Pharmacy Technician

Job Description

REQUIREMENTS

• Active/Current National Pharmacy Technician Certification (PTCB, NHA)
• 1 to 3 years of experience as a pharmacy technician in a health plan, retail pharmacy, TPA, or PBM contact center
• Working knowledge of pharmacy claims adjudication, benefit design, and PBM terminology
• Ability to multitask across concurrent phone, chat, and email queues
• Associate’s or bachelor’s degree preferred, or equivalent relevant work experience

RESPONSIBILITIES

• Serve as the primary point of contact for members, providers, and pharmacies via phone, chat, and email
• Resolve inquiries regarding mail order, benefit design, formulary coverage, medication cost, and claims adjudication
• Assist network pharmacies in processing and reviewing prescription claims for accuracy
• Support clinical pharmacists with patient outreach, appointment scheduling, and clinical program enrollment
• Document all interactions accurately within internal systems for compliance and continuity of care
• Utilize AI-enabled tools and knowledge systems to resolve inquiries efficiently

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