Title: Pharmacy Tech

Rate: $18/hr

Location: Remote

Duration: Starting at 6 months

Responsibilities:

• 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.
• Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients

Qualifications:

• High school diploma or equivalent.
• 1+ years of retail, hospital or mail order pharmacy experience.
• License/Certification: Current states Pharmacy Technician license and National Certification from Pharmacy Technician Certification Board (CPhT).