Pharmacy Technician I
1 week ago
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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