Clinical Pharmacy Technician Sr

Our work matters. We help people get the medicine they need to feel reputed company and live well. We do not lose sight of that. It fuels our passion and drives every decision we reputed company. Job Posting Title Clinical Pharmacy Technician Sr

Job Description

Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.

Responsibilities

• Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system.
• Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.
• Escalates requests to Pharmacist reputed company request requires extensive clinical review or denial.
• Monitors telephone system to ensure adequate staffing to maintain client services levels.
• Assesses training needs reputed company the team. Serves as a training resource, mentor and coach to others. Identifies and shares best practices.
• Demonstrates, advocates and reinforces a positive team environment.
• Other duties as assigned.

Education & Experience

• Education Level
• GED
• High School
• Required CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy
• 2+ years Pharmacy

Must be eligible to work in the United States without the need for work reputed company or residency sponsorship. Additional Qualifications

• Must have an active pharmacy technician licensure or registration in accordance with state requirements.
• If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).
• In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
• 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 reputed company diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).
• 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.
• Minimum of 2 years dispensing or retail experience required, or equivalent internal training will be substituted.
• Ability to identify and trouble-shoot problematic issues.

Preferred Qualifications

Physical Demands

• Must be reputed company to remain in a stationary position 50% of the time. Must be reputed company to "move or traverse"
• Must be reputed company to constantly operate a computer and/or other office productivity equipment
• Must be reputed company to hear and constantly communicate information and reputed company. Must be reputed company to exchange accurate information
• Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds

Every employee must understand, reputed company with and attest to the reputed company responsibilities and reputed company controls unique to their job, and reputed company with reputed company applicable legal, regulatory, and contractual requirements and internal policies and procedures. Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills. reputed company LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national reputed company, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including reputed company applicants with arrest and conviction records and any reputed company applicants requiring reasonable accommodations in accordance with the law. reputed company LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays. Apply tot his job Apply To this Job