Overview

St. Luke's Health System in Boise is seeking a Pharmacy Benefit Manager Services Technician to support our PBM Pharmacy Department.

**SIGNING BONUS!!**

Monday - Friday day shift

No weekends - No Holidays

The Pharmacy Benefit Manager (PBM) Services Technician position resides in the Pharmacy Department, reporting to the Pharmacy Director for PBM Pharmacy. This position is responsible for assisting members in identifying and navigating complex PBM and 3rd party issues such as Prior Authorization, Step Therapy, reviewing denied claims, processing overrides, etc. The Pharmacy Benefit Manager Services Technician works closely with an interdisciplinary team of Pharmacy staff, Patient Financial Advocates, the Pharmacy Authorization Team, Revenue Cycle, third party vendors, clinic staff, and providers.

Daily tasks include the coordination of patient insurance coverages, reviewing and processing prior authorization requests, and the entering of system overrides as appropriate. In addition, the PBM Services Technician will address complex questions from both third-party payers and SLHS personnel regarding medication issues and reimbursement. Strong communication skills, problem-solving abilities, and a professional presentation are imperative, as is an ability to be innovative and creative.

To be effective, the PBM Services Technician must be a quick learner who is able to establish and maintain collaborative working relationships.

Responsibilities

• Understand PBM and third-party claims billing, denials, and appeal processes
• Collect, aggregate, and analyze data from various systems
• Understand Specialty Pharmacy and Mail Order Pharmacy services
• Collaborate with both internal partners and external vendors, establishing positive customer relationships
• Maintain required manual tracking systems with a high level of accuracy and detail
• Build spreadsheets for analytical duties
• Assist with data collection, research and reconciliation of charges and purchases for both internal and external audits
• Analyze unique challenges, apply program rules, and resolve customer concerns
• Quickly master various PBM software systems
• Perform other duties and responsibilities as assigned

Qualifications

• High school diploma or equivalent required
• Valid Idaho Pharmacy Technician License required
• Two (2) years' experience preferred
• Certified Pharmacy Technician (CPhT) preferred
• Familiarity with PBM claims processing preferred

Why St. Luke's

A strong, talented staff is at the heart of St. Luke's Health System. We are the state's largest employer with more than 15,000 employees and a medical staff of more than 1,800 physicians and advanced practice providers. We're proud of our people who deliver skilled, compassionate care every day, and are looking to add dedicated individuals who will continue this same tradition of excellence.

About Boise

Known as the "City of Trees," Boise is Idaho's capital city--both a cultural center and a playground for those who love the outdoors. A vibrant downtown area affords fine dining, theatre, music, and college and semi-professional sports. Downtown Boise's main attractions include the Idaho State Capitol, the classic Egyptian Theatre, the Boise Art Museum, Julia Davis Park and Zoo Boise. The Greenbelt follows the beautiful Boise River corridor for more than 30 miles, and the Boise foothills are home to miles of hiking and biking trails.

Learn more about what the City of Trees has to offer you:

St. Luke's Health System | Boise Convention and Visitors Bureau | Boise Parks and Recreation | Boise Museum Association | Boise Music Festival | Boise Philharmonic | Downtown Boise Restaurants | Boise Valley Economic Partnership | Hyde Park events | Treefort Music Festival | First Thursdays | Alive After Five | Capitol City Public Market | Runs and Triathlons | Shakespeare Festival | Sawtooth National Forest | Visit Idaho.org

*St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.