Pharmacy Technician

1 month ago


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

As a Prior Authorization Review Pharmacy Technician at NYC Health + Hospitals, you will play a critical role in ensuring that our members receive the necessary medications and treatments in a timely and efficient manner.

Key Responsibilities:
  • Input and review prior authorization requests for medical and pharmacy benefits
  • Provide notification of prior authorization decisions and input accurate medication overrides in the pharmacy adjudication platform
  • Answer inquiries from members, providers, and pharmacies regarding prior authorization requests
  • Perform audits of vendor-inputted medication overrides in the pharmacy adjudication platform
  • Assist in pharmacy case management activities and support departmental quality initiatives
Requirements:
  • Associate's degree with four years' experience as a Pharmacy Technician or satisfactory equivalent combination of education, training, and experience
  • Pharmacy experience in a managed care environment preferred
  • Experience in auditing and government programs (Medicare, Medicare Part D, and Medicaid) preferred
  • Proficiency with MS Word, Excel, and PowerPoint required; MS Access preferred
  • PTCB or ExCPT Pharmacy Technician Certification required
Professional Competencies:
  • Integrity and Trust
  • Customer Focus
  • Functional/Technical Skills

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