Pharmacy Technician for Prior Authorization Review

4 weeks ago


New York, New York, United States MetroPlus Health Plan Full time
MetroPlus Health Plan is seeking a skilled Pharmacy Technician to join our team in the Prior Authorization Review department. The ideal candidate will have a strong background in pharmacy operations and be proficient in processing prior authorization requests.

Responsibilities:

* Input and review prior authorization requests for medical and pharmacy benefits
* Provide notification of prior authorization decisions to members, providers, and pharmacies
* Audit medication overrides in the pharmacy adjudication platform
* Assist in 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
* Proficiency with MS Word, Excel, and PowerPoint required
* Proficiency with MS Access preferred
* PTCB or ExCPT Pharmacy Technician Certification required

If you have a passion for pharmacy operations and a strong commitment to delivering high-quality patient care, we encourage you to apply for this exciting opportunity.
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