Pharmacy Technician

1 day ago


Quezon City, National Capital Region, Philippines SYSGEN RPO Full time

Key Responsibilities:

1 Grievance Handling
:

  • Investigate and resolve member grievances related to Medicare Part D drug coverage, claims, and pharmacy issues
  • Ensure all grievances are resolved within required CMS timelines and documented appropriately

2 Communication
:

  • Act as a liaison between members, providers, and pharmacies for Medicare grievance resolution
  • Provide clear and empathetic communication throughout the grievance process

3 Compliance
:

  • Adhere to all CMS (Centers for Medicare & Medicaid Services) guidelines and company policies
  • Maintain confidentiality of sensitive member information

4 Documentation

5 Collaboration

Qualifications:

  • Medical Allied Health graduate required (
    licensed/non licensed
    )
  • Minimum 1 year of experience in healthcare contact setting work experience (
    e.g., pharmacy technician, claims processor, provider services
    )
  • Experience handling grievances or healthcare-related customer support in a contact center setting
  • Amenable to work on Night Shift Schedule
  • Amenable to work onsite at Bridgetown, Quezon city

Others:

  • Full-time employment
  • Full-Onsite (non-negotiable)
  • Fixed Night-shift
  • Competitive Salary + SOB + Benefits

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