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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in pharmacy operations, including prescription interpretation, prior authorization processing, and patient information management. Strong ability to mentor staff and communicate effectively with healthcare providers and patients.
Highest-signal resume keywords
Pharmacy Technician CertificationPrescription Adjudication ExperiencePTCB CertificationSpecialty Pharmacy ExperienceAttention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Prescription InterpretationPrior Authorization ProcessingData EntryPatient Profile ManagementAdverse-Event DocumentationPharmacy Claim AdjudicationMedication Assistance ResourcesClinical Review ConsultationReport GenerationProcess Improvement Initiatives
Soft Skills
Clear CommunicationMentoringCollaborationCustomer Service
Certifications & Qualifications
Active Professional LicenseState Pharmacy Technician CertificationNational CertificationPTCB Certification
Industry Keywords
Pharmacy OperationsHealthcare ProvidersAccreditation ProcessesHigh-Volume PositionCOVID-19 VaccinationInfluenza Vaccination
About the role
Key responsibilities & impact- Interpret and enter moderately complex prescriptions
- Process prior authorizations
- Troubleshoot prescription adjudication issues
- Provide administrative support to pharmacists
- Complete administrative and clerical tasks supporting pharmacists and pharmacy operations
- Verify member/patient information and update patient profiles
- Enter accurate data
- Mentor less experienced staff
- Represent the department on intra-departmental initiatives
- Assist with formal associate training and process improvement initiatives
- Develop working partnerships with physicians, healthcare service providers, and internal and external customers
- Consult with clinical reviewers
- Conduct phone calls to patients and providers
- Educate members about pharmacy rules, prescription benefits, formularies, and medication assistance resources
- Contact healthcare providers to obtain documentation, support prescription transfers, or facilitate pharmacist review/intervention
- Assist with adverse-event documentation and reporting to applicable contractual manufacturers
- Generate and maintain patient-record reports
- Perform other pharmacy technician duties delegated and supervised by a licensed pharmacist within the permitted scope of practice
Requirements
What you’ll need- Active professional license, if required by state law
- State Pharmacy Technician Certification or National Certification based on applicable state requirements
- High school diploma or equivalent
- Minimum of 2 years of pharmacy experience
- Specialty Pharmacy Experience preferred
- PTCB Certification strongly preferred
- Familiarity with accreditation processes preferred
- Pharmacy claim adjudication experience highly preferred
- Experience in a high-volume position with strong attention to detail highly preferred
- Ability to communicate information clearly and concisely, orally and in writing
- Ability to work Monday–Friday, 1:30 pm to 10:00 pm Eastern Standard Time, with possible weekends
- Ability to work within commuting distance of a posting-location office
- COVID-19 and Influenza vaccination may be required for certain patient/member-facing roles
Benefits
Comp & perks- Comprehensive benefits package
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short-term disability benefits
- Long-term disability benefits
- 401(k) with employer match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Flexible hybrid work arrangement
- Equity stock purchase
- COVID-19 and Influenza vaccination support/requirements for certain roles