At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!

Job Description

A bit about this role:

As the UM Senior Pharmacy Technician at Devoted you will support the medical management operations of the health plan. You’ll be an important part of helping us build strong relationships with network health care providers by addressing escalated issues through outreach and follow-up communication. This is a fast paced company that will come with ebb, flows and last minute changes. A successful candidate will be outgoing, detail-oriented and have a natural talent for customer service and team leader. We often require management of several tasks at once so enthusiasm and organization are key.

Your Responsibilities and Impact will include:

• Perform daily and weekly audits for the Intake process to ensure accuracy and compliance

• Perform weekly internal routine audits of utilization management (UM) processes to ensure adherence to policies, guidelines, and compliance standards

• Provide support to team members by answering questions and offering guidance to resolve issues

• Assist the Leadership team with escalating issues, including providing action steps for team members and handling escalation calls

• Contribute to process improvements by creating, reviewing, and updating documentation

• Collaboration with leaders from other teams will be required

• Conduct cross-functional training for Intake and UM Pharmacy Technicians

• Support special projects as needed

• Monitor work queues daily to verify tasks are completed on time, ensuring compliance metrics are met

• Available to act as the point of contact and take over project management responsibilities in the absence of the manager, ensuring continuity and progress

• Assist in monitoring offshore clinical partners and provide support to ensure workflow efficiency

• Offer assistance to the team during unexpected work overloads, including triaging and entering incoming PA requests and reviewing them according to company policies and decision trees

• Central Time or Mountain Time business hours preferred

• Available to rotate weekends and holidays

• Available to cover team members' PTO, including all time zones
  

Required skills and experience:

• Nationally Certified Pharmacy Technician (CPhT) with a minimum of three years of professional experience in the field

• Experience with Medicare Part B operations (e.g. pharmacy help desk, utilization management, prior authorizations)

• Prior experience in utilization management preferred

Desired skills and experience:

• A strong desire to continue to work closely with aging patient populations.

• Experience caring for Medicare patients

• Proficient in technology - you’ll be working in Gmail /G Suite

• A history of being organized and having high attention to detail - it’s the little things that matter

• Experience with LLM

Salary Range: $26-$30 / hour

Our ranges are purposefully broad to allow for growth within the role over time. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

Our Total Rewards package includes:

• Employer sponsored health, dental and vision plan with low or no premium

• Generous paid time off

• $100 monthly mobile or internet stipend

• Stock options for all employees

• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles

• Parental leave program

• 401K program

• And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce.

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.