550 Compliance Specialist jobs in Vermont

Employee Referral Bonus Program

The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment.

Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays

Medical Plan options along with participation in a Health Spending Account or a Health Saving account

Dental, Vision, Life& AD&D; Insurance along with Short-term disability and Long-Term Disability coverage

401(k) Savings Plan, Employee Stock Purchase Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

8-hour shift Monday - Friday between 8am - 8pm EST with rotating on-call weekend responsibilities on Saturdays or Sundays, overtime, & holidays (work schedule will vary based on business needs)

Ability to work 8-hour shift Monday - Friday between 8am - 8pm EST with rotating on-call weekend responsibilities on Saturdays or Sundays, overtime, evenings, & holidays (work schedule will vary based on business needs)

Active and unrestricted Pharmacy Technician licensure, registration, or certification as required by the state of residence and business needs. Candidates must meet and maintain all applicable state, certification, and company requirements throughout employment * Pharmacy Technician Certification Board (PTCB) * State Board of Pharmacy licensure or registration in state of residence, if required * ExCPT - Pharmacy Technician Certification through the National Healthcareer Association (NHA) * Other approved prior authorization or pharmacy technician certification, as accepted by the business

6+ months of experience in customer service, customer relations, healthcare, pharmacy, call center, or direct interaction with healthcare professionals

Basic level of proficiency with Microsoft Excel, Word, Outlook, and Teams, including the ability to create, edit, save, send, and manage basic documents, spreadsheets, emails, and communications

Basic level of ability to navigate multiple systems, screens, job aids, knowledge articles, and electronic workflows while maintaining accuracy during calls and case processing

Ability to work 8-hour shift Monday - Friday between 8am - 8pm EST with rotating on-call weekend responsibilities on Saturdays or Sundays, overtime, evenings, & holidays (work schedule will vary based on business needs)

Currently located in the state of Maine or Vermont

Frequent speaking and listening using a headset; sitting for extended periods; use of hands and fingers across a keyboard and mouse; and extended periods working at a computer

Reliable high-speed home internet access, with the ability to use a hard-wired ethernet connection when required

Secure, private home workspace that supports protection of confidential information and compliance with company telecommuters, privacy, and security policies

Intermediate comfort using a computer, including keyboard and mouse navigation, opening applications, switching between multiple systems and screens, and learning new tools or workflows

Candidates are required to pass a drug test before beginning employment.

Experience with prior authorization, appeals, pharmacy benefit management, prescription drug benefits, formulary review, pharmacy claims, or healthcare coverage processes

Knowledge of Medicare Part D, commercial, Medicaid, exchange, or client-specific pharmacy benefit requirements

Knowledge of call center systems such as CMS, IEX, CTI, TCS, or similar telephony, workforce, and case-management platforms

Experience working in a high-volume, production-based, quality-monitored, or compliance-driven environment

Familiarity with pharmacy terminology, medication names, brand and generic drug names, SIG codes, benefit terminology, and healthcare documentation standards