Policy Change Technician jobs in Morgantown, 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
  • 20 Days Ago

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Customer service advisor
  • Valvoline Instant Oil Change
  • Grafton, WV FULL_TIME
  • Geared for the Driven At Klees-Sulok Oil Companies, Inc., a franchisee of Valvoline Instant Oil Change SM (VIOC), it all starts with our people. We demonstrate that belief every day by living a safety...
  • 3 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...
  • 4 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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0 Policy Change Technician jobs found in Morgantown, WV area

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Pharmacy Lead Technician
  • CVS Health
  • Morgantown, WV
  • Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to ever...
  • 4/23/2024 12:00:00 AM

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Instrumentation & Electrical Technician
  • Infinity Natural Resources
  • Morgantown, WV
  • Job Description Job Description Infinity Natural Resources is currently seeking a talented and experienced Instrumentati...
  • 4/23/2024 12:00:00 AM

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Assembly Technician
  • Apollo Retail
  • Morgantown, WV
  • At A Glance As a kid, you loved taking things apart so you could put it back together. Everyone turns to you when it com...
  • 4/22/2024 12:00:00 AM

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Field Technician
  • DISH
  • Fairmont, WV
  • Company Summary DISH, an EchoStar Company, has been reimagining the future of connectivity for more than 40 years. Our b...
  • 4/22/2024 12:00:00 AM

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Manufacturing Technician
  • Aa2it
  • Carmichaels, PA
  • Job Description Job Description Title - Manufacturing TechnicianLocation - Carmichaels, PADuration - 3 month contract-to...
  • 4/22/2024 12:00:00 AM

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Manufacturing Technicians
  • System One Holdings, LLC
  • Carmichaels, PA
  • The Manufacturing Technician is responsible for performing technical duties in one of the functional areas: electronic, ...
  • 4/20/2024 12:00:00 AM

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Shop Technician
  • Downing USA
  • Morgantown, WV
  • Shop Technician Desired Traits - Report Writing, Problem-Solving, Knowledge of Machines and Tools, Basic Math What is a ...
  • 4/19/2024 12:00:00 AM

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Plumbing Technician / Plumber
  • Graham-Simon Plumbing Company, LLC
  • Morgantown, WV
  • Graham-Simon Plumbing Company, LLC (GSP) of Morgantown, WV is looking to hire a full-time Plumbing Technician / Plumber ...
  • 4/19/2024 12:00:00 AM

Morgantown is a city in and the county seat of Monongalia County, West Virginia, United States, situated along the banks of the Monongahela River. It is known as the home of West Virginia University and the Morgantown Personal Rapid Transit (PRT) system. With a permanent population of 31,073 per the 2015 U.S. Census estimates, Morgantown is the largest city in North-Central West Virginia. The Morgantown metropolitan area has a population of 138,176. Morgantown is located 75 miles (121 km) south of Pittsburgh, Pennsylvania, 208 mi (335 km) north-northwest of Washington, D.C., 81 mi (130 km) eas...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Policy Change Technician jobs
$42,964 to $53,997
Morgantown, 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