Senior Pharmacy Technician - Call Center - Work From Home Oklahoma

About the position

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Applicants must reside in the state of Oklahoma. Processes prior authorization requests received by phone, fax, or electronically and utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews. Proactively completes prior authorization approvals and denials that are due to expire and maintains complete, timely, and accurate documentation. Reviews potential prior authorization denial language to ensure NCQA requirements are met. Follows prior authorization workflow, policies, and procedures during the course of the workday. Answers a potentially high volume of prior authorization inquiry calls from provider's offices, pharmacies, and internal partners and uses various computer resources to communicate prior authorization status or decisions. Maintains a balance of productivity, quality and timeliness of work. Participates in training and continuing education as required. Participates in team/departmental meetings as required. Excellent attendance is a must. Successful pharmacy technicians will be proficient in drug name and diagnosis pronunciation, recognizing medical terminology, and navigating multiple computer resources to document conversations and prior authorization decisions. Successful pharmacy technicians will possess good written and verbal communication skills. Hours of operation for Aetna Pharmacy Prior Authorization are between 5:00am to 7:00pm (may vary by timezone). Pharmacy Technicians work 8 hours shifts that may fall in between these hours of operations. Overnight shifts may also be available, but not guaranteed. Rotating weekend schedule is required. Candidate must have their own home internet access (internet can be hard wired with Ethernet cable). Candidate must also have a secure workspace/office in their home. Candidate must have high level skill with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens). Work schedule is approximate and hours/days may change based on company needs. All full-time employees are required to complete forty (40) hours per week as scheduled, including on weekends and holidays. Part time positions are not available. Position requires the ability to work extended hours when necessary. Physical Demands: Frequent speaking and listening using a headset, sitting for long periods of time working at a computer, use of hands and fingers across keyboard or mouse, using computer monitors for up to 3 hours without a break. The physical demands and work environment characteristics described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Responsibilities
? Processes prior authorization requests received by phone, fax, or electronically.
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? Utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews.
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? Proactively completes prior authorization approvals and denials that are due to expire.
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? Maintains complete, timely, and accurate documentation.
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? Reviews potential prior authorization denial language to ensure NCQA requirements are met.
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? Follows prior authorization workflow, policies, and procedures during the course of the workday.
,
? Answers a potentially high volume of prior authorization inquiry calls from provider's offices, pharmacies, and internal partners.
,
? Uses various computer resources to communicate prior authorization status or decisions.
,
? Maintains a balance of productivity, quality and timeliness of work.
,
? Participates in training and continuing education as required.
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? Participates in team/departmental meetings as required.

Requirements
? National Pharmacy Technician certification (PTCB, NHA/ExCPT) current and in good standing is required and must be maintained.
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? Between 1-5+ years of Pharmacy Prior Authorization processing experience (retail or hospital experience may be considered in lieu of prior authorization experience).
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? Ability to multi-task and prioritize work.
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? Ability to adjust based on business or department needs.
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? Good organization skills.

Nice-to-haves
? Retail or Hospital experience.
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? Managed Care or Medicaid experience.
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? AS400 experience.
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? Proficiency in using computerized resources and software applications.
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? Proficiency with Microsoft applications (Excel, Word, and Outlook).
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? Knowledge in pharmacy practices, procedures, and ability to read and understand clinical information.
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? Working knowledge of drug dosage forms, drug strength, generic and brand name equivalent.

Benefits
? Full range of medical, dental, and vision benefits.
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? 401(k) retirement savings plan.
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? Employee Stock Purchase Plan.
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? Fully-paid term life insurance plan.
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? Short-term and long-term disability benefits.
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? Numerous well-being programs.
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? Education assistance.
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? Free development courses.
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? CVS store discount.
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? Discount programs with participating partners.
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? Paid Time Off (PTO) or vacation pay.
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? Paid holidays throughout the calendar year.