Experienced Virtual Pharmacy Technician – Remote Medication Management and Prior Authorization Specialist for Innovative Diabetes Reversal Program
About Virta Health:
At Virta Health, we're on a mission to transform the way type 2 diabetes and weight-loss care is delivered. With a strong focus on innovation, technology, and personalized nutrition, we're helping people reverse their metabolic condition and take back control of their health. Our team is dedicated to making a positive impact, and we're looking for talented individuals to join us on this journey.About the Role:
As a Virtual Pharmacy Technician at Virta, you'll play a crucial role in ensuring our member population receives timely and effective medication management. You'll 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, ensuring accuracy and efficiency in all pharmacy-related activities.
- Handle prior authorizations, including reaching out to insurance companies for approvals and resolving any issues that may arise.
- Assist with billing and insurance-related inquiries and issues, providing exceptional customer service and support to our members and healthcare providers.
- Maintain accurate and up-to-date records of all pharmacy-related activities, ensuring compliance with regulatory requirements and company policies.
- Act as a liaison between healthcare providers, pharmacies, and insurance companies to facilitate efficient communication and problem resolution, ensuring seamless coordination of care.
- Work through a queue of provider requests to ensure timely completion and follow-up, prioritizing tasks and managing time effectively in a fast-paced environment.
90-Day Plan:
Within your first 90 days at Virta, we expect you to:- Gain a comprehensive understanding of Virta's prescription and prior authorization processes, including all relevant systems and tools used in the pharmacy operations.
- Establish strong working relationships with pharmacies, insurance companies, and internal teams, ensuring effective communication and collaboration.
- Assess current pharmacy-related processes, identify areas for improvement, and begin implementing enhancements to increase efficiency and productivity.
- Familiarize yourself with all relevant systems and tools used in the pharmacy operations, ensuring seamless integration and coordination of care.
- Contribute to high-priority projects, ensuring timely execution and supporting the overall success of the pharmacy team.
Must-Haves:
To be successful in this role, you'll need:- 2+ years of experience as a pharmacy technician or in a similar role, with a strong understanding of pharmacy operations and regulations.
- Experience with handling prescriptions and prior authorizations, including electronic prescribing and prior authorization software.
- Strong organizational skills with a focus on accuracy and thoroughness, ensuring timely completion of tasks and projects.
- Excellent written and verbal communication skills, with the ability to interact effectively 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:
While not required, the following skills and experiences would be beneficial:- Previous experience in a telehealth or digital health company, with an understanding of virtual healthcare dynamics and the ability to adapt to new technologies and systems.
- Experience working with ZenDesk or similar customer support platforms, with a strong focus on customer service and support.
- Understanding of healthcare regulations related to pharmacy operations and compliance, with the ability to ensure operational effectiveness and efficiency.
- Experience with managing prescriptions and prior authorizations for GLP-1 medications, with a strong understanding of diabetes and weight loss management.
Values-Driven Culture:
At Virta, we're driven by a set of core values that guide our culture and decision-making. If you're passionate about:- Putting people first and taking care of yourself, your peers, and our patients equally.
- Having a strong sense of ownership and taking initiative while empowering others to do the same.
- Prioritizing positive impact over busy work and making a meaningful difference in the lives of others.
- Having no ego and understanding that everyone has something to bring to the table regardless of experience.
- Appreciating transparency and promoting trust and empowerment through open access of information.
- Being evidence-based and prioritizing data and science over seniority or dogma.
- Taking risks and rapidly iterating to drive innovation and improvement.