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Pharmacy Technician I

Spectraforce Technologies
United States, North Carolina, Raleigh
500 West Peace Street (Show on map)
Nov 09, 2024
Title: Pharmacy Technician

Duration: 06 Month with possible extension or conversion

Location: Remote

9/10 AM EST Start

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 decision 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 vendor or client for processing

* Contact providers for additional information to facilitate coverage determination reviews

* Notify physicians, providers and members of coverage determination request decisions

Required Skills/Experience: Preferred Skills/ Experience:
1. Pharmacists- Internal/External 1. 1 year retail/hospital/PBM experience
2. Technicians- Internal/External 2. Multi-tasking
3. Members/Providers- External (minimal) 3.
Education Requirement: High School diploma or GED required Education Preferred:
Software Skills Required: Microsoft OneNote
Required Certifications: Pharm Tech Certification: Valid Pharmacy Technician License preferred. Required Testing:
Applied = 0

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