Temp - Pharmacy Services Specialist
Cogent Infotech
About US: At Cogent Infotech, we believe in creating opportunities that empower individuals and transform organizations. With over 21 years of excellence in consulting and talent solutions, we pride ourselves on building inclusive workplaces and driving innovation in everything we do. Our diverse teams bring unique perspectives to help deliver cutting-edge solutions to global clients across both public and private sectors. Job Title: TEMP - Pharmacy Services Specialist Location: Orange, CA (92868) Duration: 6 months Contract Shift: Monday – Friday 8:00 am – 5:00 pm Pay: USD 26/hr – USD 28/hr Description: The Pharmacy Services Specialist will utilize specialized pharmacy knowledge and expertise to assist participating pharmacies, members, providers, client's departments, health networks and other entities in assuring the efficient, timely and effective provision of pharmaceutical products and services to client members. The incumbent will interact with other department staff throughout the organization, as well as external contacts daily. Responsibilities:
+ Program Support - Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
+ Using a pharmacy computer program, retrieves drug-specific technical data and information necessary for the completion of departmental and interdepartmental pharmacy-related functions and operations.
+ Assists with resolution of provider and member pharmacy issues requiring specialized technical and professional knowledge and expertise, including pharmacy authorizations.
+ Supports the department with claims disputes between providing pharmacies, the pharmacy claims administrator, client's Claims Department and other entities as necessary.
+ Interprets and articulates Pharmacy Management program policies and procedures to pharmacy providers, other providers, other client's staff, external agencies and others as required.
+ Accepts referrals from Member Services and work in conjunction with employees from this department to resolve all pharmacy-related member complaints, including those related to the pharmacy authorization process.
+ Assists pharmacies and health plans in resolving member-specific pharmacy services access issues, removing barriers to access to pharmaceutical services.
+ Maintains documentation of the Stars adherence program and other Stars program outreach according to the internal guidelines.
Minimum Qualifications:
+ High School diploma or equivalent PLUS 1 year of experience as a pharmacy technician required.
Preferred Qualifications:
+ Associate degree in a health-related field.
+ Pharmacy Technician Certification Board (PTCB).
+ Bilingual in English and in one of client's defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish or Vietnamese).
Required Licensure / Certifications: A current, valid, unrestricted California Pharmacy Technician license required. Application Process Resume Review Initial discussion Video Screening Client Interview Cogent Infotech is a leading tech consulting firm headquartered in Pittsburgh, PA, offering cutting-edge digital transformation solutions in Cloud, Cybersecurity, Data Analytics and AI. ISO-certified and CMMI Level 3 appraised, we proudly partner with 70+ Fortune 500 companies and 150+ government agencies. Cogent is an equal opportunity employer and does not discriminate based on any protected status under applicable law.
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