Virtual Pharmacy Technician (Prior Authorization Specialist)

Virta Health is on a mission to transform type 2 diabetes and weight-loss care. Current treatment approaches aren?t working?over half of US adults have either type 2 diabetes or prediabetes, and obesity rates are at an all-time high. Virta is changing this by helping people reverse their metabolic condition through innovations in technology, personalized nutrition, and virtual care delivery... reinvented from the ground up. We have raised over $350 million from top-tier investors, and partner with the largest health plans, employers, and government organizations to help their employees and members restore their health and take back their lives. Join us on our mission to reverse diabetes in 100 million people.

As a Virtual Pharmacy Technician (Prior Authorization Specialist) at Virta, you will play a crucial role in ensuring our member population, which includes individuals with type 2 diabetes, obesity, and pre-diabetes, receives timely and effective medication management. You will handle prescriptions, prior authorizations, and insurance communications, supporting our healthcare providers and contributing to the success of our innovative diabetes reversal program.

Responsibilities
? Manage and process prescriptions for our member population.
? Handle prior authorizations, including reaching out to insurance companies for approvals.
? Assist with billing and insurance-related inquiries and issues.
? Maintain accurate and up-to-date records of all pharmacy-related activities.
? Act as a liaison between healthcare providers, pharmacies, and insurance companies to facilitate efficient communication and problem resolution.
? Work through a queue of provider requests to ensure timely completion and follow-up.

90 Day Plan

Within your first 90 days at Virta, we expect you will do the following:
? Gain a comprehensive understanding of Virta's prescription and prior authorization processes.
? Establish strong working relationships with pharmacies, insurance companies, and internal teams.
? Assess current pharmacy-related processes, identify areas for improvement, and begin implementing enhancements to increase efficiency.
? Familiarize yourself with all relevant systems and tools used in the pharmacy operations.
? Contribute to high-priority projects, ensuring timely execution and supporting the overall success of the pharmacy team.

Must-Haves
? 2+ years of experience as a pharmacy technician or in a similar role.
? Experience with handling prescriptions and prior authorizations.
? Familiarity with electronic prescribing and prior authorization software.
? Strong organizational skills with a focus on accuracy and thoroughness.
? Excellent written and verbal communication skills for interacting with pharmacies, insurance companies, and internal teams.
? Flexibility in a high-speed environment, with strong problem-solving skills and the ability to implement strategic solutions.

Nice-to-Haves
? Previous experience in a telehealth or digital health company, understanding virtual healthcare dynamics.
? Experience working with ZenDesk or similar customer support platforms.
? Understanding of healthcare regulations related to pharmacy operations and compliance to enhance operational effectiveness.
? Experience with managing prescriptions and prior authorizations for GLP-1 medications.
? Familiarity with diabetes and weight loss management.

Values-driven culture

Virta?s company values drive our culture, so you?ll do well if:
? You put people first and take care of yourself, your peers, and our patients equally
? You have a strong sense of ownership and take initiative while empowering others to do the same
? You prioritize positive impact over busy work
? You have no ego and understand that everyone has something to bring to the table regardless of experience
? You appreciate transparency and promote trust and empowerment through open access of information
? You are evidence-based and prioritize data and science over seniority or dogma
? You take risks and rapidly iterate

Is this role not quite what you're looking for? Join our Talent Community and follow us on Linkedin to stay connected!

As part of your duties at Virta, you may come in contact with sensitive patient information that is governed by HIPAA. Throughout your career at Virta, you will be expected to follow Virta's security and privacy procedures to ensure our patients' information remains strictly confidential. Security and privacy training will be provided.

Starting pay will be based on a number of factors and commensurate with qualifications & experience. For this role, the compensation range is $24.05 - $27.64 per hour. Information about Virta?s benefits is on our careers page at: https://www.virtahealth.com/careers.

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