Hybrid Pharmacy Services Technician at Visiting Nurse Service of New York d/b/a VNS Health
Visiting Nurse Service of New York d/b/a VNS Health · New York, United States Of America · Hybrid
- Junior
- Office in New York
- Referral bonus opportunities
- Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
- Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability
- Employer-matched retirement saving funds
- Personal and financial wellness programs
- Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
- Generous tuition reimbursement for qualifying degrees
- Opportunities for professional growth and career advancement
- Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
What You Will Do
- Receives, downloads, reformats and reviews data in daily claims files and reports. Conducts preliminary audit of data and screens for potential issues. Addresses non-clinical operational issues as a result of report review, and alerts pharmacist to clinical follow up when needed.
- Prepares electronic files and creates Coverage Determination and Redetermination packages for pharmacist’s and Medical Director’s review.
- Reviews on-going PBM reports under pharmacist’s supervision. Addresses non-clinical issues and alerts pharmacist to needed clinical follow up.
- Performs quality checks of Formulary files prior to DOH or CMS submission. Compares files to identify and resolve discrepancies and/or missing information.
- Assists pharmacist with maintaining and tracking spreadsheets including obtaining, input and retrieval of prescription and related information.
- Conducts member outreach. Contacts members using standard script to assist with processing prescriptions, resolving copayment or ID card questions. Provides customer service and follow up on issues.
- Assists with retail pharmacy outreach. Contacts pharmacies to gather information and to resolve pharmacy benefit coverage and prescription eligibility and claim problems.
- Assists with physician/prescriber outreach. Contacts physicians’/prescribers’ offices to assist with drug Prior Authorization initiation procedures.
- Participates in on-going auditing/monitoring activities.
- Participates in special projects and performs other duties as assigned.
Licenses and Certifications:
- NYS Pharmacy Technician Certificate required
Education:
- High School Diploma or the equivalent required
Work Experience:
- At least one year of pharmacy experience required
- Managed Care Experience preferred
- Bi-lingual (Spanish) preferred
- Proficiency in Microsoft Office (Word, Excel, PowerPoint) required
Pay Range:USD $20.98 - USD $26.23 /Hr. Apply Now