Engagement Description – The pharmacy technician will assist in providing pharmacy services. Other related skills may be required to perform this job. Qualifications: High school diploma or GED. Two years pharmacy experience working under a license pharmacist or completion of certified pharmacy technical program. Working knowledge of third-party claims process. Please see job description for a more thorough listing of requirements for this position. Top 3 Required Skills/Experience – • Ability to process Coverage Determination Requests within CMS Timeframes. • Ability to communicate all pharmacy benefits both verbally and written. • Ability to have strong attention to detail while multitasking within a high demand environment. Required Skills/Experience – The rest of the required skills/experience. Include: • Minimum 2 years of experience in Pharmacy Retail, PBM, Hospital, Managed Care • Experience with Microsoft Programs (Outlook, Excel, Word, Access) • Knowledge of prescription drug names, therapeutic classes and claims processing • Knowledge of Privacy Regulations • Pharmacy Technician Certification (PTCB) preferred Preferred Skills/Experience – Optional but preferred skills/experience. Include: • Medicare Part D Experience • Contact Center Experience • Knowledge of CMS/NCQA regulations • Knowledge of pharmacy claims processing Education/Certifications – Include: • High School Diploma • 2 years of college preferred **Category** _Analyst_ **Function** _Information Technology_ **Req ID** _JN -092024-121549_