Under the leadership of the Operations Director the main objective of this role is to provide ongoing oversight of the Case Management Core 2 Team which includes Inflammatory, Osteoporosis /Osteoarthritis, Floater and Zero refill resources. This team is accountable for initial interview and following up with patient or MD office to obtain additional information/documentation to be able to process claim. This team will also be responsible for working medication refills. The Manager will manage all aspects of the department functions, including personnel, systems, initial and on going training and employee development.
Responsibilities include but are not limited to:
Holds self and others accountable for measurable high quality and timely .Develops/refines processes and procedures and ensures they are consistently applied across the Case Management Core 2 Team.Leads Change – acts as a catalyst for organizational change and employee engagement.Makes decisions that produce high quality results by applying technical knowledge, analyzing problems and calculating risks.Partners with other Operations teams to ensure quick turnaround of referralAssesses and analyses team performance, identifies performance gaps and provides feedback and coachingResponsible for leading a team through teaching, coaching and inspiring by fostering a sense of energy, ownership and a responsibility for the flawless execution of commercial excellence; engage in the selection and hiring process as needed. Administers company personnel policies and follows company staffing standardsEnforcing policies and procedures to include business standards, maintaining customer satisfaction levels and improving quality of service.Collaborates with key business partners on process and or operational improvements to enhance efficiency and effectiveness of Case Management Core 2 team.Monitoring and assessing staff’s compliance with the Company’s rules and procedures related to behavior with Patients and Co-workers, attendance, dress code, productivity standards and any other applicable instruction provided by Company’s management. Performs other duties as assigned.Minimum Requirements:
2 years of leadership/people management experience is requiredDemonstrated track record of meeting/exceeding goalsPrior experience working in Specialty Pharmacy preferredPharmacy Technician Associate Degree -Pharmacy license and registrationBachelor’s degree in healthcare or business-related field (preferred)EEOC F/M/V/D
Under the leadership of the Operations Director the main objective of this role is to provide ongoing oversight of the Case Management Core 2 Team which includes Inflammatory, Osteoporosis /Osteoarthritis, Floater and Zero refill resources. This team is accountable for initial interview and following up with patient or MD office to obtain additional information/documentation to be able to process claim. This team will also be responsible for working medication refills. The Manager will manage all aspects of the department functions, including personnel, systems, initial and on going training and employee development.
Responsibilities include but are not limited to:
Holds self and others accountable for measurable high quality and timely .Develops/refines processes and procedures and ensures they are consistently applied across the Case Management Core 2 Team.Leads Change – acts as a catalyst for organizational change and employee engagement.Makes decisions that produce high quality results by applying technical knowledge, analyzing problems and calculating risks.Partners with other Operations teams to ensure quick turnaround of referralAssesses and analyses team performance, identifies performance gaps and provides feedback and coachingResponsible for leading a team through teaching, coaching and inspiring by fostering a sense of energy, ownership and a responsibility for the flawless execution of commercial excellence; engage in the selection and hiring process as needed. Administers company personnel policies and follows company staffing standardsEnforcing policies and procedures to include business standards, maintaining customer satisfaction levels and improving quality of service.Collaborates with key business partners on process and or operational improvements to enhance efficiency and effectiveness of Case Management Core 2 team.Monitoring and assessing staff’s compliance with the Company’s rules and procedures related to behavior with Patients and Co-workers, attendance, dress code, productivity standards and any other applicable instruction provided by Company’s management. Performs other duties as assigned.Minimum Requirements:
2 years of leadership/people management experience is requiredDemonstrated track record of meeting/exceeding goalsPrior experience working in Specialty Pharmacy preferredPharmacy Technician Associate Degree -Pharmacy license and registrationBachelor’s degree in healthcare or business-related field (preferred)EEOC F/M/V/D
Read LessIn general, a Pre-Authorization Coordinator will be responsible for the following tasks:
Gather ALL necessary information and supporting documents to comply with MCO requests in order to promptly determine treatment Authorization or Denial. Contact insurance companies or other payers to complete prior authorization requirements, identify the co- payment structure and investigate coverage and benefits; Communicating with patients to inform co-pay/deductible amount. and informing about Alivia’s Patient Assistance Programs (PAP). Referring to PAP, as appropriate. Conduct benefit coordination on behalf of patients, when applicable Determine patient eligibility Request authorization modifications, as needed. Index documents in patients’ records in a timely manner Respond to incoming calls with excellent customer service standards and following up with pending tasks (internal or external); Meet management’s production standards, whether quantitative or qualitativeMinimum requirements:
Associate Degree Diploma with valid license as Pharmacy Technician is required. Minimum 1-year experience in customer service with knowledge of access processes to the most preferred benefits. Experience working with pre authorization processes or health plans is preferred.**EEOC F/M/D/V***
In general, a Pre-Authorization Coordinator will be responsible for the following tasks:
Gather ALL necessary information and supporting documents to comply with MCO requests in order to promptly determine treatment Authorization or Denial. Contact insurance companies or other payers to complete prior authorization requirements, identify the co- payment structure and investigate coverage and benefits; Communicating with patients to inform co-pay/deductible amount. and informing about Alivia’s Patient Assistance Programs (PAP). Referring to PAP, as appropriate. Conduct benefit coordination on behalf of patients, when applicable Determine patient eligibility Request authorization modifications, as needed. Index documents in patients’ records in a timely manner Respond to incoming calls with excellent customer service standards and following up with pending tasks (internal or external); Meet management’s production standards, whether quantitative or qualitativeMinimum requirements:
Associate Degree Diploma with valid license as Pharmacy Technician is required. Minimum 1-year experience in customer service with knowledge of access processes to the most preferred benefits. Experience working with pre authorization processes or health plans is preferred.**EEOC F/M/D/V***
Read LessJOB SUMMARY & RESPONSABILITIES:
The Staff Pharmacist – Specialty Pharmacy is the professional in charge of supervising the Pharmacy Department (prescription area) in the absence of the Managing Pharmacist. They are responsible for leading the functions of the pharmacy technicians in the unit where they work. They must be capable of handling different situations with employees, visitors, and resolving issues in a framework of professionalism using judgment and common sense to make decisions. They must comply with all laws and regulations applicable to the pharmacy.
Responsibilities include, but are not limited to the following:
Ensure the dispensing of medical prescriptions within a correct and appropriate framework as per applicable regulations.Provide and maintain pharmaceutical services. E.g., Adherence Programs, Vaccination, etc.Assist the managing pharmacist in the daily tasks of the prescription area, including supervising the employees during their work shift.Educate patients on the appropriate use of their medications.Handle and resolve issues, complaints, and questions from patients promoting customer trust and loyalty.Ensure compliance with applicable laws, regulations, and corporate policies.Ensure proper handling of the controlled substances inventory.Use the prescription drug monitoring program (PDMP) to ensure the appropriate dispensing of controlled substance prescriptions.Interact with physicians to obtain additional information about patients and their prescriptions.Maintain the cleanliness, neatness, efficiency, and safety of the prescription area.Ensure excellent patient service by all pharmacy staff.Model and provide leadership and development for pharmacy staff.REQUIRED PROFESSIONAL EXPERIENCE & PROFESSIONAL COMPETENCIES:
Education and Experience:
Bachelor's degree (BS Pharm) Doctorate in Pharmacy (Preferred)Professional license, membership, registration, and diplomas.Minimum 1 year of experience in Community Pharmacy (Preferred)Required Skills:
Ability to resolve matters with purpose and a sense of urgency.Ability to preserve the confidentiality of information related to the patient and the company.Commitment to patient service.Ability to organize and prioritize multiple tasks.Excellent oral and written communication skills.Ability to handle stressful situations and remain calm.Ability to handle multiple tasks for extended periods of work.Proficient in computer use.**EEOC F/M/V/D***
Read LessJOB SUMMARY & RESPONSABILITIES:
The Staff Pharmacist – Specialty Pharmacy is the professional in charge of supervising the Pharmacy Department (prescription area) in the absence of the Managing Pharmacist. They are responsible for leading the functions of the pharmacy technicians in the unit where they work. They must be capable of handling different situations with employees, visitors, and resolving issues in a framework of professionalism using judgment and common sense to make decisions. They must comply with all laws and regulations applicable to the pharmacy.
Responsibilities include, but are not limited to the following:
Ensure the dispensing of medical prescriptions within a correct and appropriate framework as per applicable regulations.Provide and maintain pharmaceutical services. E.g., Adherence Programs, Vaccination, etc.Assist the managing pharmacist in the daily tasks of the prescription area, including supervising the employees during their work shift.Educate patients on the appropriate use of their medications.Handle and resolve issues, complaints, and questions from patients promoting customer trust and loyalty.Ensure compliance with applicable laws, regulations, and corporate policies.Ensure proper handling of the controlled substances inventory.Use the prescription drug monitoring program (PDMP) to ensure the appropriate dispensing of controlled substance prescriptions.Interact with physicians to obtain additional information about patients and their prescriptions.Maintain the cleanliness, neatness, efficiency, and safety of the prescription area.Ensure excellent patient service by all pharmacy staff.Model and provide leadership and development for pharmacy staff.REQUIRED PROFESSIONAL EXPERIENCE & PROFESSIONAL COMPETENCIES:
Education and Experience:
Bachelor's degree (BS Pharm) Doctorate in Pharmacy (Preferred)Professional license, membership, registration, and diplomas.Minimum 1 year of experience in Community Pharmacy (Preferred)Required Skills:
Ability to resolve matters with purpose and a sense of urgency.Ability to preserve the confidentiality of information related to the patient and the company.Commitment to patient service.Ability to organize and prioritize multiple tasks.Excellent oral and written communication skills.Ability to handle stressful situations and remain calm.Ability to handle multiple tasks for extended periods of work.Proficient in computer use.**EEOC F/M/V/D***
Read LessLocation: Buena Vista, Bayamón.
Hours: Monday - Friday, 7:00 a.m. to 9:00 p.m. / Saturdays, 8:00 a.m. to 5:00 p.m.
We’re Looking for Passionate Pharmacy Technicians!Join a community pharmacy where every day you can make a real difference in people’s health and well-being. ????
Your responsibilities will include:
???? Receiving and processing prescriptions.
???? Supporting the pharmacist in dispensing tasks.
???? Providing outstanding patient service.
???? Managing inventory and insurance claims.
???? Requirements:
• High school diploma
• Pharmacy Technician License
• Valid Registration Certificate
If you’re passionate about helping others, providing excellent care, and growing professionally — this opportunity is for you! ????
***Equal Opportunity Employer F/M/D/V***
Read LessHorarios: Lunes a viernes 7:00am a 9:00pm / Sabados 8:00am a 5:00pm
Únete al corazón del cuidado farmacéutico!¿Eres Técnico de Farmacia y te apasiona ayudar a las personas?
Esta es tu oportunidad de formar parte de una farmacia de comunidad, donde cada interacción cuenta y tu labor tiene un impacto real en la salud de los pacientes. ????
Como Técnico de Farmacia serás pieza clave en:
???? Recibir y procesar prescripciones médicas.
???? Ofrecer un servicio excepcional al paciente.
???? Asistir al farmacéutico en tareas de dispensación e inventario.
???? Gestionar reclamaciones a planes médicos y llamadas relacionadas.
???? Mantener el cumplimiento con las regulaciones y credenciales vigentes.
Buscamos personas comprometidas, orientadas al servicio y con deseos de crecer en un ambiente de respeto, colaboración y aprendizaje continuo. ????
???? Requisitos:
• Diploma de escuela superior
• Licencia de Técnico de Farmacia
• Certificado de Registro vigente
???? Si te apasiona servir con empatía y profesionalismo, ¡te invitamos a solicitar hoy y ser parte de nuestra misión de cuidar la salud de nuestra comunidad!
***Equal Opportunity Employer F/M/D/V***
Read LessIn general, the Key Accounts Case Manager will be responsible for the following tasks:
Review and interpret prescriptions to ensure appropriate therapies.
Review medication policies to ensure compliance with requirements for billing purposes.
Transcribe prescription data in preparation for Pharmacist verification.
Contact all new patients to inform them of prior authorization requirements and welcome them to Alivia Specialty Pharmacy.
Gather all necessary information and documents to support the approval request to the Health Plan or PBM.
Communicate and send necessary documents to insurance companies or other payers to fulfill prior authorization requirements.
Answer incoming pharmacy calls with excellent customer service standards and follow up on pending internal or external tasks.
Meet the quantitative and qualitative production standards set by management.
Obtain the patient’s medication list for DUR research.
Submit and review prescription drug insurance claims to be delivered to patients and providers.
Refer to the Patient Assistance Program department in cases where the patient cannot afford deductibles.
Develop relationships and act as a liaison with physicians, patients, infusion centers, manufacturers, and Patient Assistance Programs.
Identify and resolve rejected requests by health plans, including facilitating access to comparable medication regimens; refer to pharmacist in case of potential pharmaceutical alternatives.
Monitor assistance balances for each enrolled patient to ensure funding is available through the completion of therapy (e.g., financial aid).
Communicate medication deductible as applicable.
Maintain continuous communication with the medical office and/or infusion center.
Identify and follow up on refill dates to ensure patients receive medications on time in accordance with the treatment plan.
Other duties: perform or assist with any operation as needed to maintain workflow and meet timelines and quality standards; participate in meetings and working groups prepared by management or colleagues; stay updated on new developments, requirements, and policies.
Escalate any extraordinary situation to the supervisor or manager; availability to attend weekly meetings.
Other duties as assigned by the supervisor.
Minimum Requirements:
Experience in Case Management.
Ability to communicate in English, including reading comprehension, verbal communication, and written communication.
Exemplary communication, customer service, and relationship-building skills with clients; including listening, speaking, and writing in both Spanish and English.
Associate Degree as Pharmacy Technician is required.
Valid Pharmacy Technician license is required.
Specialized training in benefits access and pharmacy/medical requirements is preferred.
EEOC F/M/D/V
Responsabilidades:
Interactúa con los clientes y pacientes saludándolos y ofreciéndoles ayuda con los productos y servicios. Resuelve los problemas de los clientes y responde a sus preguntas para garantizar una experiencia positiva.Registra las compras de los clientes en la caja registradora asignada.Mantiene los mostradores y estantes limpios. Registra y etiqueta los precios de los productos según sea necesario o según lo indique el gerente de la tienda o lo comunique el jefe de turno.Tiene conocimientos sobre los sistemas y equipos de la tienda.Presta servicio al cliente en el área de fotografía, cobro de cheques, gestión de loterías,gestión de programas OTC, UVA, etc.
Ayuda con el mantenimiento exterior e interior, garantizando que la tienda esté limpia y ordenada
y tenga un aspecto impecable.
Requesitos:
Diploma de Escuela Superior y/o 6 meses de experiencia de tiendas al detal preferible.***Patrono con Igualdad de Oportunidades de Empleo M/H/V/I***
Read Less