Events  Classes  Deals  Jobs 
    Sign in  
 
 
Oscar Health // health insurance
 
Tempe, Arizona, United States    Posted: Friday, September 18, 2020
 
   
 
Apply To Job
 
 
JOB DETAILS
 

Hi, we're Oscar. Were hiring a Pharmacy Technician to join our 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:

You will play an essential role in building our pharmacy utilization management function. The Clinical Review team is one of Oscars most important clinical functions - we encourage evidence-based practice through utilization review to ensure our members get access to the right care - particularly those who need it most. 

You will be responsible for understanding & helping to grow our pharmacy utilization management program & driving high quality reviews. Also providing support on regulatory audits & quality accreditation surveys, as needed & supporting the team prepare for expansion into new markets.

You will report into the Pharmacy Clinical Review Team Lead.

You will:

  • Determining eligibility & screening incoming pharmacy prior authorization requests for all required documents

  • Preparing, organizing, & distributing pharmacy prior authorization requests for review by pharmacist/physician & responding to pharmacist/physician requests for additional information

  • Learning & using Oscar & vendor tools to create, process, & properly track pharmacy prior authorization requests

  • Collecting relevant medical information (via telephone, fax, & portal) & applying the appropriate PA criteria

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

Requirements:

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

  • Active, unrestricted Pharmacy Technician certification (CPhT) 

  • In-depth understanding of how to operationalize step therapy rules & regulations

Bonus points:

  • Bachelors degree

  • Experience working with Caremarks portal & criteria

  • Experience working in a retail pharmacy

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.

 
 
 
Apply To Job
 
 
 
 
 
© 2020 GarysGuide      About    Feedback    Press    Terms