Field Service Technician - Direct Employment

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  Indiana, Bloomington, Et cetera

  Position Title: Pharmacy Customer Service Assistant II Grade: F Department: Pharmacy Plan Customer Service QUALIFICATIONS: REQUIRED TESTING: Alpha-numeric data entry test (6,000 keystrokes) JEPS Math REQUIRED: High School diploma or GED Three years recent Pharmacy Technician experience in a pharmacy that includes familiarity with pharmacy benefits, pharmacy claims, and working with difficult customers in person and via telephone; or three years Prior Authorization and pharmacy benefit experience at a pharmacy benefit company or health plan outside of HealthPartners/GHI. Six-months computer experience including pharmacy systems Broad knowledge of drugs and drug categories Broad knowledge of pharmacy benefits Demonstrated independent analytic problem solving skills Excellent written and oral communication skills Demonstrated ability to convey information to others in a clear, concise, and courteous manner by phone, direct contact, and in writing Ability to make decision based on established protocols. 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Must be able to speak, read and write English fluently. POSITION PURPOSE: Service Excellence is to be centered on patient care and patient relationships and is the responsibility of all employees. Teamwork is the norm and all employees will be held accountable to work as effective team members. The Pharmacy Customer Service Assistant II reviews requests for medical policy or prescription drugs that require a coverage determination. This is primarily a pharmacy customer service position that serves as a resource to providers, members, member service staff, pharmacies, and department staff with regard to pharmacy benefits, pharmacy claims, formulary, and pharmacy policy and procedures. Physician and member requests are processed independently by reviewing requests based on pre-determined clinical criteria. This position also reviews and determines appropriate reimbursements/processing of all claims requested from members and providers. This position applies all accountabilities below to all of HealthPartners products including Fully Insured, Self-Insured, Medicare, and Medicaid. ACCOUNTABILITIES: Key contact for expedited, urgent, and complex benefit and pharmacy issues including coverage determination, benefit design, and claims. Interpret unique and complex benefits. Organize, retrieve, and share member information under tight timelines in accordance with state and federal policies including but not limited to National Council Quality Assurance, ERISA, and CMS (Centers for Medicare and Medicaid Services) Process requests using HIPAA security measures. Assist in internal and external audits. Identify and interpret Explanation of Benefits received from members and other carriers. 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Provide guidance to other staff regarding daily priorities and service levels. Manage department\'s shared Outlook mailbox including, but not limited to, direct member reimbursement (DMR) claims, vaccine claims, Case Management restricted members, and \"Ask a Pharmacist\" folder. Build rapport with coworkers, internal customers, pharmacies, vendors and members by demonstrating a strong customer service orientation and a continuous positive image of HealthPartners. Advise on group and member pharmacy benefits. Research and report inconsistencies pertaining to pharmacy benefit, formulary management logic, and pharmacy adjudication. Independently resolve member\'s pharmacy issue based on patient care and unique circumstances. Organize and accurately log all information on several databases for reporting purposes. Adhere to department policies and procedures regarding electronic storage of member records. Manually load member/group enrollment information if needed. 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  Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

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• 2025 Construction Materials Testing (CMT) Laboratory Technician 6-month Co-op (Bloomington)

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  Braun Intertec is seeking students pursuing degrees in civil engineering, construction management, or related field; and other interested candidates to join our Bloomington, MN office for 3 and 6-month Co-op opportunities. Chosen Co-ops will receive in-depth technical training and industry certifications upon successful completion of examinations and demonstration of ability. As a Co-op, you will have the chance to get hands-on experience in a variety of laboratory testing fields which include: aggregates, soils, bituminous, and concrete testing. The primary responsibility of the position is to receive, prepare, and test concrete, soil, and aggregate specimens. No lab experience is necessary, but the chosen candidate(s) will receive in-depth technical training for the position. Candidates should be able to lift 50+ pounds on a regular basis, take direction and work well with a team. This position has two possible shifts: Monday - Friday (6am - 2:30pm) or Sunday - Thursday (9pm - 5:30am). We are offering a $2 shift differential for the overnight shift. Responsibilities:

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