Policy Change Technician jobs in Wheeling, WV

Policy Change Technician processes incoming insurance policy change requests according to company guidelines. Responsibilities include reviewing and screening requests, calculating new premiums, issuing new policies, and calculating reimbursement checks and agents' commissions. Being a Policy Change Technician requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Policy Change Technician works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Policy Change Technician typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Pharmacy Technician - Pharmaceutical Systems and Policy - School of Pharmacy
  • West Virginia University
  • Morgantown, WV FULL_TIME
  • The Department of Pharmaceutical Systems and Policy in the School of Pharmacy at West Virginia University Research Corporation is currently accepting applications for a Pharmacy Technician.

    About the Opportunity

    As a Pharmacy Technician, you will be responsible for answering requests for information, prior authorization, or help from pharmacy providers enrolled in the WV Bureau for Medical Services Medicaid Prescription Drug Program and WV Public Employees Insurance Agency via phone or fax. You will review different drug products to determine insurance coverage of the drug or prior authorization criteria. You will explain to the provider why a prescription drug claim is not being paid by the plan and will perform data entry for all drug requests and provide resources to the providers to help them understand the drug coverage limitations.

    At WVU Research Corporation, we strongly believe in work-life balance and keeping time for things we love outside our work. WVU Research Corporation offers a comprehensive benefits package with a variety of options to suit your needs:

    • 13 paid holidays (staff holiday calendar)
    • PTO
    • 403(b) retirement savings with a fully vested 3% employee contribution match, (Employees have the option of contributing an additional 1-3% of their earnings to the plan, which is also matched by the WVURC)
    • A range of health insurance and other benefits
    • Dependent Education Scholarship
    • WVU Perks
    • And More!!

    What you'll do:

    Call Center Duties

    • Serve as the initial and main point of contact for healthcare providers serving the population of the West Virginia Bureau for Medical Services and the West Virginia Public Employees Insurance Agency. Provides excellent customer service through interaction with pharmacies and other healthcare providers.
    • Evaluates non-complex Help Desk and prior authorization requests using established guidelines, then enters approved requests into mainframe computer. Requests which are complex or require therapeutic judgement are referred to the attending pharmacist.
    • Research provider inquiries using all available resources.
    • Perform callbacks to providers' inquiries when necessary.
    • Document all communications and required information in the appropriate database.
    • Communicate clearly and concisely over the phone, fax, or electronic mail in a professional manner.

    Program Duties

    • Assist Program Director/Pharmacist with administrative details of the program. Gather, coordinate, and develop materials needed for enhanced quality of the program.
    • Respond to requests for information from state, federal, or other governmental agencies and departments, and colleges or other university offices.
    • Assist Program Director/Pharmacist with special projects as needed.
    • Compose correspondence, independently or in accordance with general instructions and/or guidelines, requiring a high degree of knowledge and familiarity of the program.
    • Perform research or statistical work in the compilation of reports involving the administrative activities of the program.
    Qualifications
    • Associate degree, or an equivalent combination of education and experience.
    • 0-6 months of experience as a pharmacy technician or similar responsibilities.
    • Strong mathematical skills necessary to perform financial and dosage calculations.
    • Demonstrated ability to work independently, exercising judgement.
    • Demonstrated ability to organize information & draw logical conclusions.
    • Demonstrated ability to plan, organize, and set priorities regarding the work to be accomplished.
    • Demonstrated excellent oral and written communications skills. Outstanding people skills, including a positive attitude, outgoing personality, and the ability to effectively deal with all types & levels of people in a positive manner.
    • Demonstrated ability to maintain confidential information.
    • Skilled at using a microcomputer and related software, including Microsoft Office (Word, Excel, PowerPoint, etc.)
    • Skilled at using mainframe/microcomputers for internet data collection, electronic mail & other software.
    • Ability to read and write in English and perform complex basic mathematical calculations.
    • Ability to operate standard office equipment.
    • Ability to learn scientific or specialized terminology specifically relating to Pharmacy and Medicaid programs.
    • Excellent verbal and written communication skills.
    • Knowledge of prescription drug information (i.e. generic and brand names, class of drugs).
    • Knowledge of pharmacy operations and insurance billing processes associated with retail pharmacy operations.
    • Knowledge of symptoms, drug properties and interactions, and preventive healthcare measures.
    • Strong understanding of pharmacy operations and insurance billing processes associated with retail pharmacy operations.
    • Ability to follow guidelines and convey information in an accurate manner.
    • Ability to be flexible and work in an environment with frequent rule changes.

    Certifications:

    • Licensed Pharmacy Technician or eligible to pass an equivalent examination. Licensure will be required for continued employment.
    About Research Corporation


    The WVURC was created as a not-for-profit corporation in 1985 to support research (R1) at West Virginia University. We provide evaluation, development, patenting, management, and marketing services for inventions of the faculty, staff and students of the University.

    The WVURC receives and administers funds awarded by external agencies for research and other activities and is responsible for helping protect intellectual property through patents, copyrights and licensing agreements for start-up companies based on University research.


    Creating an inclusive, engaged, and dynamic environment is core to WVURC’s mission. We welcome candidates who can contribute a range of ideas, approaches and experiences.


    West Virginia University Research Corporation is proud to be an Equal Opportunity employer. We value diversity among its employees and invites applications from all qualified applicants regardless of race, ethnicity, color, religion, gender identity, sexual orientation, age, nationality, genetics, disability, or Veteran status.


    Job Posting: Apr 1, 2024
    Posting Classification: Research Corporation
    Exemption Status: Non-Exempt
    Benefits Eligible: Yes
    Schedule: Full-time
  • 21 Days Ago

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Team Member (ID0002) -$14-16 an Hour
  • Valvoline Instant Oil Change
  • Marietta, OH FULL_TIME
  • Geared for the Driven $14.00/hour * Medical * Dental * Vision * Paid Time Off * 401(k)*DailyPay Option*Hourly Bonus Program What You’ll Do: As a lube technician, you will help keep our guests safe on ...
  • 1 Month Ago

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Pharmacist - Pharmaceutical Systems and Policy - School of Pharmacy
  • West Virginia University Research Corporation
  • Morgantown, WV FULL_TIME
  • Description The Department of Pharmaceutical Systems and Policy in the School of Pharmacy at West Virginia University Research Corporation is currently accepting applications for a Pharmacist at Ratio...
  • 5 Days Ago

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Technician
  • Delight Restaurant Group
  • Buckhannon, WV FULL_TIME
  • Facilities Technician Buckhannon, WV Performs a wide range of facilities services tasks including non-technical maintenance of plumbing, electrical, heating, ventilating, and / or air conditioning fac...
  • Just Posted

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Technician
  • Delight Restaurant Group
  • Clarksburg, WV FULL_TIME
  • Facilities Technician Clarksburg, WV Performs a wide range of facilities services tasks including non-technical maintenance of plumbing, electrical, heating, ventilating, and / or air conditioning fac...
  • Just Posted

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Technician
  • MPW Industrial Services, Inc
  • Maidsville, WV FULL_TIME
  • MPW is growing at a rapid pace. We would like to be able to interview any potential candidates as soon as possible. If you are interested in scheduling an interview, please text MPW to 25000, so that ...
  • 22 Days Ago

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0 Policy Change Technician jobs found in Wheeling, WV area

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Technical Specialist III
  • Williams Companies
  • Moundsville, WV
  • Williams is committed to creating a diverse and inclusive environment and is proud to be an equal opportunity employer. ...
  • 4/25/2024 12:00:00 AM

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Yard Technician
  • National Tank & Equipment
  • Weirton, WV
  • Job Description Job Description PRIMARY FUNCTION: The Yard Worker ensures that all equipment is ready for rent and the y...
  • 4/25/2024 12:00:00 AM

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Pharmacy Technician
  • Select Specialty Hospital - Wheeling
  • Wheeling, WV
  • Overview Critical Illness Recovery Hospital Pharmacy Technician Hourly Rate: $18.00 to $27.00 per hour At Select Special...
  • 4/24/2024 12:00:00 AM

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Pharmacy Technician & Technician Trainee
  • Rite Aid
  • Bentleyville, PA
  • Pharmacy TechnicianTechnician in Training Contribute to our mission to improve Health and Wellness in your community. Be...
  • 4/22/2024 12:00:00 AM

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Automotive Technician
  • Monro Muffler Brake & Service
  • Saint Clairsville, OH
  • Company Description Monro, Inc. Monro, Inc. is one of the nation's largest auto service companies and major tire retaile...
  • 4/22/2024 12:00:00 AM

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Cyber Warfare Technician
  • US Navy
  • Wheeling, WV
  • About Enlisted Sailors in the Navy Cryptology community analyze encrypted electronic communications, jam enemy radar sig...
  • 4/22/2024 12:00:00 AM

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Pharmacy Technician & Technician Trainee
  • Rite Aid
  • Mc Kees Rocks, PA
  • Pharmacy TechnicianTechnician in Training Contribute to our mission to improve Health and Wellness in your community. Be...
  • 4/21/2024 12:00:00 AM

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Pharmacy Technician & Technician Trainee
  • Rite Aid
  • Bridgeville, PA
  • Pharmacy TechnicianTechnician in Training Contribute to our mission to improve Health and Wellness in your community. Be...
  • 4/21/2024 12:00:00 AM

Wheeling is a city in Ohio and Marshall counties in the U.S. state of West Virginia. Located almost entirely in Ohio County, of which it is the county seat, it lies along the Ohio River in the foothills of the Appalachian Mountains. Wheeling was originally a settlement in the British colony of Virginia and later an important city in the Commonwealth of Virginia. Wheeling was the first state capital of West Virginia. Due to its location along major transportation routes, including the Ohio River, National Road, and the B&O Railroad, Wheeling became a manufacturing center in the late nineteenth...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Policy Change Technician jobs
$42,964 to $53,997
Wheeling, West Virginia area prices
were up 1.2% from a year ago

Policy Change Technician in Concord, NH
Criteria for Registration on the Voluntary Technician Register Due to the delay in approving the new regulation, the voluntary technician register is still in effect.
February 06, 2020
Policy Change Technician in Tuscaloosa, AL
However, the delay in legislation approval has resulted in ACP council introducing two changes to policy.
January 13, 2020
Policy Change Technician in Jamestown, NY
Taking into account legislative delay and pharmacy technicians’ concerns about the deadlines for transition, ACP council has made two changes to previously established policies.
December 26, 2019