Community Care Inc · 13 hours ago
Customer Service - Pharmacy Technical Support Specialist 105-1078
Tulsa, OK
Full-time
Onsite
Entry Level
2+ years expCommunityCare is seeking a Pharmacy Technical Support Specialist responsible for providing technical and customer service support for pharmacy benefits. The role involves processing prior authorizations and resolving pharmacy-related complaints while ensuring compliance with CMS and State regulations.
Health CareNon Profit
Responsibilities
Telephone support for pharmacies and members related to pharmacy benefits for the HMO product
Provides resolution for various types of phone calls including, but not limited to referral, authorization, and step therapy protocols between physicians, pharmacies and members for the HMO product
Resolve claims adjudication issues related to pharmacy
Responsible for processing prior authorizations for medications
Work may require overtime to meet deadlines. Work may also involve dealing with members who are disgruntled or upset
Performs other duties as assigned
Qualification
Required
Basic punctuation and grammar skills
Ability to function under pressure
Proficient in Microsoft applications
Ability to work independently and apply good judgment
Ability to maintain and preserve information of highly confidential nature
Possess strong oral and written communication skills
Capable of project management from beginning to completion
Successful completion of Health Care Sanctions background check
High school diploma or equivalent
Two years' experience in managed care pharmacy benefits, pharmacy tech or related discipline
Basic understanding of Health Plan Industry
One year customer service experience required
Preferred
Previous customer service experience in a Medicare Advantage plan
Company
Community Care Inc
Community Care is a local nonprofit with more than 45 years of experience helping older adults and adults with disabilities live as independently as possible within the community.
501-1000 employees
H1B Sponsorship
Community Care Inc has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2022 (2)
Funding
Current Stage
Late StageTotal Funding
unknown2024-09-18Acquired
Leadership Team
Kenneth Munson
Chief Executive Officer
Kelly Carter
PACE/Partnership Program Officer
Recent News
2025-02-19
Company data provided by crunchbase