Pharmacy Services 2

Pacer Group; United States; Remote; USD 27,000 - 39,000; Full time

Job summary

Pacer Group is seeking a Pharmacy Services 2 - Pharmacy Technician for a remote CA position. The role is a 6+ month assignment with potential extension or conversion to full‑time, work hours 8:30 AM to 5:00 PM, and pay at 24.00 USD per hour.

The main responsibility is handling prior authorization, formulary guidance and benefit communications for outpatient pharmacy services. Candidate should be licensed as a CA Pharmacy Technician and bring 2–4 years of relevant experience.

Qualifications

• CA Pharmacy Tech License required.
• 2–4 years of experience in pharmacy services.
• Currently in training or recently completed training.

Responsibilities

• Under general supervision, coordinates, assists in and supports implementation of procedures and guidelines for the drug prior authorization program for the outpatient Pharmacy Benefit.
• Communicates with the physician, physician's office staff, medical management and other team members to assist with accurate and efficient resolution of prior authorization requests.
• Assists in providing formulary alternatives and communicates prior authorization criteria, and discusses pharmacy benefit coverage inclusions/exclusions when required.
• Interfaces in a courteous and professional manner with physicians, physician office staff, contracted pharmacists, patients, and other team members during the prior authorization process.
• Provides drug usage history and other pertinent pharmacy benefit related computer searches for pharmacists and Medical Director to assist in case specific reviews and drug evaluations.
• Assists pharmacists with drug utilization review programs, NCQA QI programs or other assigned projects
• Communicates prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physician, physician office staff, medical management staff, sales, member/customer services
• Assists in research and resolution of physician inquiries and grievances
• Provides essential clinical information to Member Services, Administrative Review Department and Consumer Affairs to resolve Member inquiries and grievances

Tools

Microsoft Word

Teams

Outlook

Excel

Job description

Position Title: Pharmacy Services 2 - Pharmacy Technician

Location: Remote CA

Duration: 6+ months (possibility to extend or convert to FTE)

Schedule: 8:30 AM - 5:00 PM

PR: XXXXXXXXXXX0-24.00/HR

Summary

The main function of Pharmacy Services is to provide efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members and brokers) and internal team members. Resolves outpatient pharmacy benefit coverage (inclusion/exclusion), prescription claim problems, communicates drug formulary guidelines including drug formulary alternatives, prior authorization criteria and group/member eligibility problems. Researches and solves administrative review and consumer affairs issues.

Job Responsibilities

• Under general supervision, coordinates, assists in and supports implementation of procedures and guidelines for the drug prior authorization program for the outpatient Pharmacy Benefit.
• Communicates with the physician, physician s office staff, medical management and other team members to assist with accurate and efficient resolution of prior authorization requests
• Assists in providing formulary alternatives and communicates prior authorization criteria, and discusses pharmacy benefit coverage inclusions/exclusions when required
• Interfaces in a courteous and professional manner with physicians, physician office staff, contracted pharmacists, patients, and other team members during the prior authorization process
• Provides drug usage history and other pertinent pharmacy benefit related computer searches for pharmacists and Medical Director to assist in case specific reviews and drug evaluations.
• Assists pharmacists with drug utilization review programs, NCQA QI programs or other assigned projects
• Communicates prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physician, physician office staff, medical management staff, sales, member/customer services
• Assists in research and resolution of physician inquiries and grievances
• Provides essential clinical information to Member Services, Administrative Review Department and Consumer Affairs to resolve Member inquires and grievances

Education and Experience

Currently in training or recently completed training but has not consistently reached production/quality standards

2-4 years experience required.

Required Qualifications

• CA Pharmacy Tech License Required

Software Skills Required

• Microsoft Word, Teams, Outlook, Excel