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Pharmacy Technician

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Careers, IncBlanding, UT
  • The essential functions of a pharmacy technician in Prior Authorization are providing expertise and customer service support to members, customers, and/or providers.
  • This position exists to take incoming requests for prior authorizations, for formulary and non-formulary medications, while ensuring a high level of customer service and maximizing productivity.
  • Request can be received via fax or telephone, from providers’ offices and pharmacists.
  • The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times (TATs) and service level agreements (SLAs).
  • The technician must provide the information clearly, accurately and in a professional manner.
  • Interactions with callers must be documented per contractual and various regulatory / legal requirements.
  • Using established criteria and guidelines, the pharmacy technician receives and processes prior authorization requests made by providers and members for medications not inherently covered on a member’s prescription drug plan.
  • Answers prior authorization inquiry calls or/and faxes as well as research and resolve formulary and benefit issues using the appropriate reference material.
  • Performs other duties as assigned by management.
  • Handles inbound phone requests and gathers member data to provide information for Pharmacist consultations.
  • Training is for 4 weeks.
  • This training time is subject to change
  • Dependent on business needs, candidate could work up to 4 hours a day OT.
  • Candidate must have their own home internet access/VPN (internet can be hard wired with Ethernet cord).
  • Candidate must have level skill with working with PC (ex.
  • Using mouse and keyboard, accessing and navigating through multiple systems and screens) *Excellent Attendance is a must Onshore/Offshore Onshore Resource Type Non IT Contractor.
  • What Segment will this Contractor(s) Support?
  • Minimum Education Requirement: Pharmacy Technician License or Pharmacy Technician Certification Board (PTCB)

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