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Pharmacy Technician Specialist
2 months ago
We are seeking a skilled Pharmacy Technician to join our team at Strategic Staffing Solutions. This contract opportunity is with one of our largest clients located in Detroit, MI.
Job SummaryThe successful candidate will provide support to providers (pharmacists and physicians) with Medicare Part D and/or Commercial pharmacy/specialty drug benefits analysis, drug coverage inquiries, and prior authorizations.
Key Responsibilities- Answer telephones in an efficient and timely manner to lend appropriate assistance to providers
- Triage prior authorization requests under the supervision of a Clinical Pharmacist
- Assist in maintaining pharmacy prior authorization criteria used in the adjudication of pharmacy/specialty claims
- Analyze written inquiries and update pharmacy authorizations into the claims system
- Communicate coverage determination status to physicians and/or members and effectuate such decisions within the authorization tool
- Troubleshoot problems, inquiries, and new processing procedures for coverage determinations
- Assist with internal control systems and regulations compliance
To be successful in this role, you will need:
- High School Graduate or GED equivalent
- Two (2) years of experience in retail or hospital Pharmacy
- Pharmacy Technician Certification (PTCB) preferred
- Knowledge of prescription drug names, therapeutic classes, and claims processing
- Experience with Medicare Part D prescription benefits may be preferred for some positions
We offer a competitive hourly rate of $20-$22/hour and a contract engagement opportunity with a reputable client.