Pharmacy Technician I

1 week ago


Floral City, United States Spectraforce Technologies Full time
Title: Pharmacy Technician I 580171

Duration- 6 Months

Remote

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

Internal/External Groups with which the Candidate will interface:

Required Skills/Experience:

Preferred Skills/ Experience:

Pharmacists- Internal/External
1.
1 year retail/hospital/PBM experience

Technicians- Internal/External
2.
Multi-tasking

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:

Position is offered by a no fee agency.
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