
Tech Pharmacy Health Plan
7 days ago
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Tech Pharmacy Health Plan
**Job Description**:
The Pharmacy Technician Health Plan is responsible for working with the Paper Claims staff to identify equivalent U.S. product information for the handling of foreign claims. This role is responsible for providing National Drug Code (NDC), National Provider Identifier (NPI), and National Association of Boards of Pharmacy (NABP) numbers, quantities, and/or day supply information needed for manual claims processing.
**Responsibilities**:
- Research, select, and document equivalent U.S. drug product for processing of foreign paper claims
- Create and maintain current foreign and compound claims processing policies and procedures
- Maintain and research correct drug information for processing vendor and provide appropriate NDC, NPI and NABP numbers, quantities, and day supply information for manual claims processing
- Contact pharmacies to verify members’ claim information
- Review various claims reports and partner cross functionally on research and issue resolution
- Process exception claims to meet client performance guarantees
- Other duties as assigned
Minimum Qualifications
- High school diploma from an accredited school or equivalent GED
- 2 years of work experience in the retail or hospital industry
- Current registration with State Board of Pharmacy in the State where the position is located
- National Pharmacy Technician Certification through PTCB or ExCPT (CPhT)
- Must be eligible to work in the United States without need for work visa or residency sponsorship
Additional Qualifications
- Strong verbal and written communication skills
- Ability to manage multiple priorities simultaneously
- Proven knowledge of drugs for drug categorization
Preferred Qualifications
- Understanding of point of sale, online pharmacy claims processing environment
- Previous work experience in the PBM or managed care industry
Minimum Physical Job Requirements
- Ability to work a flexible schedule including weekends, holidays, overtime, on call, and shifts outside of Prime’s core business hours of 9:00 a.m. to 3:00 p.m.
- Ability to spend at least 25% of work day on telephone contacting pharmacies
- Constantly required to sit, use hands to handle or feel, talk and hear
- Frequently required to reach with hands and arms
- Occasionally required to stand, walk and stoop, kneel, and crouch
- Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
- Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus
Reporting Structure
- Reports to a Supervisor in the PBM Operations department
Potential pay for this position ranges from $18.46 - $23.94 based on location, experience and skills.
- To review our Benefits, Incentives and Additional Compensation, visit our
- Benefits Page
- and click on the "Benefits at a glance" button for more detail.
-
Pharmacy Credentialing Analyst
2 days ago
Remote, Singapore Prime Therapeutics Full timeOur work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Pharmacy Credentialing Analyst **Job Description**: **Responsibilities**: - Review and approve all recommended decisions to ensure adherence to regulatory &...
-
Health Coach
4 days ago
Remote, Singapore Peach Health Asia Full time**Digital health coach job requirements** - Remote - Contracted - with flexible hours to accommodate both coach and client schedules - **Entry-level** - Skills: coaching and behavioral change, health and wellness knowledge, client and data management, interpersonal skills **About the job** Peach Health Asia is seeking highly motivated and talented health...
-
Health Data Analyst
2 weeks ago
Remote, Singapore Prime Therapeutics Full timeOur work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Health Data Analyst - Remote **Job Description**: The Health Data Analyst provides information, analyses, and consultation to internal and external stakeholders....
-
Health Data Analyst
1 week ago
Remote, Singapore Prime Therapeutics Full timeOur work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. - Job Posting Title Health Data Analyst - Remote - Job Description - The Health Data Analyst provides information, analyses, and consultation to internal and external stakeholders....
-
Health Coach
2 weeks ago
Remote, Singapore Peach Health Asia Full timePeach Health is a digital health company that offers virtual care services to patients. We are looking for a health coach to support the deployment of our first service called ‘PeachCare Move’, which will support the care of patients with mild to moderate musculoskeletal (MSK) joint pain in a virtual setting. This 12 week end-to-end guided program...
-
Financial Business Analyst
4 days ago
Remote, Singapore WRS Health Full time**Company Overview**: Voted #1 EHR by PC Mag, WRS Health delivers a fully integrated cloud based EMR and practice management solutions to its clients. We bring solutions to physicians by providing constant enhancement of our products and services including EHR, practice management, marketing, patient coordination and billing. **Job summary**: We are seeking...
-
Project Manager I
2 days ago
Remote, Singapore Syneos Health Clinical Full time**Project Manager I - General Medicine** **-** **(** **22007005** **)** **Description** **Project Manager I** Come discover what our 25,000+ employees already know: work here matters everywhere. We’re a growing and evolving biopharmaceutical industry leader, which means you’ll have endless opportunities to work with experts around the world and build...
-
Employer Account Executive
1 week ago
Remote, Singapore Prime Therapeutics Full timeOur work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. - Job Posting Title Employer Account Executive - Remote - Job Description - The Employer Account Executive serves as the primary relationship manager for multiple...
-
Software Engineer Intern
1 hour ago
Remote, Singapore Mito Health Full time**Mito Health is looking for a full-stack software engineer intern** **What Mito Health does** Mito Health makes it easy for busy professionals to monitor and optimise their health, through advanced blood tests, an in-depth health assessment, and specific actionable advice. Our customers love us because they want to figure out how to get more healthy...
-
Senior Ai Full-Stack Developer
2 weeks ago
Remote, Singapore OneSeven Tech Full timeA fast-moving U.S.based compliance startup is building tooling to help Meta advertisers stay within ad policy guidelines—and avoid costly account suspensions. The team is mid-way through an ambitious delivery cycle, and we’re looking for a senior engineer to jump in and own full-stack features from day one. This is part of a broader strategy to stabilize...