Dr Call Mail Operations Pharmacy Technician at Humana

Ohio, United States

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Not SpecifiedCompensation

Entry Level & New Grad, Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, PharmacyIndustries

Requirements

Candidates must reside in Ohio, Florida, Arizona, or Texas and possess an active Pharmacy Technician License in their state of residence. A minimum of 1 year of experience as a Pharmacy Technician in a retail, mail order, or hospital pharmacy is required, along with inbound/outbound call experience in any pharmacy setting. Strong communication skills, both written and verbal, great attention to detail, and the ability to handle multiple tasks simultaneously are essential. Proficiency in MS Office, navigating multiple systems, and basic technical troubleshooting in a remote environment are also necessary. A High School Diploma or GED and National Certification (PTCB/CPhT) are preferred.

Responsibilities

The Pharmacy Technician will provide resolution or outreach for prescriptions that are incomplete, invalid, or contain clinical issues preventing fulfillment. They will make decisions based on interpretation of area/department policy and work within defined parameters to meet quality standards, with some latitude over prioritization and timing. Responsibilities include communicating with physician offices and hospitals via fax or telephone, researching and updating clarifications and denials on patient profiles, and making or taking phone calls to and from providers, patients, and retail pharmacies. The role requires collaborative problem-solving, self-direction, and the ability to work accurately and efficiently while performing repetitive tasks.

Skills

Pharmacy Technician

Problem Solving

Collaborative Problem Solving

Communication

Research

Customer Service

Medication Fulfillment

Clinical Issues Resolution

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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