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Pharmacy Technician
5 days ago
Why work at OpTech? OpTech is a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work at OpTech, not only do you get health and dental benefits on the first day of employment, but you also have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today
We have a top client in the Detroit, MI area that is seeking to hire a Pharmacy Technician
Job Summary:
- Support providers (pharmacists and physicians) with Medicare Part D and/or Commercial pharmacy/ specialty drug benefits analysis, drug coverage inquiries and prior authorizations
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned:
- Answer telephones in an efficient and timely manner to lend appropriate assistance to providers
- Triage prior authorization requests under the supervision of a Clinical Pharmacist
- Assists in maintaining pharmacy prior authorization criteria used in the adjudication of pharmacy/specialty claims
- Analyzing written inquiries which lends to entry and updating of pharmacy authorizations into the claims system
- Communicate coverage determination status to physicians and/or members and effectuate such decisions within the authorization tool
- Troubleshoot problems, inquiries, and new processing procedures for coverage determinations
- Assist with internal control systems and regulations compliance
- Perform other related duties as assigned
Job Qualifications:
- Two (2) years of experience in retail or hospital Pharmacy required
- Knowledge of prescription drug names, therapeutic classes and claims processing
- Experience with Medicare Part D prescription benefits may be preferred for some positions
- Expert knowledge of pharmacy claims processing
- Understanding of formularies and utilization management edits
- Familiarity with pharmaceutical manufacturers and product/cost information
- Computer Literate (Microsoft Office Products)
Education/Certifications:
- High School Graduate of GED equivalent required. Two (2) years of college preferred.
- Pharmacy Technician Certification (PTCB) preferred
OpTech is an equal opportunity employer and is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, status as a parent, disability, age, veteran status, or other characteristics as defined by federal, state or local laws.
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