Pharmacy Technician I

1 week ago


Raleigh, United States Spectraforce Technologies Full time
Title: Pharmacy Technician

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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