The Pharmacy Specialist will help licensed pharmacists take care of many of the daily operations of the pharmacy department. Including, but not limited to:
" Calling Providers, members, and pharmacies
" Providing drug-related information to Customer Care Center and other internal departments
" Managing incoming faxes requesting drug coverage;
o Determining eligibility and pre-authorization necessity, obtaining additional information and initiating cases for review when appropriate
o Preparing cases for review by Pharmacists
o Ensuring proper verbal/written notification is made to Providers and Members for cases
" Performs copying, filing, faxing and other clerical duties as needed by the department.
" Performs special projects and other duties and be cross-trained in selected functions as assigned by the supervisors.
AAS degree preferred or equivalent combination of education and experience required.
Completion of Pharmacy Technician course preferred.
1-2 years relevant insurance, medical or healthcare experience involving prescription medication services and customer service experience.
" Strong written and verbal communication skills
" Basic MS Excel and MS Word skills
" Excellent customer service skills and ability to deal with stressful calls in a calm and diplomatic manner
" Familiarity with healthcare benefits, pharmacy and medical terminology
" Previous experience requiring strict adherence to confidentiality
" Superior attention to detail and time management skills
" Ability to sit at workstation for long periods of time in front of computer
MVP Health Care - 21 months ago
MVP Health Plan covers about 650,000 most valuable people. Also known as MVP Health Care, the company provides health insurance and employee...