Category: Careers

Summary

To be knowledgeable and participatory in numerous aspects of Pharmastar, a Pharmacy Benefits Manager (PBM) for commercial plans, Medicare Part D Plans and PACE Plans. This position works with internal and external clients which include: members, clinicians, pharmacies, plan sponsors and other departments within the company.

Responsibilities

• Answer telephone inquiries in a pleasant, professional and efficient manner assuring exceptional customer service.
• Communicate applicable drug benefit policies to all clients (members, pharmacies, plan administrators and clinicians).
• Document all incoming calls and dialogue in the claims adjudication software.
• Address and resolve client drug benefit concerns of a medical, financial, or technological nature.
• Initiate and facilitate prior authorization requests.
• Educate clients on plan policies and procedures.
• Stay current on plan and benefit structures, pharmacological updates, and Medicare Part D guidelines.
• Attend department and company meetings and educational programs upon request.
• Participate in Pharmastar on-call rotation.
• Accept other duties as assigned; including but not limited to: direct member reimbursement, manual claims, reporting, enrollment activity, claims and pricing research.
• Comply with all company policies and procedures.

Qualifications

• Previous experience as a pharmacy technician and/or certificate from an accredited pharmacy technician program, and/or 3-5 years of health insurance customer service experience preferred.
• CPhT (Certified Pharmacy Technician) certification, or obtained within two years of initial employment date.
• Knowledge of pharmacology and pharmacological terms.
• Previous customer service experience required, call center experience preferred.
• Excellent communication skills and professionalism when working with clients.
• Ability to solve problems under pressure by making immediate decisions while on the phone.
• Detail oriented and able to prioritize workload.
• Computer skills including using word processors, spreadsheets, and database software.

This position offers an outstanding benefit package, including three weeks of PTO the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: resumes@pharmastarpbm.com. Pharmastar is an affirmative action and equal opportunity employer.

How do I Apply?

To apply for the Customer Support Technician position, please send your resume today to the director of Human Resources & Culture at resumes@pharmastarpbm.com.

Pharmastar and KMTSJ, Inc. are affirmative action and equal opportunity employers.