Clinical Pharmacy Technician II - Remote
Company: Prime Therapeutics
Location: Springfield
Posted on: April 28, 2024
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Job Description:
Our work matters. We help people get the medicine they need to
feel better and live well. We do not lose sight of that. It fuels
our passion and drives every decision we make.
Job Posting Title
Clinical Pharmacy Technician II - Remote
Job Description Summary
Evaluates and authorizes approval of prior authorization pharmacy
requests from prescribers received by telephone and/or facsimile
using client clinical criteria.
Job Description
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 when request requires extensive
clinical review or denial.
Monitors telephone system to ensure adequate staffing to maintain
client services levels.
Assesses training needs within 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.
Responsibilities
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, or that
restrict licensure to employees of dispensing pharmacies, 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 current 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.
Work Experience
Work Experience - Required:
Pharmacy
Work Experience - Preferred:
Education
Education - Required:
GED, High School
Education - Preferred:
Certifications
Certifications - Required:
CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements -
Pharmacy - Pharmacy
Certifications - Preferred:
Potential pay for this position ranges from $17.15 - $25.73 based
on experience and skills. Pay range may vary by 8% depending on
applicant location.
To review our Benefits, Incentives and Additional Compensation,
visit our Benefits Page
(https://www.primetherapeutics.com/careers/benefits/) and click on
the "Benefits at a glance" button for more detail.
Prime Therapeutics LLC is an Equal Opportunity Employer. We
encourage diverse candidates to apply and all qualified applicants
will receive consideration for employment without regard to race,
color, religion, sex (including pregnancy), sexual orientation,
gender identity or expression, genetic information, marital status,
family status, national origin, age, disability, veteran status, or
any other legally protected class under federal, state, or local
law.
Positions will be posted for a minimum of five consecutive
workdays.
Keywords: Prime Therapeutics, Springfield , Clinical Pharmacy Technician II - Remote, Healthcare , Springfield, Illinois
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