Job Title: Pharmacy Technician

Job Description

Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required. Obtain verbal authorizations and request detailed clinical information from prescribers. Approve coverage determination requests based on defined criteria. Enter and document coverage determination request decisions into the PBM system and notify providers and/or members. Respond to client inquiries regarding authorization approvals and PBM on-line applications. Refer coverage determination requests for specialty drugs to delegated vendors or clients for processing. Contact providers for additional information to facilitate coverage determination reviews. Notify physicians, providers, and members of coverage determination request decisions.

Position Purpose: Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients.

Education/Experience: High school diploma or equivalent. 1 year of retail, hospital, or mail order pharmacy experience.

License/Certification: Current state's Pharmacy Technician license and National Certification from Pharmacy Technician Certification Board (CPhT).

11am-7:30pm schedule.

Hard Skills

• Pharmacy Technician license
• National Certification from Pharmacy Technician Certification Board (CPhT)

Job Type

This is a contract position with a duration of 25 Weekly.

Work Site

This is a fully remote position.