Pharmacy Benefits Specialist (Pharmacy Technician) - Full Time - Pharmacy Advantage

Henry Ford Health System; Rochester Hills (MI); On-site; USD 40,000 - 60,000; Full time

Job summary

An established industry player is seeking a dedicated Pharmacy Technician / Pharmacy Benefits Specialist to join their team. This role offers a rewarding opportunity to make a significant impact in patient care while enjoying a $2,500 sign-on bonus. The ideal candidate will be responsible for managing drug claim adjudication and ensuring patients have access to necessary medications. With a focus on work-life balance and professional growth, this position is perfect for those looking to advance their career in a supportive environment. If you're passionate about patient care and have the required experience, this could be the perfect fit for you.

Qualifications

• Requires a State of Michigan Pharmacy Technician License.
• Minimum of two years of previous pharmacy technician experience required.

Responsibilities

• Handles drug claim adjudication issues and pharmacy benefit inquiries.
• Performs benefits investigation and prescription prior authorization.

Skills

Pharmacy Technician License

Patient Care

Prescription Prior Authorization

Benefits Investigation

Customer Service

Education

High School Diploma or G.E.D.

Associates Degree

Job description

Unlock a rewarding career with Henry Ford health as a Pharmacy Technician / Pharmacy Benefits Specialist and enjoy a $2,500 sign-on bonus! Offering work-life balance and a chance to make a real impact in patient care. Join our dedicated team today!

GENERAL SUMMARY:

***Eligible for $2,500 Sign on Bonus***

The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other internal and external individuals. Is a subject matter expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

• Performs benefits investigation, prescription prior authorization, and researches financial assistance needed to ensure patients have access to medications needed.


• Interprets patient treatment plans and medical notes for purposes of facilitating patient care.


• Evaluates any pharmacy related inquiries (i.e., financial barriers, therapy management related outcomes, non-adherence to therapy) and communicates with nursing, providers, social workers and physician staff any additional requirements or potential barriers to the treatment plan.


• Performs all necessary steps during order entry to ensure order gets to final verification. Ensures the process is completed quickly, accurately, and in accordance with patient's needs while maintaining the highest customer service/quality of care.


• Performs online ordering of prescriptions submitted to pharmacies.

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and duties. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described above.

EDUCATION/EXPERIENCE REQUIRED:

• Requires a High school diploma or G.E.D. Associates degree preferred


• Requires State of Michigan Pharmacy Technician License.


• Requires a minimum of two years of previous pharmacy technician experience.


• Previous experience as a specialty pharmacy technician preferred.

Additional Information

• Organization: Community Care Services


• Department: Pharmacy Advantage Rochester H


• Shift: Day Job


• Union Code: Not Applicable