Clinical Pharmacy Technician II Specialist

3 weeks ago

Salem, Oregon, United States Prime Therapeutics Full time

Job Title: Clinical Pharmacy Technician II

Job Summary:

We are seeking a highly skilled Clinical Pharmacy Technician II to join our team at Prime Therapeutics. As a Clinical Pharmacy Technician II, you will play a critical role in evaluating and authorizing approval of prior authorization pharmacy requests from prescribers.

Key Responsibilities:

  • Evaluate and authorize approval of prior authorization pharmacy requests from prescribers
  • Determine appropriateness for medications and communicate decisions to physicians, physician's office staff, medical management staff, and/or pharmacists
  • Research, resolve, and document prior authorization outcomes in pharmacy system
  • Communicate selected prior authorization criteria, pharmacy benefit coverage, and formulary alternatives to physicians, physician's office staff, medical management staff, and/or pharmacists
  • Escalate requests to Pharmacist when request requires extensive clinical review or denial
  • Monitor telephone system to ensure adequate staffing to maintain client services levels
  • Assess training needs within the team and serve as a training resource, mentor, and coach to others
  • Demonstrate, advocate, and reinforce a positive team environment

Requirements:

  • Active pharmacy technician licensure or registration in accordance with state requirements
  • Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting
  • In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology, and current diagnostic and reimbursement coding
  • Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite
  • Excellent written and verbal communication skills
  • Ability to follow clinical criteria and instructions to approve prior authorization requests

Preferred Qualifications:

  • Minimum of 2 years dispensing or retail experience
  • Ability to identify and trouble-shoot problematic issues

Work Environment:

Prime Therapeutics is a fast-paced and dynamic work environment that is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

Equal Opportunity Employer:

Prime Therapeutics is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law.

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