LOCATION - Milford, OHFULL TIME Non-exempt

REPORTS TO - Customer Service Manager

ESSENTIAL DUTIES:  

• Handle a high volume of incoming customer support calls from members, pharmacies, and physicians. 
• Document pertinent information related to customer support calls for tracking, follow up, and quality assurance.
• Respond to customer support claim inquiries regarding, co-payments, prior authorizations, eligibility issues, and claim processing issues.
• Assist clinical staff in review, approval, research and communication of prior authorization/step therapy requests and overrides.
• Coordinate provider enrollment process and strategies.
• Assist clinical staff in development and maintenance of various plan functions including new client plan setup, formulary maintenance, pricing maintenance and other various tasks as requested.
• Participate as a key member or new client implementation teams.
• Assist account managers and other client service representatives in responding to client requests for reports and other information.
• Perform other various duties and tasks as assigned by supervisor(s).

MINIMUM REQUIREMENTS:

• High School diploma or equivalent.
  
• Certification as a pharmacy technician, or 3 years demonstrated experience working as pharmacy technician in an acceptable environment.

• Pharmaceutical Technician Training and/or background in pharmacy desired.
  
• Previous pharmacy technician experience in a Pharmacy Benefit Management environment.
• Previous pharmacy technician experience in a health care environment or a retail pharmacy.

FOR CONSIDERATION, SEND RESUME AND COVER LETTER TO:

jobs@pbmplus.com

or

PBM Plus Inc
300 TechneCenter Dr. Suite B
Milford, OH 45150