Note: The job is a remote job and is open to candidates in USA. Pyramid Consulting, Inc. is a leading company in the Health Insurance industry, and they are seeking a Pharmacy Operations Senior Representative. The role involves telephonic outreach to members, pharmacies, and providers while ensuring compliance with HIPAA regulations and maintaining a high level of customer service.

Responsibilities

• Telephonic outreach to members, pharmacies, and providers
• Will work in a call queue where productivity and quality are monitored
• Meet service level goals (i.e., call quality, daily/weekly call performance expectations, etc.)
• Maintain member privacy by strictly adhering to HIPAA regulations
• Answer complex telephonic questions from members while ensuring a high level of customer service and maximizing productivity with minimum downtime
• Handles member correspondence, complaints, and inquiries
• Will keep track of issues and timelines, research and resolve complex issues, and compile required documentation for daily activities
• Must maintain a professional, member-centric demeanor at all times
• An ability to make a positive impact in the lives of our members
• Great team environment. We have fun and get our work done too!
• Professional and personal development opportunities
• A working environment that embraces diversity

Skills

• Pharmacy Technician license, current
• Minimum of one year of experience in a retail pharmacy, Pharmacy Benefit Management (PBM) or Health Plan setting required
• Experience in, and a passion for, delivering excellent customer service
• Strong computer skills (will be simultaneously talking on the phone, toggling between multiple open Internet windows, software programs, Word and Excel)
• Self-motivator with strong organizational skills, attention to detail, and exceptional time management skills
• Superb active listening skills, ability to work in a dynamic, fast-paced team environment
• Effective written and oral communication skills
• Experience working in a call center
• 2+ years of experience in a retail pharmacy, Pharmacy Benefit Management (PBM) or Health Plan setting
• Certified Pharmacy Technician (CPhT), national certification from PTCB or NHA

Benefits

• Health insurance (medical, dental, vision)
• 401(k) plan
• Paid sick leave (depending on work location)
• Professional and personal development opportunities
• A working environment that embraces diversity

Company Overview