Pharmacy Technician

22 hours ago

Raleigh, United States Spectraforce Technologies Full time
Title: Pharmacy Technician
Duration: 06 Month with possible extension or conversion
Location: Remote
9/10 AM EST Start

Job Description:
* Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required
* Obtain verbal authorizations and request detailed clinical information from prescribers
* Approve coverage determination requests based on defined criteria
* Enter and document coverage determination request decision into the PBM system and notify providers and/or members
* Respond to client inquiries regarding authorization approvals and PBM on-line applications
* Refer coverage determination requests for specialty drugs to delegated vendor or client for processing
* Contact providers for additional information to facilitate coverage determination reviews
* Notify physicians, providers and members of coverage determination request decisionsRequired Skills/Experience: Preferred Skills/ Experience: 1.Pharmacists- Internal/External1.1 year retail/hospital/PBM experience2.Technicians- Internal/External2.Multi-tasking3.Members/Providers- External (minimal)3. Education Requirement:High School diploma or GED requiredEducation Preferred: Software Skills Required:Microsoft OneNoteRequired Certifications:Pharm Tech Certification: Valid Pharmacy Technician License preferred.Required Testing:

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