Pharmacy Technician I
1 week ago
Duration: 6 months (Contract to hire)
100 percent remote (Nationally Sourced)
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
Education/Experience: High school diploma or equivalent. 1+ years of retail, hospital or mail order pharmacy experience.
Required Skills/Experience:
Preferred Skills/ Experience:
1.
Pharmacists- Internal/External
1.
1 year retail/hospital/PBM experience
2.
Technicians- Internal/External
2.
Multi-tasking
3.
Members/Providers- External (minimal)
3.
Education Requirement:
High School diploma or GED required
Education Preferred:
Software Skills Required:
Microsoft OneNote
Required Certifications:
Pharm Tech Certification: Valid Pharmacy Technician License preferred.
Required Testing:
Interview Information
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