Job Description
Responsibilities for this Position
Location: USA NC Raleigh
Full Part/Time: Part time
Job Req: RQ200999
Type of Requisition: Regular
Clearance Level Must Currently Possess: None
Clearance Level Must Be Able to Obtain: None
Public Trust/Other Required: None
Job Family: Customer Service
Job Qualifications: Skills: Call Center, Medicaid, Medical Prescriptions
Certifications: None
Experience: 1 + years of related experience
US Citizenship Required: No
Job Description: We are hiring for the following shifts:
5pm-10pm
Summary: The Pharmacy Call Center Technician is responsible for providing knowledgeable and courteous customer assistance and response to beneficiaries, providers, and pharmacies. The Pharmacy Call Center Technician also performs reviews of prior approval requests submitted by enrolled providers.
Responsibilities: - Performing under North Carolina's approved criteria that outlines policies and requirements this position determines prior approval for medications.
- Answers incoming provider calls regarding prior approval request processing, claims processing, and lock-in questions. Documents prior approval requests and associated history.
- Evaluates available information to validate prior approval requests. Verifies policyholder information, policy effective dates, premium status, and verification of prior approval request eligibility.
- Investigates simple to moderately complex prior approval requests and determines level or resolution if appropriate; advises provider of status; assists in negotiating settlement and resolution of prior approval request.
- Identifies need for additional information; contacts appropriate source to obtain needed information.
- Performs review of prior approval requests and pharmacy claims for the pharmacy program.
- Other duties as assigned
Basic Qualifications - High school diploma or equivalent
- Minimum of one-year pharmacy experience
- Basic computer skills including dual-screen use, copy + paste, and accurate typing at speed of at least 45 WPM
- Ability to pass a criminal background check, drug screening
- Must be a US Citizen
- Availability to work any shift during hours of operation
Preferred Qualifications GDIT IS YOUR PLACE: - Full-flex work week to own your priorities at work and at home
- 401K with company match
- Comprehensive health and wellness packages
- Internal mobility team dedicated to helping you own your career
- Professional growth opportunities including paid education and certifications
- Cutting-edge technology you can learn from
- Rest and recharge with paid vacation and holidays
The likely hourly rate for this position is between $15.09 - $20.41. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.
Scheduled Weekly Hours: 25
Travel Required: None
Telecommuting Options: Hybrid
Work Location: USA NC Raleigh
Additional Work Locations: Total Rewards at GDIT: Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.
We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.
Join our Talent Community to stay up to date on our career opportunities and events at
gdit.com/tc .
Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans
PI273626366
We are hiring for the following shifts:
5pm-10pm
Summary: The Pharmacy Call Center Technician is responsible for providing knowledgeable and courteous customer assistance and response to beneficiaries, providers, and pharmacies. The Pharmacy Call Center Technician also performs reviews of prior approval requests submitted by enrolled providers.
Responsibilities: - Performing under North Carolina's approved criteria that outlines policies and requirements this position determines prior approval for medications.
- Answers incoming provider calls regarding prior approval request processing, claims processing, and lock-in questions. Documents prior approval requests and associated history.
- Evaluates available information to validate prior approval requests. Verifies policyholder information, policy effective dates, premium status, and verification of prior approval request eligibility.
- Investigates simple to moderately complex prior approval requests and determines level or resolution if appropriate; advises provider of status; assists in negotiating settlement and resolution of prior approval request.
- Identifies need for additional information; contacts appropriate source to obtain needed information.
- Performs review of prior approval requests and pharmacy claims for the pharmacy program.
- Other duties as assigned
Basic Qualifications - High school diploma or equivalent
- Minimum of one-year pharmacy experience
- Basic computer skills including dual-screen use, copy + paste, and accurate typing at speed of at least 45 WPM
- Ability to pass a criminal background check, drug screening
- Must be a US Citizen
- Availability to work any shift during hours of operation
Preferred Qualifications GDIT IS YOUR PLACE: - Full-flex work week to own your priorities at work and at home
- 401K with company match
- Comprehensive health and wellness packages
- Internal mobility team dedicated to helping you own your career
- Professional growth opportunities including paid education and certifications
- Cutting-edge technology you can learn from
- Rest and recharge with paid vacation and holidays
The likely hourly rate for this position is between $15.09 - $20.41. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.
Scheduled Weekly Hours: 25
Travel Required: None
Telecommuting Options: Hybrid
Work Location: USA NC Raleigh
Additional Work Locations: Total Rewards at GDIT: Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.
We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.
Join our Talent Community to stay up to date on our career opportunities and events at
gdit.com/tc .
Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans
PI273626366
Job Tags
Hourly pay, Holiday work, Full time, Temporary work, Part time, Immediate start, Remote job, Worldwide, Flexible hours, Shift work,