Medicare Advantage Benefits Technician
Location: Pearland Administrative Office
Department: Pharmacy Services
Job Type: Full-Time
Kelsey-Seybold Clinic. Your Doctors for Life.
Since 1949, Kelsey-Seybold Clinic has served its patients with one goal in mind – combine the expertise of physicians in a variety of medical specialties, with the close personal care of a family doctor. Kelsey-Seybold is Houston’s largest community-based physician group, caring for more than 400,000 patients. With 19 clinic locations, we are growing to meet the health care needs of our diverse patient population. Our mission is to provide our team members with exceptional opportunities for professional and personal growth.
This position is responsible for assisting the Pharmacy Health Plan Services area in the management of the Medicare Advantage Part D prescription benefits. Under the supervision of the Supervisor, Health Plan Pharmacy Operations, this position is primarily responsible for triaging and/or resolving pharmacy services phone calls, audits and monitoring functions that help ensure prescription benefits are administered cost effectively, timely, accurately and in compliance with CMS standards.
EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS
(A = basics; B = preferred)
High School Diploma or equivalent
Some college or technical school
Minimum 2-4 years operational pharmacy benefit experience
Completion of an Accredited Pharmacy Technician Program
2 years Medicare Part D experience
2 years HMO 3rd party managed care experience
TSBP Registered Pharmacy Technician
Good Alpha/Numeric data entry skills with minimal errors
Proficient 2 with computer applications that including, but not limited to: Microsoft Word, Excel, and Access
Demonstrates strong problem solving and analytical skills
Type 20 WPM. 10 key by touch
Detail Oriented with Good Verbal and Written Communication skills, professional appearance, and ability to
work effectively in a fast paced work environment.