Representative II, Pharmacy

NTT DATA is seeking a Representative II, Pharmacy to support Medicare members, prescribers, and providers by processing coverage-related requests across phone and fax channels.

About the role

This role integrates responsibilities previously segmented by channel (phone vs. fax) and line of business (Medicare Part D and applicable Medicare Part B processes). You will progressively learn, practice, and apply end-to-end skills before transitioning to production work. Responsibilities include accurate case setup, review, outreach, documentation, and timely resolution of requests in accordance with Medicare guidelines, CMS-mandated timelines, and internal quality standards.

Work involves a combination of inbound and outbound phone interactions and fax-based casework in a highly regulated, fast-paced environment. The position is full-time, remote (Work at Home), non-exempt, and requires schedule flexibility based on business needs.

Responsibilities

• Process coverage-related requests for Medicare members, prescribers, and providers via phone and fax.
• Perform accurate case setup, review, outreach, and documentation.
• Ensure timely resolution of requests in compliance with Medicare guidelines and CMS-mandated timelines.
• Demonstrate strong attention to detail and professional verbal and written communication.
• Problem-solve in a fast-paced, regulated environment.

About NTT DATA

NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We accelerate client success through responsible innovation, offering expertise in AI, cloud, security, connectivity, data centers, and application services. With experts in over 50 countries, we are a Global Top Employer and part of NTT Group, which invests over $3 billion annually in R&D.

We prioritize local hiring near NTT DATA offices or client sites to provide tailored support. While many roles offer remote or hybrid work options, these arrangements may change based on client requirements. Employees near an office or client site may be required to attend in-person meetings or events as needed.