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Clinical - Pharmacy Technician I

2 months ago


Tampa, United States Axelon Full time

Location: Remote, Source Nationwide

SHIFT: Start time can range as earliest 8am not later than 10am with an hour lunch.

Duration: 6+ months, preferred start date: 08/05/2024

Qualifications:
Education/Experience: High school diploma or equivalent. 1+ years of retail, hospital, or mail order pharmacy experience.

License/Certification: Current state's Pharmacy Technician license and National Certification from Pharmacy Technician Certification Board (CPhT).

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 decisions

Position Purpose: Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients