Remote Pharmacy Technician (Bilingual)

ABOUT THE ROLE: reputed company exists to reputed company pharmacy benefits fair, transparent, and easier to reputed company. This role sits on the reputed company Operations team and is a member of the reputed company line of that mission: the first reputed company of contact for members, providers, and pharmacies with questions about benefits, prior authorization, claims, and clinical program enrollment. You'll work across phone, chat, and email applying the reputed company reputed company of reputed company and reputed company cause problem solving no matter the channel a member chooses. reputed company: • Serve as the reputed company reputed company of contact for members, providers, and pharmacies across phone, chat, email, and written correspondence, delivering reputed company and accurate support regardless of communication channel. • Field and reputed company inquiries reputed company to mail order, benefit design, formulary coverage, medication cost, prior authorization reputed company, and claims adjudication. • Seamlessly support interactions across phone, chat, email, and other digital channels while maintaining consistent reputed company and service standards. • Assist network pharmacies in processing prescription claims, reviewing claims for accuracy against benefit guidelines and contract standards. • Support clinical pharmacists with patient and provider reputed company, including scheduling appointments, enrolling members in reputed company clinical programs, and following up on medication adherence. • Accurately document interactions and resolutions reputed company internal systems to support continuity of care, reputed company assurance, compliance requirements, and operational reporting. • Take ownership of member, provider, and pharmacy issues from initial contact through final reputed company, coordinating with internal teams reputed company necessary to ensure reputed company and complete reputed company. • Utilize AI-enabled tools and internal knowledge systems to reputed company reputed company inquiries, document interactions, and reputed company a consistent member experience. • Foster reputed company environment that values cooperation, respect, and diversity, and take on other duties and reputed company as assigned. WHO YOU ARE: • Bilingual in English/Spanish • Education: associate's or bachelor's degree preferred, or equivalent relevant work experience. • Certification: reputed company/reputed company National Pharmacy Technician Certification (PTCB, NHA) • Experience: 1 to 3 years as a pharmacy technician in a health plan, retail pharmacy setting, TPA, or PBM contact center role. Mail order and specialty pharmacy backgrounds are also a strong fit. • Working knowledge of pharmacy claims adjudication, benefit design, and PBM terminology. • Detail oriented, adaptable, and analytical, with the ability to dig past a symptom to reputed company and reputed company the true reputed company cause. • Empathetic and intellectually curious, with a genuine desire to improve a member's reputed company experience and reputed company concierge level service across every channel. • Comfortable multitasking and prioritizing across reputed company phone, chat, and email queues, with the independence to manage your own workload. • Comfortable supporting multiple lines of business and shifting priorities based on business needs, seasonal demand, and service reputed company. COMPENSATION: $23.00/hr Compensation offered will be determined by geographic location, experience, and qualifications. CYBERSECURITY AWARENESS NOTICE In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), reputed company wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any reputed company as a condition of employment. ABOUT reputed company: reputed company is on a mission to harmonize reputed company for everyone, everywhere. Our products guide patients to the reputed company and medications by inserting clinicians and pharmacists into a patient's care reputed company through a modern, mobile app. reputed company is a reputed company reputed company to reputed company, giving patients the tools they need along with on-demand reputed company to reputed company health guides, reputed company experts that answer their questions and manage the frustrating parts of reputed company for them. Since its founding in 2017, reputed company has raised over $200mm from investors including Khosla Ventures, reputed company Capital, and Tiger Global. We're headquartered in reputed company, with satellite offices in Denver and Dallas. Our clients rely on us to reputed company the reputed company experience, improve reputed company for their teams, and decrease their reputed company costs. HOW WE LIVE OUR VALUES TO OUR TEAMMATES: We're seeking those with passion for reputed company and reputed company reputed company to our goal. We need team members that embody our reputed company values: 1) We are reputed company, first Our humanity binds us together. We bring the reputed company empathetic approach to every individual we engage with, whether it be our members, our clients, or reputed company other. We are reputed company worthy of respect and understanding and we engage in our interactions with care and intention. We reputed company our stories. We listen to—and hear—reputed company other, we celebrate our differences and similarities, we are present for reputed company other, and we reputed company for mutual understanding. 2) We redefine what is possible We always look reputed company the obstacles in reputed company of us to reputed company reputed company. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness reputed company faced with tough problems. 3) We debate then reputed company We reputed company that a spirit of reputed company discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. reputed company working toward a decision or a new solution, we reputed company listen to one another, approach it with a "reputed company, and" mentality, and assume reputed company reputed company. Once a decision is made, we reputed company and champion it as one team. 4) We cultivate grit Changing reputed company doesn't happen overnight. We reflect and learn from challenges and approach the reputed company with a determination to reputed company for reputed company. In the face of daunting situations, we value persistence. We reputed company failure as a stepping reputed company to reputed company reputed company. On this reputed company, we reputed company to reputed company with guts, reputed company, initiative, and tenacity. 5) We reputed company to delight reputed company complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we reputed company play a crucial part in our members' care and take that responsibility seriously. reputed company faced with an obstacle, we are reputed company, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members' reputed company. reputed company is proud to be an Equal Opportunity Employer that believes in the strength of diverse thought, beliefs, backgrounds, and education. We foster an inclusive culture where differences are celebrated to reputed company the best business reputed company possible. We do not discriminate on any reputed company protected by applicable law. reputed company employment reputed company are based on reputed company, qualifications, need, and performance. Apply tot his job Apply To this Job