Job Search Results for pharmacy

Pharmacy Technician

As a Pharmacy Technician supporting the Medicare Part D Prior Authorization (PA) Operations team, you will play a vital role in ensuring timely access to prescription medications for Part D... More beneficiaries. You?ll serve as a key liaison between prescribers, insurance plans, pharmacies, and patients?managing the administrative and clinical coordination required to process PA requests in accordance with CMS guidelines and Part D formulary requirements.This is a phone-intensive role, with a focus on handling inbound calls from providers, physicians, and Medicare Part D plan representatives. You?ll clarify PA criteria, follow up on missing documentation, and communicate coverage determinations?all while maintaining compliance with Medicare Part D regulations, including timely processing standards and documentation protocols.You?ll work across platforms such as MedResponse, MedAccess, FileNet, RightFax, and CoverMyMeds, supporting both in-person and remote workflows. Your contributions will directly impact Part D member access to care, reduce administrative burden on providers, and help maintain pharmacy revenue integrity through accurate and compliant PA processing.Shift for training: Monday-Friday 8-4:30 PM MSTAfter training: Between Monday-Sunday 6:00 am-8:00 pm (8 hour shifts, need to be flex on the shift and OK working weekends)40 hour work week/ 5 days*Rotating holidaysWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Pharmacy Technician

As a Pharmacy Technician in the Prior Authorization (PA) Operations team, you will be a critical link between prescribers, insurance companies, pharmacies, and patients. You?ll manage the... More administrative and clinical coordination required to get medications approved and dispensed efficiently. This includes initiating and processing PA requests, handling communications, and ensuring compliance with healthcare standards.This is a phone-intensive role?you?ll spend a significant portion of your day handling inbound calls with providers, MDs, and insurance companies. You?ll be responsible for clarifying PA requirements, following up on missing information, and communicating determinations. You?ll also work across platforms such as MedResponse, MedAccess, FileNet, RightFax, and CoverMyMeds, supporting both in-person and remote workflows. Your contributions will directly impact patient access to care, reduce administrative burden on providers, and help maintain pharmacy revenue integrity.Shift for training: Monday-Friday 8-4:30 PM MSTAfter training: Between Monday-Sunday 6:00 am-8:00 pm (8 hour shifts, need to be flex on the shift and OK working weekends)40 hour work week/ 5 days*Rotating holidaysWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Certified Pharmacy Technician

Insight Global is looking for Prior Authorization Technicians to work fully remote in support of one of our large healthcare clients. Within this role, this person will provide patient care by... More removing the barriers to medication access. Working with insurance companies and clinician offices to facilitate approval of medications through prior authorizations. Working with patients and a variety of funding sources such as foundations, or directly through manufactures to obtain financial assistance for high dollar co-pays. Provide phone support to patients by navigating a variety of pharmacy dispensing systems to adjudicate claims, refill medications, and increase adherence in patients. Below are the key responsibilities for this role:?Directly communicate with insurance companies to facilitate the approval of medications.?Navigate pharmacy operating systems to input data, perform adjudication on test claims and prepare action plans for follow-up.?Effectively communicate across databases, electronic medical records and emails to document patient concerns, prior authorization status, and financial assistance needs.?Review prescriptions with doctors' offices to ensure optimal care of the patient.?Keep complete and accurate records of patient communications.?Assist patients in the management of their pharmacy insurance claims.?Work closely with pharmacists and pharmacy liaisons to provide an integrated approach quality patient care.?Communicate directly with patients over the phone to assist them in all aspects of medication compliance.?Research and investigate information to enable strategic decision-making by others.?Manage, organize, and update relevant data using database applications.?Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.?Identify trends, resolve problems; recommend improvements; implement change.?Actively participate in process improvement initiatives.?Act as a value-added business partner to stakeholders throughout the organization.?Protect organization's value by keeping information confidential.?Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.?Minimal in or out of state travel may be required.?Perform other duties as assigned. Hourly Pay Range: $20/hr-$22/hr based on experience.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Certified Pharmacy Technician

Insight Global is looking for Prior Authorization Technicians to work fully remote in support of one of our large healthcare clients. Within this role, this person will provide patient care by... More removing the barriers to medication access. Working with insurance companies and clinician offices to facilitate approval of medications through prior authorizations. Working with patients and a variety of funding sources such as foundations, or directly through manufactures to obtain financial assistance for high dollar co-pays. Provide phone support to patients by navigating a variety of pharmacy dispensing systems to adjudicate claims, refill medications, and increase adherence in patients. Below are the key responsibilities for this role:?Directly communicate with insurance companies to facilitate the approval of medications.?Navigate pharmacy operating systems to input data, perform adjudication on test claims and prepare action plans for follow-up.?Effectively communicate across databases, electronic medical records and emails to document patient concerns, prior authorization status, and financial assistance needs.?Review prescriptions with doctors' offices to ensure optimal care of the patient.?Keep complete and accurate records of patient communications.?Assist patients in the management of their pharmacy insurance claims.?Work closely with pharmacists and pharmacy liaisons to provide an integrated approach quality patient care.?Communicate directly with patients over the phone to assist them in all aspects of medication compliance.?Research and investigate information to enable strategic decision-making by others.?Manage, organize, and update relevant data using database applications.?Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.?Identify trends, resolve problems; recommend improvements; implement change.?Actively participate in process improvement initiatives.?Act as a value-added business partner to stakeholders throughout the organization.?Protect organization's value by keeping information confidential.?Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.?Minimal in or out of state travel may be required.?Perform other duties as assigned. Hourly Pay Range: $20/hr-$22/hr based on experienceWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

PBM Claims Technical Analyst

Insight Global is seeking a Claims Technical Analyst for one of our large PBM clients. This role is responsible for performing basic to intermediate level client, member and pharmacy remediation... More analysis caused by errors coded into the RxClaim processing system, along with claims monitoring and data validation activities. You will be tasked with correcting errors in RxClaim, the research and remediation steps can vary based on the error type and impacted claims. This offers a variety of research options and an opportunity to dig into the claim adjudication system functionality. Some of the day-to-day responsibilities of this role includes the following: -Perform standard queries to retrieve data for required analysis-Research and analyze information by employing analytics and data science techniques to research and validate errors, isolate impacted claims, reprocess claims, and determine financial impact to members, health plans and/or pharmacies-Translate data into usable client facing reports-Other duties as assignedWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Senior Capacity and Demand Analyst

The Senior Demand Analyst is a key contributor to enterprise capacity and resource planning efforts, with a specialized focus on driving demand visibility and process maturity. This role goes beyond... More tactical execution, requiring a consultative and prescriptive approach to engage stakeholders, establish demand baselines, and help mature existing process. The ideal candidate brings a strong blend of communication, analytical, and change advocacy skills to help teams evolve.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less