Pharmacy Technician

2 weeks ago


New York, New York, United States NYC Health Hospitals Full time
Job Title: Prior Authorization Pharmacy Technician

Job Summary:

MetroPlus Health is seeking a highly skilled Prior Authorization Pharmacy Technician to join our team. As a Prior Authorization Pharmacy Technician, you will be responsible for reviewing and processing prior authorization requests for pharmacy benefits, ensuring accurate and timely processing of requests.

Key Responsibilities:

  • Input and review prior authorization requests for pharmacy benefits
  • Provide notification of prior authorization decisions to members, providers, and pharmacies
  • Enter and audit overrides in the pharmacy adjudication system
  • Answer member inquiries and assist with pharmacy case management activities
  • Support departmental quality initiatives

Requirements:

  • Associate's degree with four years' experience as a Pharmacy Technician
  • Pharmacy experience in a managed care environment preferred
  • Experience in auditing preferred
  • Experience in government programs (Medicare, Medicare Part D, and Medicaid) preferred
  • Proficiency with MS Word, Excel, and PowerPoint required
  • PTCB or ExCPT Pharmacy Technician Certification required

Professional Competencies:

  • Integrity and Trust
  • Customer Focus
  • Functional/Technical Skills

Working at NYC Health + Hospitals:

We are committed to empowering New Yorkers by uniting communities through care. We believe that healthcare is a right, not a privilege. If you have compassion and a collaborative spirit, we encourage you to join our team.


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