on-line).
• Basic Search Engines skills Required, to include opening a browser, typing in URLs in the correct location, using a search engine, bookmarking a site, navigating using back/forward/stop buttons, and filling out forms online.
• Intermediate level keyboarding skills Required (at least 25 WPM, touch typing, formatting documents).
• Basic or higher understanding of Microsoft Office preferred

Additional Considerations:

• Applicants must be able to pass a background investigation as all offers are pending a successful completion of background check per the company policy.