Pharmacy Services 2

TALENT Software Services

California (MO)

On-site

USD 225,000 - 285,000

Full time

14 days+

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Job summary

An established industry player is seeking a dedicated Pharmacy Technician to ensure accurate and timely reviews of IV and injectable medications. This role involves collaborating with pharmacists, managing authorization determinations, and maintaining compliance with regulatory standards. If you thrive in a dynamic environment and possess a strong understanding of medical terminology, this opportunity offers a chance to make a significant impact in patient care. Join a team that values operational excellence and flexibility, making a difference in the healthcare landscape.

Qualifications

Requires a Certified Pharmacy Technician license.
Requires at least 2 years of pharmacy-related experience.

Responsibilities

Review prior authorization requests for IV/injectable medications.
Communicate with physicians and pharmacies for case resolution.
Work independently and manage caseload effectively.

Skills

Understanding of medical terminology

Excellent verbal and written communication

Proficient with computers

Education

Certified Pharmacy Technician license

2 years of pharmacy-related experience

Job description

1 week ago Be among the first 25 applicants

Use medication policy to review prior authorization requests for IV/injectable medications under the medical benefit.
Reach out to provider's offices to obtain additional clinical information needed to make a case determination or prep the case for pharmacist review.
Work independently as well as in a team environment.
Ability to manage caseload and turnaround times.

Day to Day Responsibilities

Understanding of medical terminology.
Use medication policy to review prior authorization requests for IV/injectable medications under the medical benefit.
Reach out to provider's offices to obtain additional clinical information needed to make a case determination or prep the case for pharmacist review.
Work independently as well as in a team environment.
Ability to manage caseload and turnaround times.

The team is primarily responsible for ensuring accurate and timely review of IV and injectable medications under the medical benefit, using Pharmacy and Therapeutics (P&T) Committee medication policies. The Pharmacy Technician, Advanced, will report to the Operations Supervisor. In this role, you will provide support for staff pharmacists using operational expertise to prepare medication cases for clinical review outside of technician EOA. Ensure compliance with various regulatory and quality accreditation requirements around drug utilization management.

Your Work

In this role, you will:

Utilize medication policy and operational principles to make authorization determinations on drug case reviews within technician extension of authority.
Research and collect pertinent patient and drug information to assist the pharmacists in case-specific reviews and drug evaluations.
Ensure coverage determinations are completed within regulatory turnaround times for all lines of business.
Work in a team environment to manage technician queues.
Ability to maintain an individual work queue.
Communicate with physicians, physician's office staff, and pharmacies to assist with case resolution.
Ability to communicate well with other team members and help to create team synergies.
Participate in, evaluate, and maintain efficient workflow procedures.
Engage in additional activities as assigned and discussed with the manager, including participation in all workstreams, such as intake, system testing, Peer to Peer.
Work weekend and holiday rotation schedule.
Perform other duties as assigned by the Management Team.

Your Knowledge and Experience

Requires a Certified Pharmacy Technician license.
Requires at least 2 years of pharmacy-related experience and training; or equivalent combination of education and experience.
Requires basic job knowledge of systems and procedures obtained through prior work experience or education.

Required Skills (top 3 non-negotiables):