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Oscar Health // health insurance
 
Tempe, Arizona, United States    Posted: Wednesday, August 26, 2020
 
   
 
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JOB DETAILS
 

Hi, we're Oscar. Were hiring a Pharmacy Specialist to join our Complaints Grievances & Appeals (GGA) 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:

Our Pharmacy Specialists are viewed as the go-to resource for the Pharmacy Team with a passion for teaching/supporting internal teams. They are a role model in all KPIs & consistently identify solutions when areas of opportunity exist. They have mastered the Pharmacy Technician role & are now ready to take on more responsibility.  Their goal is to support first level escalations/questions from technicians & help coordinate the work.

You will report into the Pharmacy Clinical Review Team Lead.

You will:

  • Effectively handle escalated cases for our internal & external members

  • Ability to assess internal members strengths & opportunities around authorization processing

  • Builds cross functional relationships in order to sharpen content skill set

  • Collaboratively provides constructive feedback that supports improvement & accountability 

  • Demonstrates flexibility supporting all areas of Pharmacy CRT based on business need 

  • Effectively manages their time with multiple competing objectives in order to get all items done on time

  • Identifies issues/ trends & identifies gaps in workflows within Pharmacy CRT

  • Evaluate reports & provide TAT oversight to identify trends and/or provide feedback to meet compliance
     

About you:

  • 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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