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Oscar Health // health insurance
 
Tempe, Arizona, United States    Posted: Tuesday, August 25, 2020
 
   
 
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JOB DETAILS
 

Hi, we're Oscar. Were hiring a Pharmacy Expert to join our Pharmacy Clinical Review team in our Tempe office. 

Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 & headquartered in New York City. Our goal is to make health insurance simple, transparent, & human. We need your help to do so.

About the role:

In this role, you will play an essential role in building our pharmacy utilization management department. The Expert Pharmacy Technician role is responsible for being a subject matter expert in all areas of pharmacy clinical review. You will have a passion for teaching others & enjoy training new hires. Experts will aspire to seek feedback for improvement & provide actionable solutions. This role updates & maintains operational documents & tools. The expert role will stand as a first line of communication for technicians & will also support the team when the Team Lead is out of the office or unavailable. This opportunity allows the expert to develop leadership skills that enhance competencies for further growth.

You will report into the Pharmacy Clinical Review Team Lead.

You will:

  • Training new team members hired to the pharmacy clinical review team

  • Handling provider & member escalations through various channels with the highest level of customer service & care

  • Partner with Lead to coach on team member performance for techs who are struggling in certain areas & need additional training or coaching.

  • Updating & maintaining training content, standard operating procedures, job aids & Confluence workspace

  • Standing as a liaison to assist other teams who have pharmacy questions & escalations

  • Meeting required decision-making timeframes, including promptly triggering escalation for cases requiring pharmacist review

  • Clearly documenting all communication & decision-making, ensuring a peer could easily reference & understand your decision

  • Demonstrating the highest level of professionalism, accountability, & service in your interactions with Oscar teammates, customer service, providers, & members

  • Participating in continuous quality improvement activities

  • Identify gaps in knowledge & content, & collaborates with Learning & Development for training delivery

  • Supporting the team prepare for expansion into new markets, as needed

About you:

  • Strong quantitative analysis skills

  • Strong verbal & written communications, & interpersonal interactions

  • Excellent customer service, phone etiquette, & typing skills

  • 3+ years of performing pharmacy reviews for a managed care plan or pharmacy benefits manager

  • Certified Pharmacy Technician (CPhT)

  • Extensive knowledge of UM authorization processing

Bonus points:

  • Some form of higher education or training experience ideally a bachelors degree 

Life at Oscar: 

Our more than 1,000 employees aim to make health care affordable & accessible for all. We apply this same vision to our perks & benefits, including: medical benefits, generous paid-time off, paid parental leave, retirement plans, company social events, stocked kitchens, wellness programs, & volunteer opportunities.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves & find both belonging & support. We're on a mission to change health care -- an experience made whole by your unique background & perspectives.

Reasonable Accommodation

Oscar applicants are considered solely based on their qualifications, without regard to applicants disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

Pay Transparency Policy

Oscar ensures that you won't be discharged or discriminated against based on whether you've inquired about, discussed, or disclosed your pay. Read the full policy here.

 
 
 
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