UM Senior Pharmacy Technician

Employment Type: Full-time

Position Overview

At Devoted Health, we are dedicated to improving the health and well-being of older Americans by providing compassionate, integrated healthcare. We are a fast-growing, all-in-one healthcare company combining insurance, clinical care, service, and technology. Join us on our mission to deliver high-quality care that everyone would want for someone they love.

About the Role

As the UM Senior Pharmacy Technician at Devoted Health, you will play a crucial role in supporting our medical management operations. You will be instrumental in building strong relationships with network healthcare providers by addressing escalated issues through proactive outreach and follow-up communication. This role operates in a dynamic, fast-paced environment with frequent changes. The ideal candidate will be outgoing, detail-oriented, possess exceptional customer service skills, and demonstrate leadership potential. Strong organizational skills and enthusiasm are essential for managing multiple tasks effectively.

Responsibilities and Impact

• Perform daily and weekly audits of the Intake process to ensure accuracy and compliance.
• Conduct weekly internal routine audits of utilization management (UM) processes to ensure adherence to policies, guidelines, and compliance standards.
• Provide support to team members by answering questions and offering guidance to resolve issues.
• Assist the Leadership team with escalating issues, including providing action steps for team members and handling escalation calls.
• Contribute to process improvements by creating, reviewing, and updating documentation.
• Collaborate with leaders from other teams.
• Conduct cross-functional training for Intake and UM Pharmacy Technicians.
• Support special projects as needed.
• Monitor work queues daily to verify tasks are completed on time, ensuring compliance metrics are met.
• Act as the point of contact and manage project responsibilities in the absence of the manager, ensuring continuity and progress.
• Assist in monitoring offshore clinical partners and provide support to ensure workflow efficiency.
• Offer assistance to the team during unexpected work overloads, including triaging and entering incoming PA requests and reviewing them according to company policies and decision trees.

Schedule and Availability

• Central Time or Mountain Time business hours are preferred.
• Availability to rotate weekends and holidays.
• Availability to cover team members' PTO, including all time zones.

Required Skills and Experience

• Nationally Certified Pharmacy Technician (CPhT).
• Minimum of three years of professional experience in the field.
• Experience with Medicare Part B operations (e.g., pharmacy help desk, utilization management, prior authorizations).
• Prior experience in utilization management is preferred.

Desired Skills and Experience

• A strong desire to work closely with aging patient populations.
• Experience caring for Medicare patients.
• Proficiency in technology, including Gmail/G Suite.
• A history of being organized with high attention to detail.
• Experience with LLMs.

Compensation

• Salary Range: $26 - $30 per hour.
• Our salary ranges are broad to accommodate growth within the role. Your talent partner will provide more specific compensation details and information on our total rewards package during the interview process. The actual base salary offered will depend on factors such as qualifications, relevant experience, unique skills, education level, and certifications.