Handle calls, emails, faxes, and web requests from pharmacies, beneficiaries, and prescribers.
Use Rx Platform and resources to resolve caller needs.
Meet CMS/client service levels; 80% calls in service level; less than 5% abandon; response under 30 seconds.
Provide Coverage Determination status, including exceptions and appeals.
Document PA requests and inquiries per policies.
Answer questions on payments, eligibility, and provider portal support.

🎯 Requirements

Pharmacy Technician Associate Degree preferred; degree not required.
1+ years in a Pharmacy or Member Services Call Center.
Excellent oral and written English communication.
Hybrid work model with on-site days (Puerto Rico).
Ability to work in the specified time zone.
On-call evenings, weekends, holidays as needed.

🎁 Benefits

Diversity, equity, inclusion, and belonging are guiding principles.
Abarca Health is an equal employment opportunity employer and participates in E-Verify.

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