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    Medical Billing Specialist - Guaynabo, Puerto Rico  

    - 00968
    Job DescriptionJob DescriptionLocation: Guaynabo, Puerto Rico. The RCM... Read More
    Job DescriptionJob Description

    Location: Guaynabo, Puerto Rico.

    The RCM Data Specialist will be responsible for working on the Avizzor portal, where they will audit and assign the billing of managed plans to the corresponding "Queques", as well as transmit cases in "Accepted" status.


    Responsibilities:

    Check that each invoice has the supporting documents required by Avizzor. If any document is missing, locate it in CPR+ and attach it to the invoice.Validate that the total charges for each invoice are the same in CPR+ and Avizzor. Notify your Supervisor in case of discrepancy.Check that the service date is the same as the "Delivery Ticket" and that the prescription date matches the indexed one.Verify that the authorization number (PA) reported in Avizzor matches the attached authorization.Send all invoices that have "Accepted" status in Avizzor.Provide support and assistance in other tasks as necessary.


    Required:

    High School Diploma. Certification as a medical plan biller or equivalent to 2 years of experience in billing.


    ***EEOC F/M/D/V***



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    Account Manager  

    - 00968
    Job DescriptionJob DescriptionPOSITION SUMMARYThe Account Manager repo... Read More
    Job DescriptionJob Description

    POSITION SUMMARY

    The Account Manager reports to the Accounts Director and is responsible for overseeing all matters related to PharmPix clients and servicing. The Account Manager is the point of contact between our company and our clients to help solve problems and achieve business goals for their assigned accounts.

    ESSENTIAL ROLES AND RESPONSIBILITIES

    Act as the main point of contact in all matters relating to client concerns and needs.Build and strengthen client relationships to achieve long-term partnerships and acquire new customers. Develop trusted advisor relationships with key accounts, customer stakeholders and executive sponsors.Develop a thorough understanding of our service offerings to better upsell and cross-sell to clients.Meet regularly with other members of the team to discuss progress and find new ways to improve business.Ensure the timely and successful delivery of our solutions according to customer needs and objectives.Clearly communicate the progress of monthly/quarterly initiatives to internal and external stakeholders.Forecast and track key account metrics.Provides proactive and strategic support for achieving business goals and ensuring deliverables are on time in full (OTIF) and meet the quality levels expected by internal and external customers. Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizationsLiaise between the customer and internal teams. Assist with challenging client requests or issue escalations as needed.Provide oversight of projects and client initiatives and assist in the interpretation and context of client requests.Responsible for the daily monitoring and updating of Account Management MS Planners and Power BI Dashboards. Maintains a complete understanding of client contract terms including the monitoring, reporting of performance guarantees and service improvements. Ensures that all assigned contracts are monitored and reported as stated in the terms. Coordinates client training on appropriate systems, tools, and other services available when required. Accountable for providing direction, monitoring progress, promoting teamwork and effective communication for the Key Account Specialist. Responsible for setting and documenting annual goals in ADP platform. Other projects and duties as assigned by the Accounts Director and/or the Executive team.

    TRAINING & EDUCATION

    Bachelor’s degree in business or healthcare related field; or equivalent work experience.Master’s degree a plus.

    LICENSURE / CERTIFICATION

    Not applicable.

    PROFESSIONAL EXPERIENCE

    4 + years’ experience in the health insurance industry, PBM or professional job-related experience4 years client services or account management is preferred.

    PROFESSIONAL COMPETENCIES

    Knowledge:

    A thorough understanding of the managed care industries from the perspective of a PBM as well as providers of care. Knowledge of the purposes, organization and policies of the community’s health care delivery and pharmacy regulations/regulatory agencies.Fully bilingual English and Spanish.Proficiency in Microsoft Office.

    Skills:

    Must be detail oriented and highly organized.Manage multiple priorities and work independently or in a team in a fast-paced environment.Possess a high degree of initiative, judgment, discretion, and decision-making to achieve organizational objectives.Effective and Strong verbal, written and presentation communication skills.Demonstrate ability to develop strong working relationships. Customer focus and ability to meet client expectations. Skills in negotiations and diplomacy.

    Abilities:

    Ability to engender a team spirit at all levels of the organization.Ability to organize and integrate organizational priorities and deadlines.Ability to work independently or part of a team. Demonstrate ability to establish and maintain quality control standards.Ability to develop and maintain productive relationships with other internal departments, PharmPix clients and other health care professionals. Ability to manage people and provide team leadership.

    PHYSICAL AND MENTAL DEMANDS

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear, sitting, standing, and walking.The position requires that weight be lifted, and force be exerted up to 25 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    PharmPix is an Equal Employment Opportunity Employer Minorities / Females / Disable / Veterans

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    Account Manager  

    - 00968
    Job DescriptionJob DescriptionPOSITION SUMMARYThe Account Manager repo... Read More
    Job DescriptionJob Description

    POSITION SUMMARY

    The Account Manager reports to the Accounts Director and is responsible for overseeing all matters related to PharmPix clients and servicing. The Account Manager is the point of contact between our company and our clients to help solve problems and achieve business goals for their assigned accounts.

    ESSENTIAL ROLES AND RESPONSIBILITIES

    Act as the main point of contact in all matters relating to client concerns and needs.Build and strengthen client relationships to achieve long-term partnerships and acquire new customers. Develop trusted advisor relationships with key accounts, customer stakeholders and executive sponsors.Develop a thorough understanding of our service offerings to better upsell and cross-sell to clients.Meet regularly with other members of the team to discuss progress and find new ways to improve business.Ensure the timely and successful delivery of our solutions according to customer needs and objectives.Clearly communicate the progress of monthly/quarterly initiatives to internal and external stakeholders.Forecast and track key account metrics.Provides proactive and strategic support for achieving business goals and ensuring deliverables are on time in full (OTIF) and meet the quality levels expected by internal and external customers. Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizationsLiaise between the customer and internal teams. Assist with challenging client requests or issue escalations as needed.Provide oversight of projects and client initiatives and assist in the interpretation and context of client requests.Responsible for the daily monitoring and updating of Account Management MS Planners and Power BI Dashboards. Maintains a complete understanding of client contract terms including the monitoring, reporting of performance guarantees and service improvements. Ensures that all assigned contracts are monitored and reported as stated in the terms. Coordinates client training on appropriate systems, tools, and other services available when required. Accountable for providing direction, monitoring progress, promoting teamwork and effective communication for the Key Account Specialist. Responsible for setting and documenting annual goals in ADP platform. Other projects and duties as assigned by the Accounts Director and/or the Executive team.

    TRAINING & EDUCATION

    Bachelor’s degree in business or healthcare related field; or equivalent work experience.Master’s degree a plus.

    LICENSURE / CERTIFICATION

    Not applicable.

    PROFESSIONAL EXPERIENCE

    4 + years’ experience in the health insurance industry, PBM or professional job-related experience4 years client services or account management is preferred.

    PROFESSIONAL COMPETENCIES

    Knowledge:

    A thorough understanding of the managed care industries from the perspective of a PBM as well as providers of care. Knowledge of the purposes, organization and policies of the community’s health care delivery and pharmacy regulations/regulatory agencies.Fully bilingual English and Spanish.Proficiency in Microsoft Office.

    Skills:

    Must be detail oriented and highly organized.Manage multiple priorities and work independently or in a team in a fast-paced environment.Possess a high degree of initiative, judgment, discretion, and decision-making to achieve organizational objectives.Effective and Strong verbal, written and presentation communication skills.Demonstrate ability to develop strong working relationships. Customer focus and ability to meet client expectations. Skills in negotiations and diplomacy.

    Abilities:

    Ability to engender a team spirit at all levels of the organization.Ability to organize and integrate organizational priorities and deadlines.Ability to work independently or part of a team. Demonstrate ability to establish and maintain quality control standards.Ability to develop and maintain productive relationships with other internal departments, PharmPix clients and other health care professionals. Ability to manage people and provide team leadership.

    PHYSICAL AND MENTAL DEMANDS

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear, sitting, standing, and walking.The position requires that weight be lifted, and force be exerted up to 25 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    PharmPix is an Equal Employment Opportunity Employer Minorities / Females / Disable / Veterans

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    Pharmacy Help Desk Call Center Representative  

    - 00968
    Job DescriptionJob DescriptionPOSITION SUMMARYThe Pharmacy Help Desk C... Read More
    Job DescriptionJob Description

    POSITION SUMMARY

    The Pharmacy Help Desk Call Center Representative reports to the Pharmacy Help Desk Call Center Supervisor and is responsible to provide a customer service by telephone of incoming and outbound calls to providers, beneficiaries and pharmacies.

    ESSENTIALS ROLES AND RESPONSIBILITIES

    Answer incoming pharmacy calls regarding issues related to a claim transaction, reimbursement, payment, and other required information in accordance with PharmPix Pharmacy Help Desk Call Center performance metrics.Answer incoming providers’ and beneficiaries’ calls following Call Center scripts, in a timely matter and in accordance with PharmPix call center performance metrics.Answer incoming calls and perform outbound calls according to HIPAA and Pharmacy Laws Standards.Identify pharmacies, providers and beneficiaries needs, clarify information, research every issue and providing solutions.Document all inquiries in the Customer Service Management Applications such as, Service Desk, OneArk and email.Route the case to the corresponding internal department or the appropriate Health Insurance Carrier.Guide pharmacies, providers and beneficiaries regarding the process of claim transmission, reimbursement and payment.Constantly monitors the BACMAN Alert Application to ensure proper management of rejections at point of sale.Evaluate on an individual basis to determine if the patient meets the criteria for a coverage determination for alerts such as DURs (Drug Utilization Reviews), HMO (Health Maintenance Organization) among other rejections evaluations required by business.Identify system issues and route to the corresponding internal department.Make outbound calls to pharmacies, providers and beneficiaries if necessary.Support all Quality Management Program initiatives.Perform Special projects and/or other duties assigned by the Operations Manager and or Pharmacy Help Desk Call Center Supervisor.

    TRAINING & EDUCATION

    Pharmacy Technician, Technical or Associate Degree

    LICENSURE / CERTIFICATION

    Puerto Rico Board of Pharmacy Technician Registry Certificate (CPhT), or prospect.

    PROFESSIONAL EXPERIENCE

    1 - 2-year customer service or call center experience and healthcare environment (Preferable).

    PROFESSIONAL COMPETENCIES

    Knowledge:

    Fully Bilingual (Spanish / English written and verbal).PC skills (Microsoft System)/System oriented.

    Skills:

    Strong customer service skills.Excellent phone, written, active listening and follow-through skills.Skill in analyzing situations accurately and taking effective action.Attention to details.Time Management Skills: Establishing priorities and accomplishing tasks in a timely manner.Ability to work with others to reach a solution.Be able to toggle between several software programs.Demonstrated effective organizational skills.

    Abilities:

    Able to effectively interact with internal departments, PharmPix clients, members and other healthcare professionals.Ability to work with others to reach a solution.Be able to toggle between several software programs.Ability to work in a fast-paced environment and multitask.

    PHYSICAL AND MENTAL DEMANDS

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear, sitting, standing and walking.The position requires that weight be lifted and force be exerted up to 25 pounds.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    ENVIRONMENTAL AND WORKING CONDITIONS

    This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. Require evening or weekend work.


    PharmPix is an Equal Employment Opportunity Employer Minorities / Females / Disable / Veterans

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    Pharmacy Help Desk Call Center Representative  

    - 00968
    Job DescriptionJob DescriptionPOSITION SUMMARYThe Pharmacy Help Desk C... Read More
    Job DescriptionJob Description

    POSITION SUMMARY

    The Pharmacy Help Desk Call Center Representative reports to the Pharmacy Help Desk Call Center Supervisor and is responsible to provide a customer service by telephone of incoming and outbound calls to providers, beneficiaries and pharmacies.

    ESSENTIALS ROLES AND RESPONSIBILITIES

    Answer incoming pharmacy calls regarding issues related to a claim transaction, reimbursement, payment, and other required information in accordance with PharmPix Pharmacy Help Desk Call Center performance metrics.Answer incoming providers’ and beneficiaries’ calls following Call Center scripts, in a timely matter and in accordance with PharmPix call center performance metrics.Answer incoming calls and perform outbound calls according to HIPAA and Pharmacy Laws Standards.Identify pharmacies, providers and beneficiaries needs, clarify information, research every issue and providing solutions.Document all inquiries in the Customer Service Management Applications such as, Service Desk, OneArk and email.Route the case to the corresponding internal department or the appropriate Health Insurance Carrier.Guide pharmacies, providers and beneficiaries regarding the process of claim transmission, reimbursement and payment.Constantly monitors the BACMAN Alert Application to ensure proper management of rejections at point of sale.Evaluate on an individual basis to determine if the patient meets the criteria for a coverage determination for alerts such as DURs (Drug Utilization Reviews), HMO (Health Maintenance Organization) among other rejections evaluations required by business.Identify system issues and route to the corresponding internal department.Make outbound calls to pharmacies, providers and beneficiaries if necessary.Support all Quality Management Program initiatives.Perform Special projects and/or other duties assigned by the Operations Manager and or Pharmacy Help Desk Call Center Supervisor.

    TRAINING & EDUCATION

    Pharmacy Technician, Technical or Associate Degree

    LICENSURE / CERTIFICATION

    Puerto Rico Board of Pharmacy Technician Registry Certificate (CPhT), or prospect.

    PROFESSIONAL EXPERIENCE

    1 - 2-year customer service or call center experience and healthcare environment (Preferable).

    PROFESSIONAL COMPETENCIES

    Knowledge:

    Fully Bilingual (Spanish / English written and verbal).PC skills (Microsoft System)/System oriented.

    Skills:

    Strong customer service skills.Excellent phone, written, active listening and follow-through skills.Skill in analyzing situations accurately and taking effective action.Attention to details.Time Management Skills: Establishing priorities and accomplishing tasks in a timely manner.Ability to work with others to reach a solution.Be able to toggle between several software programs.Demonstrated effective organizational skills.

    Abilities:

    Able to effectively interact with internal departments, PharmPix clients, members and other healthcare professionals.Ability to work with others to reach a solution.Be able to toggle between several software programs.Ability to work in a fast-paced environment and multitask.

    PHYSICAL AND MENTAL DEMANDS

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear, sitting, standing and walking.The position requires that weight be lifted and force be exerted up to 25 pounds.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    ENVIRONMENTAL AND WORKING CONDITIONS

    This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. Require evening or weekend work.


    PharmPix is an Equal Employment Opportunity Employer Minorities / Females / Disable / Veterans

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    Pharmacy Technician - Adherence  

    - 00968
    Job DescriptionJob DescriptionThe Patient Care Technician is responsib... Read More
    Job DescriptionJob Description

    The Patient Care Technician is responsible for supporting Farmacias Plaza patients with on-time medication refills for the conditions included in the Centers for Medicare and Medicaid (CMS) STARs Program, currently Cholesterol, High Blood Pressure, and oral Diabetes, as well as other conditions and Health Plans as assigned. Each Pharmacy Benefits Manager (PBM) and Managed Care Organization (MCO) provide unique tools and programs for pharmacies that are tailored to meet the needs of their members. Adherence-based oversee topics may include on-time refills, expiring prescriptions, 90-day conversions, medication synchronization, barriers to adherence, STARS delivery, will- call bin monitoring, among other

    Other Responsibilities:

    • Balance inbound and outbound calls continuously throughout the workday.

    • Achieve call resolution on topics not requiring a pharmacist intervention.

    • Refer patients and situations to a pharmacist as required.

    • Coordinate the delivery of medications to the patient’s home or preferred location.

    • Use Pharmacy System, currently PrimeRx, to conduct research necessary prior to and during patient calls; process/reverse claims as necessary.


    Required:

    • Associate degree in pharmacy technician

    • Pharmacy Technician License

    • Registration Certificate



    *Equal Opportunity Employer M/F/V/D*


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    Delivery Coordination Associate  

    - 00968
    Job DescriptionJob DescriptionThe Delivery Coordination Associate (DCA... Read More
    Job DescriptionJob Description

    The Delivery Coordination Associate (DCA) is an office-based position that plays a key role in patient and provider customer service. The DCA must coordinate the administration of a treatment, whether in a Doctor’s Office, or at another designated site. The DCA must ensure patient and prescriber’s satisfaction through personal attention, and an efficient, transparent and simple process from end to end.

    They must answer questions and inquiries, troubleshoot problems, provide information and handle complaints in order to improve service. DCA are required to make outbound calls to follow up with patients and HCP offices.

    Responsibilities include, but are not limited to:

    Ensure timely delivery of medication by:Upon health plan and/or PAP approval, contacting the patient, their representative and/or HCP office to agree on medication delivery date, time, and location. (Please note patients may prefer to pick up their medication at the pharmacy)Communicating and obtaining, or coordinating to obtain, patient co-pay/deductible responsibility, if anySecuring location of original prescription, always reminding patients and HCPs that no medication can be delivered if the original prescription is not on file at the pharmacyIdentifying due dates and refill dates to build and sustain a delivery pipeline, without missing a treatment date. Following up on customer calls where required. Researching required information using available resources.Handling and resolving customer complaints.Identifying, escalating priority issues and reporting to the high-level management.Completing detailed and specific call notes as necessary, updating them in CPR+.Obtaining documenting and reporting relevant data to handle complaints and inquiries.Managing administration, communicating and coordinating with internal departments.Meet management’s production standards, whether quantitative or qualitative

    Other analogous duties may be assigned from time to time as needed by Alivia.


    Minimum requirements:

    High School Diploma requiredGreat communicator at all levels, including but not limited to physicians, office staff, patients and their caregivers;Able to work effectively in team matrixes with limited supervision;


    EEOC F/M/D/V

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    Delivery Coordination Associate  

    - 00968
    Job DescriptionJob DescriptionThe Delivery Coordination Associate (DCA... Read More
    Job DescriptionJob Description

    The Delivery Coordination Associate (DCA) is an office-based position that plays a key role in patient and provider customer service. The DCA must coordinate the administration of a treatment, whether in a Doctor’s Office, or at another designated site. The DCA must ensure patient and prescriber’s satisfaction through personal attention, and an efficient, transparent and simple process from end to end.

    They must answer questions and inquiries, troubleshoot problems, provide information and handle complaints in order to improve service. DCA are required to make outbound calls to follow up with patients and HCP offices.

    Responsibilities include, but are not limited to:

    Ensure timely delivery of medication by:Upon health plan and/or PAP approval, contacting the patient, their representative and/or HCP office to agree on medication delivery date, time, and location. (Please note patients may prefer to pick up their medication at the pharmacy)Communicating and obtaining, or coordinating to obtain, patient co-pay/deductible responsibility, if anySecuring location of original prescription, always reminding patients and HCPs that no medication can be delivered if the original prescription is not on file at the pharmacyIdentifying due dates and refill dates to build and sustain a delivery pipeline, without missing a treatment date. Following up on customer calls where required. Researching required information using available resources.Handling and resolving customer complaints.Identifying, escalating priority issues and reporting to the high-level management.Completing detailed and specific call notes as necessary, updating them in CPR+.Obtaining documenting and reporting relevant data to handle complaints and inquiries.Managing administration, communicating and coordinating with internal departments.Meet management’s production standards, whether quantitative or qualitative

    Other analogous duties may be assigned from time to time as needed by Alivia.


    Minimum requirements:

    High School Diploma requiredGreat communicator at all levels, including but not limited to physicians, office staff, patients and their caregivers;Able to work effectively in team matrixes with limited supervision;


    EEOC F/M/D/V

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    Strategic Sourcing Partner  

    - 00968
    Job DescriptionJob DescriptionThe Strategic Sourcing Partner is accoun... Read More
    Job DescriptionJob Description

    The Strategic Sourcing Partner is accountable for sourcing, attracting, and interviewing prospective talents for specialized and leadership roles. The Strategic Sourcing Partner (SSP) will work with hiring managers to ensure they have a diverse set of qualified individuals. Will support interactions with business units to determine accurate profiles and levels for recruitment needs. The SSP will devise and implement sourcing strategies which are designed for long-term success in the industry by building pipelines through innovative processes within the employer branding.

    Responsibilities include, but are not limited to the following:

    Develop and maintain a strong business relationship with internal customers and business units’ leaders.Provides counsel to hiring managers as relates to job titles (in conjunction with Total Rewards), job posting and marketing of opportunities across digital channels and potential referral partners. Ensures recruitment activities are underpinned by Alivia’s Employer Branding and Patients First mission.Continuously uses analytical data such as metrics to create and implement recruitment strategies.Monitors internal trends that may lead to increased turnover or other recruitment challenges for certain roles. Consults with client company or organization to understand the requirements, duties, and qualifications desired for the specified vacant position(s).Develop and implement “out-of-box” and innovative strategies for talent acquisition process by partnership with marketing and other sourcing agencies.Collects and analyzes data to maintain current understanding of fair and competitive market compensation, candidate availability, and demand for candidates in particular fields.Consults data and records to identify and select potential candidates for vacant positions.Screens candidates, selects qualified and interested candidates for the interviewing phase, and then connects viable candidates with clients or hiring managers.Checks candidates’ references and credentials, verifying experience and backgrounds.Counsels’ candidates on the interview and hiring process.Organizes and attends job fairs, campus events, social media recruitment and other networking opportunities.Accountable for the success of Internship Program within Alivia’s business units.Follows up with clients or hiring managers after the interview process to determine whether a placement can be made; collects feedback when placement is unsuccessful.Arranges meeting locations for applicants and company managers when necessary.Maintains and ensures compliance with applicable equal employment opportunity (EEO) and related employment laws and regulations. Gather, analyze, and report metrics analytics to ensure recruitment trends, and candidate experience are met.Performs other related duties as assigned.


    Required:

    Bachelor’s Degree in Human Resources, Industrial Psychology, Marketing, or related field required.Master’s degree in Business Administration or related field preferred.5+ years of experience in recruitment, career placement or related area with a focus on complex roles (IT, specialized therapeutic areas and / or sales required.SHRM-CP or PHR. (preferred)Excellent verbal and written communication skills in Spanish and English with aptitude in conducting interviews.Excellent customer service and negotiation skills.Proven skills in anticipation, proactiveness and business savviness.May need to stand up for more than 8 hours during special events outside of the officeTravel might be required for attending conferences, seminars, or industry-related events.

    ***Equal Opportunity Employer M/F/V/D***

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    Strategic Sourcing Partner  

    - 00968
    Job DescriptionJob DescriptionThe Strategic Sourcing Partner is accoun... Read More
    Job DescriptionJob Description

    The Strategic Sourcing Partner is accountable for sourcing, attracting, and interviewing prospective talents for specialized and leadership roles. The Strategic Sourcing Partner (SSP) will work with hiring managers to ensure they have a diverse set of qualified individuals. Will support interactions with business units to determine accurate profiles and levels for recruitment needs. The SSP will devise and implement sourcing strategies which are designed for long-term success in the industry by building pipelines through innovative processes within the employer branding.

    Responsibilities include, but are not limited to the following:

    Develop and maintain a strong business relationship with internal customers and business units’ leaders.Provides counsel to hiring managers as relates to job titles (in conjunction with Total Rewards), job posting and marketing of opportunities across digital channels and potential referral partners. Ensures recruitment activities are underpinned by Alivia’s Employer Branding and Patients First mission.Continuously uses analytical data such as metrics to create and implement recruitment strategies.Monitors internal trends that may lead to increased turnover or other recruitment challenges for certain roles. Consults with client company or organization to understand the requirements, duties, and qualifications desired for the specified vacant position(s).Develop and implement “out-of-box” and innovative strategies for talent acquisition process by partnership with marketing and other sourcing agencies.Collects and analyzes data to maintain current understanding of fair and competitive market compensation, candidate availability, and demand for candidates in particular fields.Consults data and records to identify and select potential candidates for vacant positions.Screens candidates, selects qualified and interested candidates for the interviewing phase, and then connects viable candidates with clients or hiring managers.Checks candidates’ references and credentials, verifying experience and backgrounds.Counsels’ candidates on the interview and hiring process.Organizes and attends job fairs, campus events, social media recruitment and other networking opportunities.Accountable for the success of Internship Program within Alivia’s business units.Follows up with clients or hiring managers after the interview process to determine whether a placement can be made; collects feedback when placement is unsuccessful.Arranges meeting locations for applicants and company managers when necessary.Maintains and ensures compliance with applicable equal employment opportunity (EEO) and related employment laws and regulations. Gather, analyze, and report metrics analytics to ensure recruitment trends, and candidate experience are met.Performs other related duties as assigned.


    Required:

    Bachelor’s Degree in Human Resources, Industrial Psychology, Marketing, or related field required.Master’s degree in Business Administration or related field preferred.5+ years of experience in recruitment, career placement or related area with a focus on complex roles (IT, specialized therapeutic areas and / or sales required.SHRM-CP or PHR. (preferred)Excellent verbal and written communication skills in Spanish and English with aptitude in conducting interviews.Excellent customer service and negotiation skills.Proven skills in anticipation, proactiveness and business savviness.May need to stand up for more than 8 hours during special events outside of the officeTravel might be required for attending conferences, seminars, or industry-related events.

    ***Equal Opportunity Employer M/F/V/D***

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    Strategic Sourcing Partner  

    - 00968
    Job DescriptionJob DescriptionEl Strategic Sourcing Partner es respons... Read More
    Job DescriptionJob Description

    El Strategic Sourcing Partner es responsable de buscar, atraer y entrevistar a posibles candidatos para puestos especializados y de liderazgo. El socio estratégico de contratación (SSP) trabajará con los responsables de contratación para garantizar que dispongan de un conjunto diverso de personas cualificadas. Apoyará las interacciones con las unidades de negocio para determinar los perfiles y niveles adecuados para las necesidades de contratación. El SSP diseñará y aplicará estrategias de contratación pensadas para el éxito a largo plazo en el sector, creando canales de comunicación mediante procesos innovadores dentro de la marca del empleador.

    Responsabilidades:

    Desarrollar y mantener una sólida relación comercial con los clientes internos y los líderes de las unidades de negocio.Asesorar a los responsables de contratación en lo relativo a los puestos de trabajo (en colaboración con Total Rewards), la publicación de ofertas de empleo y la comercialización de oportunidades a través de canales digitales y posibles socios de referencia.Garantizar que las actividades de contratación se basen en la misión de Alivia de «Employer Branding» y «Patients First».Utilizar continuamente datos analíticos, como métricas, para crear e implementar estrategias de contratación. Supervisar las tendencias internas que puedan dar lugar a un aumento de la rotación de personal u otros retos de contratación para determinados puestos.Consultar con la empresa u organización cliente para comprender los requisitos, las funciones y las cualificaciones deseadas para los puestos vacantes especificados.Desarrollar e implementar estrategias innovadoras y «fuera de lo común» para el proceso de adquisición de talento mediante la colaboración con agencias de marketing y otras agencias de selección de personal. Recopila y analiza datos para mantener un conocimiento actualizado de la remuneración justa y competitiva del mercado, la disponibilidad de candidatos y la demanda de candidatos en campos específicos.Consulta datos y registros para identificar y seleccionar candidatos potenciales para los puestos vacantes.Preselecciona a los candidatos, selecciona a los candidatos cualificados e interesados para la fase de entrevistas y, a continuación, pone en contacto a los candidatos viables con los clientes o los responsables de contratación.Comprueba las referencias y credenciales de los candidatos, verificando su experiencia y trayectoria.Asesora a los candidatos sobre el proceso de entrevista y contratación.


    Requisitos:

    Bachillerato en Recursos Humanos, Psicología Industrial, Marketing o un campo relacionado.Maestría en Administración de Empresas o un campo relacionado (preferido).5 o más, años de experiencia en reclutamiento, colocación profesional o un área relacionada, con un enfoque en puestos complejos (IT, áreas terapéuticas especializadas y/o ventas).SHRM-CP o PHR. (preferible)Excelentes habilidades de comunicación verbal y escrita en español e inglés, con aptitud para realizar entrevistas.Excelentes habilidades de atención al cliente y negociación.Habilidades demostradas en anticipación, proactividad y conocimientos empresariales.Es posible que sera necesario permanecer de pie durante más de 8 horas durante eventos especiales fuera de la oficina.Es posible que sera necesario viajar para asistir a conferencias, seminarios o eventos relacionados con el sector.


    ***Patrono con Igualdad de Oportunidades de Empleo M/H/V/I***




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    Strategic Sourcing Partner  

    - 00968
    Job DescriptionJob DescriptionEl Strategic Sourcing Partner es respons... Read More
    Job DescriptionJob Description

    El Strategic Sourcing Partner es responsable de buscar, atraer y entrevistar a posibles candidatos para puestos especializados y de liderazgo. El socio estratégico de contratación (SSP) trabajará con los responsables de contratación para garantizar que dispongan de un conjunto diverso de personas cualificadas. Apoyará las interacciones con las unidades de negocio para determinar los perfiles y niveles adecuados para las necesidades de contratación. El SSP diseñará y aplicará estrategias de contratación pensadas para el éxito a largo plazo en el sector, creando canales de comunicación mediante procesos innovadores dentro de la marca del empleador.

    Responsabilidades:

    Desarrollar y mantener una sólida relación comercial con los clientes internos y los líderes de las unidades de negocio.Asesorar a los responsables de contratación en lo relativo a los puestos de trabajo (en colaboración con Total Rewards), la publicación de ofertas de empleo y la comercialización de oportunidades a través de canales digitales y posibles socios de referencia.Garantizar que las actividades de contratación se basen en la misión de Alivia de «Employer Branding» y «Patients First».Utilizar continuamente datos analíticos, como métricas, para crear e implementar estrategias de contratación. Supervisar las tendencias internas que puedan dar lugar a un aumento de la rotación de personal u otros retos de contratación para determinados puestos.Consultar con la empresa u organización cliente para comprender los requisitos, las funciones y las cualificaciones deseadas para los puestos vacantes especificados.Desarrollar e implementar estrategias innovadoras y «fuera de lo común» para el proceso de adquisición de talento mediante la colaboración con agencias de marketing y otras agencias de selección de personal. Recopila y analiza datos para mantener un conocimiento actualizado de la remuneración justa y competitiva del mercado, la disponibilidad de candidatos y la demanda de candidatos en campos específicos.Consulta datos y registros para identificar y seleccionar candidatos potenciales para los puestos vacantes.Preselecciona a los candidatos, selecciona a los candidatos cualificados e interesados para la fase de entrevistas y, a continuación, pone en contacto a los candidatos viables con los clientes o los responsables de contratación.Comprueba las referencias y credenciales de los candidatos, verificando su experiencia y trayectoria.Asesora a los candidatos sobre el proceso de entrevista y contratación.


    Requisitos:

    Bachillerato en Recursos Humanos, Psicología Industrial, Marketing o un campo relacionado.Maestría en Administración de Empresas o un campo relacionado (preferido).5 o más, años de experiencia en reclutamiento, colocación profesional o un área relacionada, con un enfoque en puestos complejos (IT, áreas terapéuticas especializadas y/o ventas).SHRM-CP o PHR. (preferible)Excelentes habilidades de comunicación verbal y escrita en español e inglés, con aptitud para realizar entrevistas.Excelentes habilidades de atención al cliente y negociación.Habilidades demostradas en anticipación, proactividad y conocimientos empresariales.Es posible que sera necesario permanecer de pie durante más de 8 horas durante eventos especiales fuera de la oficina.Es posible que sera necesario viajar para asistir a conferencias, seminarios o eventos relacionados con el sector.


    ***Patrono con Igualdad de Oportunidades de Empleo M/H/V/I***




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    Pharmacy Technician - Case Management Associate  

    - 00968
    Job DescriptionJob DescriptionIn general, a Case Manager will be respo... Read More
    Job DescriptionJob Description

    In general, a Case Manager will be responsible for the following tasks:

    Review and interpret doctor's prescription orders to ensure appropriate therapies; Transcribe prescription data in preparation for pharmacist verification; Provide administrative support of Pharmacy as assigned and assist in the training of new associates in the Pharmacy; Communicate with all new patients informing them of prescription referrals and welcoming them to the Alivia Specialty Pharmacy;Communicate with patients and HCP offices to ensure all documentation required for timely prescription is made available Respond to incoming calls from the pharmacy, with excellent customer service standards and following up with pending tasks (internal or external); Meet management’s production standards, whether quantitative or qualitativeObtain the patient's medication list for DUR research; Award and review prescription drug insurance claims that will be delivered to patients and providers;

    Other duties: Perform or assist with any operation, as necessary to maintain the workflow and to comply with schedules and quality requirements; Participate in meetings and work groups prepared by management or co-workers. Be knowledge related to new developments, requirements and policies. The CM’s goal is to ensure patient satisfaction through personal attention, and an efficient, transparent and simple process from end to end.

    The CM must tend to the Patient’s needs, questions and concerns with kindness and awareness of their circumstances. As part of said tasks, the Case Manager from time to time may have to also communicate with Doctors (Prescribers), Managed Care Organizations (MCO’s) and authorized caregivers. Attention to precision, compliance with industry standards and efficiency are essential for the safety and care of the patient, working within the limits of standard practice or accepted in a fast-paced Specialty Pharmacy. Perform work assignments in full compliance with and understanding of state and federal laws, as well as the internal policies and procedures that govern the handling, dispensing and distribution of controlled substances.


    Minimum requirements:

    Associate Degree Diploma as Certified Pharmaceutical Technician is required.


    ***EEOC F/M/D/V***

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    IT Security Analyst  

    - 00968
    Job DescriptionJob DescriptionPOSITION SUMMARYThe IT Security Analyst... Read More
    Job DescriptionJob Description

    POSITION SUMMARY

    The IT Security Analyst plays a key role in safeguarding the organization's digital assets and ensuring information systems' confidentiality, integrity, and availability. In addition to monitoring, analyzing, and responding to security incidents and threats, the position oversees access control measures and manages permissions for the organization's corporate domain and applications. Collaborating with cross-functional teams, the IT Security Analyst assesses risks, implements security controls, and ensures compliance with industry standards and regulations.

    ESSENTIAL ROLES AND RESPONSIBILITIES

    User Account Management: Configure and manage user accounts, permissions, and access rights within the organization's IT systems, applications, and network resources.Access Control Inventory: Maintain a comprehensive inventory of all user permissions granted across various IT systems, applications, and network resources.Compliance Support: Support compliance efforts by ensuring user permissions management practices align with regulatory requirements, industry standards, and internal policies.Security Monitoring: Monitor security event logs, alerts, and notifications generated by security systems such as SIEM, IDS/IPS, and endpoint protection solutions.Incident Detection and Investigation: Detect, analyze, and investigate security incidents and anomalies identified through monitoring activities.Threat Intelligence: Utilize threat intelligence feeds to stay ahead of emerging threats and provide actionable recommendations for risk mitigation strategies.Security Controls Implementation: Support implementing security controls, policies, and procedures.Remediation Planning: Assist in implementing remediation plans based on findings from various security assessments.Risk Mitigation: Based on data analysis, research, and emerging technologies, provide recommendations for mitigating information security risks and improving security controls.Collaboration: Collaborate closely with team members to solve security-related issues and improve overall security posture.Other Responsibilities: Perform other job-related duties as assigned.

    EDUCATION & PROFESSIONAL EXPERIENCE

    Bachelor’s degree in computer science, Information Technology, Cybersecurity, or a related field.2-4 years of hands-on experience in IT Security roles.Experience with security tools such as SIEM, Firewalls, Endpoint Protection Solutions, and permission management.Experience working in a highly regulated industry. (preferred)

    LICENSURE / CERTIFICATION

    Technical certifications such as Security+, CySA+, Network+ or equivalent are preferred.

    PROFESSIONAL COMPETENCIES

    Skills:

    Excellent problem-solving and analytical skills with the ability to diagnose and resolve technical issues.Strong communication and interpersonal skills to provide effective technical support and collaborate with stakeholders.Ability to manage multiple tasks, prioritize, and meet deadlines in a dynamic environment.Strong, structured, process-driven, and analytical skills.Demonstrate skills in building relationships within departments and between departments. Good research skills.

    Knowledge:

    Familiarity with IT Security frameworks (e.g., NIST CSF, CIS Controls)Proficiency in Microsoft Office: Excel, Word, Access, and Microsoft Outlook.Excellent knowledge of Customer Service best practices. Strong knowledge of computer hardware, software, and networking principles.Technical research and development knowledge are desired.Fluency in spoken and written Spanish and English.

    Abilities:

    Understand existing and emerging technologies. Understand business practices, approaches, organization, politics, and culture. Demonstrate ability to work under pressure with compressed deadlines and multiple deliverables. Demonstrated ability to communicate ideas clearly and concisely to leadership.Ability to work well as a member of a team or alone. Willingness to take ownership of problems and follow through to completion.Ability to prioritize and manage time.Arrive at work promptly and consistently.Proven ability to work in an ambiguous environment and collaborate across multiple areas to achieve a common business objective.

    PHYSICAL AND MENTAL DEMANDS

    The physical demands described here represent those that an employee must meet to perform the essential functions of this job successfully. While performing the duties of this job, the employee is regularly required to talk or hear, sit, stand, and walk.The position requires that the weight be lifted, and force is exerted up to 50 pounds.Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.

    ENVIRONMENTAL AND WORKING CONDITIONS

    This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. Require evening or weekend work.

    PharmPix is an Equal Employment Opportunity Employer Minorities / Females / Disable / Veterans

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    Job DescriptionJob DescriptionValidation & Engineering Group, Inc. (V&... Read More
    Job DescriptionJob Description

    Validation & Engineering Group, Inc. (V&EG) is a leading services supplier who provides solutions for the Pharmaceutical, Biotechnology, Chemical, Food, and Medical Devices industries in the following areas: Laboratory, Compliance, Computer, Engineering, Project Management, Validation, and other services.

    We are seeking a talented, dedicated individual committed to work under the highest ethics standards for the following position:

    Cold Chain Test Validation

    Job Summary:
    The role entails supporting projects intermittently, developing protocols remotely, placing data loggers on-site, retrieving and analyzing data loggers, and compiling final reports for clients.

    Qualifications:

    Experience in conducting Temperature and Relative Humidity Studies with a focus on temperature between 2 to 8 degrees Celsius.Understanding of relevant industry standards and practices in Pharmaceutical, Biotechnology, Chemical, Food, or Medical Devices fields.Ability to work with high ethical standards and attention to detail.Strong communication and organizational skills to effectively gather and present data.


    Responsibilities:

    Support projects intermittently, ensuring the proper placement of data loggers within client packages.Develop protocols remotely for temperature and humidity studies, following industry best practices.Retrieve data loggers on various occasions, download the data, and analyze it accurately.Prepare comprehensive final reports based on gathered data and analysis results.


    If you possess the necessary qualifications and are committed to conducting validation activities with integrity and accuracy, we invite you to apply for the Cold Chain Test Validation position at V&EG. Join us in providing innovative solutions to industries such as Pharmaceutical, Biotechnology, Chemical, Food, and Medical Devices.

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    IT Business Partner  

    - 00968
    Job DescriptionJob DescriptionUbicacion: Guaynabo, Puerto Rico El IT B... Read More
    Job DescriptionJob Description

    Ubicacion: Guaynabo, Puerto Rico


    El IT Business Partner actúa como enlace para garantizar la conexión entre TI y nuestras unidades de negocio operativas. Esta función garantiza que las soluciones tecnológicas respalden los objetivos empresariales, mejoren la prestación de servicios y permitan el crecimiento estratégico. El candidato seleccionado traducirá las necesidades operativas en requisitos tecnológicos, orientará la entrega de soluciones y promoverá la adopción de herramientas digitales, impulsando resultados empresariales cuantificables en toda la organización.

    Responsabilidades:

    Establecer y mantener relaciones de confianza con los líderes y equipos dentro de las unidades operativas asignadas.Comprender los objetivos empresariales e identificar de forma proactiva soluciones tecnológicas para respaldar proyectos e iniciativas empresariales. Documentar y analizar los procesos actuales para descubrir los «puntos débiles» y las oportunidades operativas.Convertir los retos empresariales en requisitos de TI claros y viables.Apoyar la puesta en marcha de proyectos, incluyendo la definición del alcance, la definición del valor y la alineación de las partes interesadas.Colaborar con los gestores de proyectos y los equipos técnicos durante toda la ejecución para garantizar que las necesidades empresariales sigan siendo prioritarias.Impulsar la comunicación, la preparación y las actividades de cambio para la implementación de nuevos sistemas.Apoyar las necesidades de formación y crear materiales de apoyo (procedimientos operativos estándar, flujos de procesos, guías).Supervisar el rendimiento tras la implementación para garantizar la obtención de beneficios.Gestionar las solicitudes de mejora y las prioridades funcionales de las áreas compatibles.

    Requisitos:

    Bachillerato en Administración de Empresas, Sistemas de Información, Ingeniería Industrial o un campo relacionado.De 3 a 5 años de experiencia en análisis empresarial, colaboración empresarial en TI o puestos similares que apoyen operaciones interfuncionales.Experiencia trabajando con partes interesadas del ámbito empresarial para apoyar el cambio impulsado por la tecnología.


    ***Patrono con Igualdad de Oportunidades de Empleo M/H/V/I***

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    IT Business Partner  

    - 00968
    Job DescriptionJob DescriptionLocation: Guaynabo, Puerto RicoThe IT Bu... Read More
    Job DescriptionJob Description

    Location: Guaynabo, Puerto Rico

    The IT Business Partner serves as the liaison ensuring connection between IT and our operational business units. This role ensures technology solutions support business goals, improve service delivery, and enable strategic growth. The successful candidate will translate operational needs into technology requirements, guide solution delivery, and champion adoption of digital tools — driving measurable business outcomes across the organization.

    Responsibilitie:

    Build and maintain trusted relationships with leaders and teams within assigned operational units.

    Understand business objectives and proactively identify technological solutions to support projects and business initiatives.

    Document and analyze current-state processes to uncover operational “pain- points” and opportunities.

    Convert business challenges into clear, actionable IT requirements.

    Support project initiation, including scoping, value definition, and stakeholder alignment.

    Collaborate with Project Managers and technical teams throughout delivery to ensure business needs remain front and center.

    Drive communication, readiness, and change activities for new system implementations.

    Support training needs and create supporting materials (SOPs, process flows, guides).

    Monitor post-implementation performance to ensure benefits realization.

    Manage enhancement requests and functional priorities for supported areas.


    Required:

    Bachelor’s degree in business administration, Information Systems, Industrial Engineering, or related field required.3–5 years of experience in Business Analysis, IT Business Partnering, or similar roles supporting cross-functional operations.Experience working with business stakeholders to support technology-enabled change.

    ***Equal Opportunity Employer M/F/V/D***

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    Shift Supervisor - SAN PATRICIO  

    - 00968
    Job DescriptionJob Description¡Contamos con vacantes disponibles de ma... Read More
    Job DescriptionJob Description

    ¡Contamos con vacantes disponibles de manera inmediata, con un nuevo incremento salarial por posición!


    Nuestros Supervisores de Turno contribuyen al éxito de Starbucks al asistir al gerente de tienda durante los turnos. Esto incluye estar a cargo de la tienda durante el turno, apoyar a los baristas, entrenar a los nuevos miembros del equipo y delegar tareas. Crean la experiencia Starbucks al brindar un servicio rápido, entregar productos y bebidas de calidad y manteniendo un ambiente limpio y cómodo.

    REQUISITOS:

    · Experiencia previa en supervisión de personal de al menos 1 año o más

    · Pasión por el café y la gente

    · Disponibilidad de trabajar fines de semana y días feriados

    · Capacidad para administrar el trabajo de otros y aprender rápidamente

    · Fuertes destrezas de comunicación e interpersonales

    OFRECEMOS: Nos enorgullece invertir en ti y compartimos algunos de los incentivos especiales a los candidatos elegibles:

    · Adiestramiento

    · Periodo probatorio de 6 meses

    · Licencia de Vacaciones y Enfermedad

    · Plan médico (si trabajas un promedio de veinte (20) horas o más)

    · Seguro de Vida (si trabajas un promedio de veinte (20) horas o más)

    · Bebidas gratis durante el turno

    · Descuentos en productos

    · Oportunidad de crecimiento y Desarrollo

    Patrono con Igualdad de Oportunidad en el Empleo.

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    Técnico(a) de Farmacia - Oncología  

    - 00968
    Job DescriptionJob DescriptionEn general, el (la) manejador(a) de caso... Read More
    Job DescriptionJob Description

    En general, el (la) manejador(a) de casos de Key Accounts será responsable de las siguientes tareas:

    i. Revisar e interpretar las recetas médicas para garantizar las terapias apropiadas.

    ii. Revisar las políticas médicas de los medicamentos para que cumplan con los requisitos y puedan ser facturados.

    iii. Transcribir la data de la receta en preparación para la verificación del Farmacéutico;

    iv. Se comunica con todos los pacientes nuevos informándoles sobre requisitos de preautorización para la receta y dándoles la bienvenida a la Farmacia Especializada Alivia;

    v. Reúne toda la información y documentos necesarios para respaldar la solicitud de aprobación al Plan Médico o PBM

    vi. Se comunica con las compañías de seguro u otros pagadores para completar los requisitos de autorización previa,

    vii. Responde a las llamadas entrantes de la farmacia, con excelentes estándares de servicio al cliente y seguimiento de las tareas pendientes (internas o externas);

    viii. Cumplir con los estándares de producción de la gerencia, ya sea cuantitativa o cualitativa.

    ix. Obtiene la lista de medicamentos del paciente para la investigación de DUR;

    x. Otorgar y revisar reclamos de seguro de medicamentos recetados que se entregarán a pacientes y proveedores;

    xi. Referir al departamento de Programa de Asistencia a Paciente en los casos que paciente no pueda pagar deducibles.

    xii. Desarrollar relaciones y actuar como enlace con médicos, pacientes, centros de infusión, manufactureros, y programas de Programa de Asistencia a Paciente.

    xiii. Identificar y resolver las solicitudes rechazadas por plan médico, incluido el acceso a un régimen de medicamentos comparable; Refiere al farmacéutico en caso de posibles alternativas farmacéutica.

    xiv. Monitorear los saldos de asistencia para cada paciente inscrito para asegurar que haya fondos disponibles hasta la finalización de la terapia; Ej: Ayudas económicas.

    xv. Comunicar y coordinar la obtención del copago/deducible del medicamento.

    xvi. Coordinar la entrega de medicamentos directamente con el paciente o su representante autorizado, oficina medica y/o centro de infusión. La coordinación incluye asegurar el lugar, día y hora de entrega.

    xvii. Identificar y dar seguimiento a las fechas de “refills” para asegurar que los pacientes reciben su medicamento en las fechas apropiadas cumpliendo el plan de tratamiento

    xviii. Otras tareas: realizar o ayudar con cualquier operación según sea necesario para mantener el flujo de trabajo y cumplir con los horarios y requisitos de calidad; Participar en reuniones y grupos de trabajo preparados por la gerencia o compañeros de trabajo. Conocer los nuevos desarrollos, requisitos y políticas.

    xix. Escalar cualquier situación extraordinaria al supervisor o gerente, disponibilidad a reuniones semanales.


    Requisitos mínimos:

    Grado Asociado como Técnico de Farmacia es requeridoLicencia válida de Técnico de Farmacia es requeridoMínimo 1 año de experiencia en servicio al cliente con conocimiento de los procesos de acceso a los beneficios de farmacia (preferiblemente)


    ***EEOC F/M/D/V***

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  • A

    Técnico(a) de Farmacia - Oncología  

    - 00968
    Job DescriptionJob DescriptionEn general, el (la) manejador(a) de caso... Read More
    Job DescriptionJob Description

    En general, el (la) manejador(a) de casos de Key Accounts será responsable de las siguientes tareas:

    i. Revisar e interpretar las recetas médicas para garantizar las terapias apropiadas.

    ii. Revisar las políticas médicas de los medicamentos para que cumplan con los requisitos y puedan ser facturados.

    iii. Transcribir la data de la receta en preparación para la verificación del Farmacéutico;

    iv. Se comunica con todos los pacientes nuevos informándoles sobre requisitos de preautorización para la receta y dándoles la bienvenida a la Farmacia Especializada Alivia;

    v. Reúne toda la información y documentos necesarios para respaldar la solicitud de aprobación al Plan Médico o PBM

    vi. Se comunica con las compañías de seguro u otros pagadores para completar los requisitos de autorización previa,

    vii. Responde a las llamadas entrantes de la farmacia, con excelentes estándares de servicio al cliente y seguimiento de las tareas pendientes (internas o externas);

    viii. Cumplir con los estándares de producción de la gerencia, ya sea cuantitativa o cualitativa.

    ix. Obtiene la lista de medicamentos del paciente para la investigación de DUR;

    x. Otorgar y revisar reclamos de seguro de medicamentos recetados que se entregarán a pacientes y proveedores;

    xi. Referir al departamento de Programa de Asistencia a Paciente en los casos que paciente no pueda pagar deducibles.

    xii. Desarrollar relaciones y actuar como enlace con médicos, pacientes, centros de infusión, manufactureros, y programas de Programa de Asistencia a Paciente.

    xiii. Identificar y resolver las solicitudes rechazadas por plan médico, incluido el acceso a un régimen de medicamentos comparable; Refiere al farmacéutico en caso de posibles alternativas farmacéutica.

    xiv. Monitorear los saldos de asistencia para cada paciente inscrito para asegurar que haya fondos disponibles hasta la finalización de la terapia; Ej: Ayudas económicas.

    xv. Comunicar y coordinar la obtención del copago/deducible del medicamento.

    xvi. Coordinar la entrega de medicamentos directamente con el paciente o su representante autorizado, oficina medica y/o centro de infusión. La coordinación incluye asegurar el lugar, día y hora de entrega.

    xvii. Identificar y dar seguimiento a las fechas de “refills” para asegurar que los pacientes reciben su medicamento en las fechas apropiadas cumpliendo el plan de tratamiento

    xviii. Otras tareas: realizar o ayudar con cualquier operación según sea necesario para mantener el flujo de trabajo y cumplir con los horarios y requisitos de calidad; Participar en reuniones y grupos de trabajo preparados por la gerencia o compañeros de trabajo. Conocer los nuevos desarrollos, requisitos y políticas.

    xix. Escalar cualquier situación extraordinaria al supervisor o gerente, disponibilidad a reuniones semanales.


    Requisitos mínimos:

    Grado Asociado como Técnico de Farmacia es requeridoLicencia válida de Técnico de Farmacia es requeridoMínimo 1 año de experiencia en servicio al cliente con conocimiento de los procesos de acceso a los beneficios de farmacia (preferiblemente)


    ***EEOC F/M/D/V***

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