[Hiring] Pharmacy Technician @Point C

Role Description

As a Pharmacy Technician on the Pharmacy Solutions team, you will play a key role in supporting Point C members by resolving prescription-related issues with accuracy, urgency, and compassion. This role is highly service-oriented and requires strong communication, problem-solving skills, and the ability to work collaboratively across Pharmacy Services and other internal departments. You will serve as a trusted resource for members, providers, and pharmacies—ensuring seamless coordination and exceptional service within plans utilizing CVS or Carelon as the PBM.

• Answer inbound calls and return voicemails from members, delivering exemplary customer service and support.
• Troubleshoot and resolve prescription-related issues for members whose plans utilize CVS or Carelon as the PBM.
• Coordinate with providers’ offices and retail/mail-order pharmacies as needed to resolve claims processing, prior authorization, and medication access issues.
• Document all actions, progress, and communication in the ticketing system and Acuity, updating ticket status in accordance with internal standards.
• Conduct proactive member outreach, including but not limited to disruption list communications and follow-up calls.
• Collaborate closely with Pharmacy Services team members and cross-functional departments to ensure timely resolution of pharmacy-related concerns.
• Perform other duties as assigned.

Qualifications

• Active or eligible Pharmacy Technician license/certification (state-specific requirements apply).
• 1–2+ years of experience in a pharmacy, PBM, healthcare customer service, or related environment preferred.
• Strong understanding of pharmacy operations, prescription workflows, and medication terminology.
• Experience troubleshooting pharmacy or claims issues with PBMs such as CVS, Carelon, Optum, or Express Scripts (preferred).
• Excellent verbal and written communication skills, with the ability to deliver clear and compassionate support.
• Proficient in navigating systems such as ticketing platforms, pharmacy software, or claims tools (experience with Acuity is a plus).
• High attention to detail, strong organizational skills, and ability to manage multiple priorities in a fast-paced environment.
• Commitment to confidentiality, accuracy, and a positive member experience.

Requirements

• Individual compensation will be commensurate with the candidate's experience and qualifications.
• Certain roles may be eligible for additional compensation, including bonuses, and merit increases.
• Certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role.

Benefits

• Comprehensive medical, dental, vision, and life insurance coverage
• 401(k) retirement plan with employer match
• Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
• Paid time off (PTO) and disability leave
• Employee Assistance Program (EAP)