Pharmacy Benefit Management Technician - Relief

Remote: 
Full Remote
Contract: 
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Offer summary

Qualifications:

High School Diploma and active State of Oregon Pharmacy Technician License required., 1 year of pharmacy work experience or equivalent education is necessary., Certification from the national Pharmacy Technician Certification Board or National Healthcareer Association must be maintained., Strong computer keyboarding skills are essential..

Key responsabilities:

  • Communicate with members and healthcare professionals about eligibility, benefit design, and coverage requests.
  • Research pharmacy claim inquiries and provide utilization management support.
  • Assist PBM pharmacists with non-clinical activities such as collecting claims data and drug pricing.
  • Support PBM pharmacists with pipeline tracking and preparation for P&T meetings.

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Oregon Health & Science University http://ohsu.edu
10001 Employees
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Job description

Department Overview

OHSU is Oregon’s only public academic health center. We are a system of hospitals and clinics across Oregon and southwest Washington. We are an institution of higher learning, with schools of medicine, nursing, pharmacy, dentistry and public health – and with a network of campuses and partners throughout Oregon. We are a national research hub, with thousands of scientists developing lifesaving therapies and deeper understanding. We are a statewide economic engine and Portland’s largest employer. And as a public organization, we provide services for the most vulnerable Oregonians, and outreach to improve health in communities across the state.

The PBM Technician provides technical support to licensed pharmacists within OHSU Pharmacy Benefit

Management Services. Support includes but is not limited to troubleshooting pharmacy claims, responding to

non-clinical inquiries, providing call center support, implementing formulary changes, and providing

utilization management support.

Function/Duties of Position

  • Communicate with members and health care professionals regarding member eligibility, benefit design, formularies, and coverage requests.
  • Navigate multiple platforms to research pharmacy claim inquiries, provide utilization management support, implement formulary changes, and test benefit updates.
  • Assist PBM pharmacists with non-clinical activities including but not limited to collecting claims data, drug pricing, and reporting.
  • Support PBM pharmacists with pipeline tracking and P&T preparation by gathering basic drug information, tracking policy updates, and organizing documents.
  • Perform other responsibilities of a PBM technician as assigned.

Required Qualifications

  • High School Diploma, active State of Oregon Pharmacy Technician License AND
  • 1 year of pharmacy work experience, or equivalent additional education; AND
  • Certification from the national Pharmacy Technician Certification Board OR
  • National Healthcareer Association. Certification must be maintained.
  • Must possess computer keyboarding skills.

Preferred Qualifications

  • Strong knowledge of Microsoft applications including but not limited to Excel, Outlook, and Word
  • Two or more years of previous health plan or PBM experience
  • Two or more years of call center experience
  • One or more years of retail or specialty pharmacy experience
  • Knowledge of pharmacy claims processing
  • Knowledge of pharmacy/medical terminology
  • Knowledge of drug names

Additional Details

Shift: Days, Monday through Friday Hours: 8am-5pm

All are welcome

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Computer Keyboards
  • Microsoft Excel
  • Microsoft Word
  • Microsoft Outlook
  • Problem Reporting
  • Organizational Skills
  • Communication

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