Aetna

Pharmacy Technician Prescriber Manager

Posted on: 15 Mar 2021

Orlando, FL

Job Description

Job Description
As a Pharmacy Technician Prescriber Manager, you will provide leadership and guidance to the Pharmacy Technician team operation in a manner that promotes reliable and cost-effective pharmacy utilization management services within applicable state, federal and accrediting standards. Furthermore, you will help create, maintain, update, review, and analyze pharmacy operating metrics.

Other essential components of this role include being involved in design, execution and management of new programs, processes, and initiatives; problem solving and involvement in resolution of issues to ensure continuous improvement; and working with internal and external business leaders to achieve goals, bring about process improvements and support business growth and development programs. Also, you will provide the necessary technical expertise to support projects, address plan members and regulatory issues and programs relevant to the prior authorization and/or appeals unit.

Additional responsibilities include:

Maintain a positive environment for successful compliance with EEO/AAP goals
Hire, train, coach, and monitor performance of departmental personnel
Determine staffing requirements for the department
Ensure processes, procedures, work instructions, job aids and training are in place and maintained
Work across boundaries with other lines of business
Ensure department leadership team and staff understand and complete all operational and requirements

This is a work from home opportunity.

Required Qualifications
2 years or more of management experience
2 years of Customer Service or Pharmacy Technician management experience.
Pharmacy Technician License based on applicable state licensing requirements.

Preferred Qualifications
Specialty Pharmacy Operations experience
Experience with Specialty therapies and health products
Benefit Verification experience

Education
Bachelor's degree from an accredited college or equivalent work experience is required.

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Aetna

Hartford, CT

Aetna Inc. operates as a health care benefits company in the United States. It operates through three segments: Health Care, Group Insurance, and Large Case Pensions. The Health Care segment offers medical, pharmacy benefit management service, dental, behavioral health, and vision plans on an insured and employer-funded basis. It also provides point-of-service, preferred provider organization, health maintenance organization, and indemnity benefit plans, as well as health savings accounts and consumer-directed health plans.

In addition, this segment offers Medicare and Medicaid products and services, as well as other medical products, such as medical management and data analytics services, medical stop loss insurance, workers’ compensation administrative services, and products that provide access to its provider networks in select geographies. The Group Insurance segment offers life insurance products, including group term life insurance, voluntary spouse and dependent term life insurance, group universal life insurance, and accidental death and dismemberment insurance; disability insurance products; and long-term care insurance products, which provide the benefits to cover the cost of care in private home settings, adult day care, assisted living, or nursing facilities.

The Large Case Pensions segment manages various retirement products comprising pension and annuity products primarily for tax-qualified pension plans. The company provides its products and services to employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups, and expatriates. Aetna Inc. was founded in 1853 and is based in Hartford, Connecticut. As of November 28, 2018, Aetna Inc. operates as a subsidiary of CVS Pharmacy, Inc.