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Responsibilities:
Process prior authorizations received via prior authorization help line, by evaluating the medical necessity/appropriateness for specific drugs and based on medical criteria.
- Directly interact with members physician office staff, pharmacies and internal stake holders for eligibility, coverage determination claims issues.
- Conduct intervention with physician & pharmacy office staff to facilitate formulary compliance and generic dispensing.
- Process appeals complaints executive inquiries and compliance related issues.
- Provide recommendations to increase efficiency, accuracy and productivity in the department.
- Process ad hoc request for information or reports from stakeholders.
- Participate in client member and employee training to ensure practical understanding of pharmacy services programs and operations.
- Assist in the day to day business functions of the pharmacy department as well as the Medication Therapy Management program.
- Provide support to various clinical programs within the pharmacy department.
Education/Experience:
Bachelor's degree from an accredited college or university in Health Care Management, Business or Pharmaceutical Administration.
- Requires minimum of two (2) years experience in third party prescription program claim adjudication.
- Requires minimum of two (2) years experience as a Pharmacy Utilization Management Specialist.
- Requires prior customer service/service quality initiative experience.
Job Type: Contract
Pay: $17.00 - $20.00 per hour
Expected hours: 40 per week
Schedule:
Experience:
License/Certification:
Work Location: Remote
Contractor
$43k-54k (estimate)
03/23/2024
06/24/2024
The job skills required for Pharmacy Technician include Customer Service, Prior Authorization, Initiative, etc. Having related job skills and expertise will give you an advantage when applying to be a Pharmacy Technician. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Pharmacy Technician. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Pharmacy Technician positions, which can be used as a reference in future career path planning. As a Pharmacy Technician, it can be promoted into senior positions as a Pharmacy Technician Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Pharmacy Technician. You can explore the career advancement for a Pharmacy Technician below and select your interested title to get hiring information.
If you are interested in becoming a Pharmacy Technician, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Pharmacy Technician for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Pharmacy Technician job description and responsibilities
A Pharmacy tech can get certified by having a HS diploma and passing a test (the PTCT).
01/26/2022: New Suffolk, NY
A pharmacy technician assists a pharmacist with the preparation of prescription medications for customers.
12/09/2021: Lafayette, LA
A pharmacy technician assists licensed pharmacists with tasks like formulating, labeling, and dispensing medications, along with maintaining patient profiles and performing other routine tasks.
02/25/2022: Frankfort, KY
A quality pharmacy technician can earn more with experience and additional training.
02/25/2022: Everett, WA
Hospital pharmacy technicians provide oversight and management of hospital onsite and offsite compounding facilities to maintain and achieve adherence to all regulatory requirements for sterile and non sterile compounding.
01/31/2022: Temple, TX
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Pharmacy Technician jobs
Go through the queue and find patients who are getting the same medication refilled.
12/10/2021: Stockton, CA
Graduate from an accredited pharmacy technician training program (one year).
01/02/2022: Baltimore, MD
Maintain active certification (every two years).
01/16/2022: Sioux Falls, SD
Write the number of pills remaining on the side of large-count bottles.
12/31/2021: Santa Cruz, CA
Step 3: View the best colleges and universities for Pharmacy Technician.