CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
Pharmacy Specialist I
Location
United States
Posted
6 days ago
Salary
Not specified
Job Description
Role Description
The Pharmacy Specialist will work to support people who have been injured on the job. This role will respond to departmental inquiries regarding pharmacy benefits for pharmacy lines of business. Work closely with pharmacies, claims adjusters, providers, claimants and other CorVel offices to quickly and professionally answer questions. This position is not quota driven, nor is this a “scripted” position. This role requires a service minded individual, active listening and pro-active problem solving skills to be successful. The Pharmacy Solutions team hours are 8 a.m. to 11 p.m., Monday through Friday. This is a remote role.
Essential Functions & Responsibilities:
- Answer pharmacy calls and e-mails in a prompt, friendly and professional manner.
- Assure escalated issues are referred to the management team.
- Consult with claims adjusters regarding medications and pharmacy eligibility.
- Utilize proprietary programs to track inquiries and enter prescription information.
- Participate in training of new representatives and personal, ongoing professional development, as required.
- Work rejection report lines and additional duties as assigned by management.
- Displays familiarity with external pharmacy adjudication system and internal billing/claims management applications.
Qualifications
- Excellent verbal and written communication skills.
- Exceptional decision-making and problem-solving abilities.
Requirements
- High school diploma or equivalent.
- Experience with Microsoft Office programs with proficient computer skills.
- Some customer service and/or call center experience.
- Pharmacy Benefits Management experience, preferred.
- Pharmacy Technician Certification, preferred.
Benefits
- CorVel uses a market based approach to pay and our salary ranges may vary depending on your location.
- Pay Range: $13.38 - $23.42 per hour.
-
A comprehensive benefits package is available for full-time regular employees and includes:
- Medical (HDHP) w/Pharmacy
- Dental
- Vision
- Long Term Disability
- Health Savings Account
- Flexible Spending Account Options
- Life Insurance
- Accident Insurance
- Critical Illness Insurance
- Pre-paid Legal Insurance
- Parking and Transit FSA accounts
- 401K
- ROTH 401K
- Paid time off
Job Requirements
- Excellent verbal and written communication skills.
- Exceptional decision-making and problem-solving abilities.
- High school diploma or equivalent.
- Experience with Microsoft Office programs with proficient computer skills.
- Some customer service and/or call center experience.
- Pharmacy Benefits Management experience, preferred.
- Pharmacy Technician Certification, preferred.
Benefits
- CorVel uses a market based approach to pay and our salary ranges may vary depending on your location.
- Pay Range: $13.38 - $23.42 per hour.
- A comprehensive benefits package is available for full-time regular employees and includes: Medical (HDHP) w/Pharmacy Dental Vision Long Term Disability Health Savings Account Flexible Spending Account Options Life Insurance Accident Insurance Critical Illness Insurance Pre-paid Legal Insurance Parking and Transit FSA accounts 401K ROTH 401K Paid time off
- Medical (HDHP) w/Pharmacy
- Dental
- Vision
- Long Term Disability
- Health Savings Account
- Flexible Spending Account Options
- Life Insurance
- Accident Insurance
- Critical Illness Insurance
- Pre-paid Legal Insurance
- Parking and Transit FSA accounts
- 401K
- ROTH 401K
- Paid time off
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