The Pharmacy Specialist will work to support people who have been injured on the job. This role will respond to departmental inquiries regarding pharmacy benefits for pharmacy lines of business. The Pharmacy Specialist works closely with pharmacies, claims adjusters, providers, claimants and other CorVel offices to quickly and professionally answer questions. This position is not quota driven, nor is this a “scripted” position. This role requires a service minded individual, active listening and pro-active problem solving skills to be successful. The Pharmacy Solutions team hours are 8 a.m. to 11 p.m., Monday through Friday.
This is a remote role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
- Answer pharmacy calls and e-mails in a prompt, friendly and professional manner
- Assure escalated issues are referred to the management team
- Consult with claims adjusters regarding medications and pharmacy eligibility
- Utilize proprietary programs to track inquiries and enter prescription information
- Participate in training of new representatives and personal, ongoing professional development, as required
- Work on rejection report lines
- Additional duties as assigned
KNOWLEDGE & SKILLS:
- Familiarity with external pharmacy adjudication system and internal billing/claims management applications
- Excellent verbal and written communication skills
- Exceptional decision-making and problem-solving abilities
- Ability to work independently and within a team environment
- Computer proficiency with knowledge of Microsoft Office applications
EDUCATION & EXPERIENCE:
- High school diploma or equivalent
- Some customer service and/or call center experience
- Pharmacy Benefits Management experience preferred
- Pharmacy Technician Certification preferred
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $13.38 - $23.42 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
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What We Do
CorVel is a leader of risk and healthcare management solutions to employers, third party administrators, insurance companies and government agencies. We are publicly traded and annual revenues exceeded $595 million in FY2019. Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allows us to continue to deliver industry-leading solutions to the marketplace. CorVel has approximately 3,500 associates who serve customers through a national branch office network covering all 50 states.
