Pharmacy Certified Support Specialist

Overview of Position

Provide pharmacy claims and prior authorization support for customer inquiries received via the telephone and/or Internet regarding the Vermont Medicaid prescription drug benefit. Customers include physician's offices, pharmacies, and patients/caregivers.

What will be my duties and responsibilities in this job?

• The pharmacy technician must be able to assess the nature of the pharmacy claim issue or pharmacy related question and resolve basic to complex problems.
• The technician must work together with pharmacists and account management team to gain understanding of the State of Vermont Preferred Drug List.
• Must be able to multi-task using multiple applications to provide accurate and responsive information to the provider inquiry.
• Knowledge of medications and pharmacy claims processing is preferred. Training will be provided.
• Ability to work independently but also as part of a team (this has been critical during COVID and will continue to be so with a hybrid model)
• Pharmacy technician experience (will consider prior work in an MD office or clinic, call center, or prescription insurance company)

What are the requirements needed for this position?

• High School Diploma
• Pharmacy Technician Experience (2 years)
• Knowledge of medications and pharmacy claims processing is preferred.

What other skills/experience would be helpful to have?

• Strong verbal communication skills including the ability to disseminate information to a broad audience (our clients include the State of Vermont staff, physicians, pharmacies, and patients)
• Problem solving skills including when to upline to the pharmacist and/or supervisor
• Ability to diffuse difficult situations
• Strong written communication skills
• Working knowledge of Microsoft Office including use of online collaboration tools such as Teams
• Working knowledge of claims adjudication, even better if it’s Vermont Medicaid specific

What are the working conditions and physical requirements of this job?

General office duties and conditions

Hours: 8:30am-5pm (plus pager rotation)

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

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